An analyses of 104 cases spontaneous rupture of hepatocellular carcinoma
10.3969/j.issn.1671-8348.2016.27.012
- VernacularTitle:104例肝癌破裂出血治疗结果分析
- Author:
Jin LI
;
Zhengming LEI
;
Wenguang FU
- Publication Type:Journal Article
- Keywords:
liver neoplasms;
rupture;
hemorrhage;
hemostasis;
surigcal resection;
transcatheter arterial embolization
- From:
Chongqing Medicine
2016;45(27):3783-3784,3787
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical management of Spontaneous rupture of hepatocellular carcinoma(SRHCC) . Methods This was a retrospective review of the clinical data of patients with SRHCC who underwent treated in the affiliate hospi‐tal of Luzhou medical college from January 2001 to December 2014 .Results Among 104 patients ,small hepatocellular carcinoma (<5 cm) were found in 11 cases ,and large hepatocellular carcinoma(>5 cm) in 93 cases .Thirty‐one cases which underwent surgi‐cal treatment ,were cured;44 underwent transcatheter arterial embolization (TAE) ,5 cases died of liver function failure;29 cases were treated conservatively ,11 cases died of huge bleeding ,18 cases gave up discharged .Twenty‐two small and medium‐sized SRH‐CC cases underwent hepatectomy survived 1to‐10 years ;8 huge sized SRHCC cases survived 5to‐13 months;one case who under‐went partial filling pressure hemostasis and hepatic artery ligation ,but died of tumor rupture again after 34 days .Sixteen cases un‐derwent TAE were followed up ,14 cases survived 3to‐10 moths ,the survival time of two cases were 3 years and 5 years ,respective‐ly .Conservative treatment group has not been followed up .Conclusion The tumours should be surgical resection as soon as possi‐ble in those whose lesions confined to the liver and may be removed ,systemic condition is good;TAE should be used for other pa‐tients .
