【摘要】 目的 探讨非规则性肝切除术治疗原发性肝癌的临床疗效。方法 1995年1月～2003年5月采用非规则性肝切除治疗原发性肝癌106例，随访1～5年，对其临床资料进行分析。结果 8例在术后3个月内死于肝肾功能衰竭，98例恢复良好。术后1、3、5年的生存率分别为84.9%、34.7%、27.8%。结论 非规则性肝切除是治疗原发性肝癌的有效方法，特别对于合并肝硬化的患者更有临床应用价值。

    【关键词】 原发性肝癌；肝切除术

    【Abstract】 Objective To explore the clinical effect of irregular hepatectomy with removal of tumor for the treatment of primary liver carcinoma.Methods From 1995 to May 2003,106 patients with primary liver carcinoma underwent irregular hepatectomy.All patients were followed up for 1～5 years;the clinical data were analysed.Results 8 cases died from the functional failure of liver and kidney in 3 months after operation.98 cases recovered in a good state.Survival rate at 1,3,5 year after surgery was 84.9%,34.7%,27.8%.Conclusion Irregular hepatectomy with removal of tumor is effective in treatment of primary liver carcinoma.This treatment is better for liver carcinoma with hepatocirrhosis.

    【Key words】 primary liver carcinoma;hepatectomy

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