网络编辑平台

编辑出版

《中国临床医学》编辑部

  地址:上海市枫林路179号18号楼501室

  邮编:200032

  电话:021-60267570

  邮箱:(1)zglcyx@126.com; (2)zglcyxfb@126.com

作者园地

在线调查

您喜欢的投稿方式调查


相关下载

您所在位置:首页->过刊浏览->第18卷第6期


论著:原发性肝癌术后腹腔种植转移危险因素分析
Risk Factors for Intraperitoneal Seeding Related to Liver Resection for Primary Liver Cancer Postoperatively
黄峰 周东 应敏刚
点击:1244次 下载:0次
作者单位:福建省肿瘤医院腹部外科
中文关键字:肝癌;腹腔种植转移;危险因素
英文关键字:Liver cancer; Abdominal cavity implantation metastasis; Risk factor
中文摘要:目的:探讨影响原发性肝癌术后腹腔种植转移的危险因素。方法:回顾分析2001年1月—2005年12月35例原发性肝癌术后腹腔种植转移病例及287例同期术后无腹腔种植转移病例的临床资料,并进行统计学分析。结果:单因素分析结果显示肿瘤大小、癌灶是否破裂及癌灶是否侵犯周围脏器与原发性肝癌术后腹腔种植转移显著相关。多因素分析结果显示肿瘤大小、癌灶是否破裂是影响原发性肝癌术后腹腔种植转移的独立危险因素。结论:引起原发性肝癌术后腹腔种植转移的主要危险因素是较大肝癌、肝癌破裂及癌灶侵犯周围脏器等。术中注意癌灶的隔离、癌旁受侵组织的分离、无瘤操作原则及腹腔反复冲洗等可减小腹腔种植转移概率,从而改善预后。
英文摘要:Objective: To investigate the Risk factors for intraperitoneal seeding related to liver resection for primary liver cancer postoperatively.Methods: The clinical materials for 35 cases intraperitoneal seeding related to liver resection for primary liver cancer postoperatively and 287 cases non-intraperitoneal seeding postoperatively at the same time from January 2001 to December 2005 in our hospital were analyzed retrospectively.Results: Univariate analysis demonstrated that the size of tumor, spontaneous rupture of liver cancer and tumor invaded surrounding organs were significant risk factor for intraperitoneal seeding related to liver resection for primary liver cancer postoperatively.Multivariate analysis demonstrated that the size of tumor and spontaneous rupture of liver cancer were independent risk factor for intraperitoneal seeding postoperatively. Conclusions: The primary risk factor of abdominal implantation metastasis of liver cancer are the large liver cancer, spontaneous rupture of liver cancer and tumor invaded surrounding organs.For these cases, we must take some measures for prevention such as to isolate the tumor, attention to treatment of abdominal invaded tissue around cancer、washing abdominal cavity thoroughly and non-tumor technique etc,which reduces the rate of abdominal implantation metastasis and improve the prognosis.
读者评论

      读者ID: 密码:   
我要评论:
主办单位:复旦大学附属中山医院
联系地址:上海市枫林路179号18号楼501室 邮编:200032
联系电话:021-60267570 E-Mail:(1)zglcyx@126.com; (2)zglcyxfb@126.com
版权所有©2009-2010 《中国临床医学》杂志编辑部 沪ICP备1103249号
本系统由北京菲斯特诺科技有限公司设计开发
您是本站第1269992名访问者