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目的比较肝细胞癌破裂出血不同治疗方法的疗效及其意义。方法对我院１９９０年～２０００年收治的７４例肝细胞癌破裂出血病人按不同方法治疗，比较其生存率。结果肝癌根治切除生存率最高，其次为肝动脉（或肝固有动脉）结扎加缝扎填塞；单纯缝扎和域填塞较低；肝动脉、门静脉插管化疗、肝动脉栓塞能明显提高肝癌根治性切除的肝癌破裂出血病人的生存率；非手术治疗死亡率高。结论肝癌破裂出血应争取Ⅰ期手术切除，全身情况差者，也应争取Ⅱ期手术切除，并强调采用肝动脉、门静脉插管化疗、肝动脉栓塞；注重影响生存期的各种因素的处理，可提高生存率；应避免非手术治疗。
Objective To compare the efficacy and significance of different treatment methods for hemorrhage of hepatocellular carcinoma. Methods Seventy-four patients with ruptured hepatocellular carcinoma admitted to our hospital from 1990 to 2000 were treated with different methods and their survival rates were compared. Results The survival rate of radical resection of hepatocellular carcinoma was the highest, followed by hepatic artery (or proper hepatic artery) ligation and suturing; the simple sutures and tamponade were lower; hepatic artery, portal vein catheterization chemotherapy, and hepatic artery embolization could significantly improve the curative effect of hepatocellular carcinoma. The survival rate of patients with excision of ruptured hepatocellular carcinoma; non-surgical treatment with high mortality. Conclusion Liver cancer hemorrhage should strive for stage I surgical resection. For those with poor general condition, we should also strive for stage II surgical resection and emphasize the use of hepatic artery, portal vein catheter chemotherapy, and hepatic artery embolization; pay attention to the treatment of various factors affecting the survival period. Can improve the survival rate; non-surgical treatment should be avoided.