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目的对患有原发性肝癌的老年患者的临床病理特征及预后特点进行观察分析。方法 147例原发性肝癌老年患者,随机分为手术治疗组50例、介入治疗组49例和保守治疗组18例。对其临床特征如:肿瘤大小、治疗措施、性别、年龄等进行观察并总结分析。结果介入治疗组患者1、2、5年的生存率为71.43%、55.10%、10.20%;保守治疗组患者分别为14.58%、6.25%、0;手术治疗组分别为82.00%、64.00%、24.00%。手术治疗组患者的生存率最高,介入治疗组患者的生存率要显著高于保守治疗组患者,差异有统计学意义(P<0.05)。结论老年原发性肝癌发病的主要原因是肝炎病毒感染。介入治疗能够有效提高患者的生存率,手术治疗也可以取得不错成效。
Objective To observe and analyze the clinicopathological features and prognosis of elderly patients with primary liver cancer. Methods A total of 147 elderly patients with primary hepatocellular carcinoma were randomly divided into surgical treatment group (n = 50), interventional treatment group (n = 49) and conservative treatment group (n = 18). On the clinical features such as: tumor size, treatment, gender, age, etc. were observed and analyzed. Results The survival rates at 1, 2 and 5 years in intervention group were 71.43%, 55.10% and 10.20%, respectively. The conservative treatment group was 14.58% and 6.25% respectively. Surgical treatment group was 82.00%, 64.00% and 24.00 respectively %. Survival rate was the highest in surgical treatment group, and the survival rate of interventional treatment group was significantly higher than that of conservative treatment group, the difference was statistically significant (P <0.05). Conclusion The main reason of senile primary liver cancer is hepatitis virus infection. Interventional therapy can effectively improve the survival rate of patients, surgical treatment can also achieve good results.