Analysis of the prognosis of curative resection of spontaneous rupture with hemorrhage of primary hepatic carcinoma

VernacularTitle:原发性肝癌破裂出血手术切除治疗的预后分析
Author: Bing WANG
Publication Type:Journal Article
Keywords: Carcinoma; hepatocellular; Hemorrhage; Hepatectomy; Prognosis
From: Chinese Journal of Primary Medicine and Pharmacy 2013;20(13):1936-1938
CountryChina
Language:Chinese
Abstract: Objective To investigate the prognostic factors of curative operation for spontaneous rupture with hemorrhage of primary hepatic carcinoma (SRHC).Methods The clinical data and followed up results of 41 patients with SRHC treated by curative operation,were retrospectively analyzed.The prognostic factors affecting survival were studied by univariate and multivariate analysis.Results The survival rate of 1-year,3-year,5-year was respectively 46.34％,21.95％,9.76％.Univariate analysis showed that Child-Pugh class,degree of accompanying cirrhosis,tumor size,operation time,blood loss,tumor staging,serum albumin were significant prognosis factors.The use of Coxs multivariate proportional hazard model indicated that significant prognosis factors by curative operation for SRHC were degree of accompanying cirrhosis,Child-Pugh class,blood loss,tumor staging for cumulative survival rate.Conclusion The factors affecting prognosis were degree of accompanying cirrhosis,Child-Pugh class,blood loss,tumor staging.