【摘要】目的 探讨原发性肝癌诊断和治疗的临床观察。方法 回顾性分析 17年间收治的14例原发性肝癌诊断和治疗临床资料。结果 临床表现为肝癌及梗阻的黄疸症状患者术前正确诊断率 14.2%、14.2%、21.4%、100% 手术根治性切除率70%，术中死亡率0 ，术后并发症发生率30%，术后3年生存率40%，5年生存率20%；采用非手术为主的综合治疗4例，术后3年生存率25%,5年生存率0 。结论 原发性肝癌的治疗和诊断应选择多种检查手段，以手术为主的综合治疗仍是目前原发性肝癌理想治疗模式，并且对不同分期的肝癌采用不同的治疗模式。

    【关键词】肝肿瘤/并发症 癌栓/并发症 肿瘤综合治疗法

    中图分类号：R735.7 文献标识码：B 文章编号：1005-0515(2012)1-106-02

    【Abstract】Objective to study clinical odser vation of diagnosis and treatment of primary liver cancer. Methods The clincal date of 14patients with diagnosis and treatment of primary liver cancer . Results the major clinical manifestations were the symptoms of primary liver cancer and obstructive jaundice the correct diagnosis rate was 71.4%.before operation The diagnosis rate of Bus ct MRtand ptc was 14.2%、14.2%、21.4% and 100% respectively The resection rat and moratality and morbidity rat were 70% and 30%respectively The 3-5year survival rate were 40% and 20% respectively in 4 patients who recevived non-surgical resection tratment the 3-5year survial rat were 25%and respectively Conclusions Muti-examinations should beapplied in the diagnosis of plc livcr resection Combined with other non operative modalites are ideal ways to treat primary liver cancer at the present time and for ditlerent stages of plc ditlerent treatment modalities are used. ......