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目的总结肝炎肝硬化失代偿期并发肝癌的治疗体会。方法采用综合治疗的方法改善肝功能,使病人能够早日接受手术治疗,切除肿瘤,或进行插管化疗。结果有42例病人在治疗3周后,肝功能减退得到明显改善,腹水明显消失,有12例病人因病重自动出院。42例病人中,有6例行肿瘤手术切除术,术后恢复良好;有41例行动脉插管,化疗栓塞。结论肝炎肝硬化病人失代偿期并发肝癌时,应积极治疗,采用综合治疗的方法,改善肝功能,消除腹水,争取早日接受手术切除肿瘤,或进行插管化疗,能够延长病人的生存时间,改善生活质量。
Objective To summarize the therapeutic experience of decompensated liver cirrhosis and hepatocellular carcinoma. Methods The method of comprehensive treatment to improve liver function, so that patients can be treated as soon as possible surgery to remove the tumor or intubation chemotherapy. Results 42 patients after 3 weeks of treatment, liver dysfunction was significantly improved, ascites significantly disappeared, 12 patients were discharged due to illness. Of the 42 patients, 6 had undergone tumor resection and had good postoperative recovery; 41 had arterial cannulation and chemoembolization. Conclusion Hepatitis cirrhosis patients with decompensated hepatocellular carcinoma should be actively treated with comprehensive treatment methods to improve liver function and eliminate ascites for early surgery to remove the tumor or intubation chemotherapy can extend the patient’s survival time, Improve the quality of life