首页|双表型原发性肝细胞癌治疗效果的研究

双表型原发性肝细胞癌治疗效果的研究

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目的 探讨双表型原发性肝细胞癌的治疗效果.方法 选取 2020 年 3 月—2022 年 3 月福建医科大学孟超肝胆医院诊治的 1 151 例原发性肝细胞癌患者为研究对象.按照病理分型进行分组,分为对照组(非双表型原发性肝细胞癌,共 575 例)与研究组(双表型原发性肝细胞癌,共 576 例),2 组均接受腹腔镜肝切除术或开放手术治疗.对比 2 组的生存情况与血清生化指标.结果 研究组生存时间为(2.14±0.23)年,短于对照组的(3.96±1.02)年;研究组 1、3、5 年生存率低于对照组(P<0.05).研究组甲胎蛋白(alpha-fetoprotein,AFP)、总胆红素(total bilirubin,TBIL)、血清白蛋白(albumin,ALB)高于对照组,谷氨酰转移酶(glutamyltransferase,GGT)、碱性磷酸酶(alkaline phosphatase,ALP)、血小板(platelet,PLT)低于对照组,差异有统计学意义(P<0.05).结论 相较于非双表型原发性肝细胞癌,双表型原发性肝细胞癌的恶性度更高,生存时间更短,预后效果更差.
Study on the Therapeutic Effect of Biphenotypic Primary Hepatocellular Carcinoma
Objective To explore the therapeutic effect of biphenotypic primary hepatocellular carcinoma.Methods A total of 1 151 patients with primary hepatocellular carcinoma diagnosed and treated in Mengchao Hepatobiliary Hospital of Fujian Medical University from March 2020 to March 2022 were selected as the study objects.According to the pathological classification,they were divided into the control group(non-biphenotypic primary hepatocellular carcinoma,575 cases)and the study group(biphenotypic primary hepatocellular carcinoma,576 cases).Both groups were treated with laparoscopic hepatectomy or open surgery.The survival and serum biochemical indexes of the two groups were compared.Results The survival time of the study group was(2.14±0.23)years,shorter than that of the control group(3.96±1.02)years.The 1,3 and 5-year survival rates of the study group were lower than those of the control group(P<0.05).Alpha-fetoprotein(AFP),total bilirubin(TBIL)and albumin(ALB)of the study group were higher than those of the control group,while glutamyltransferase(GGT),alkaline phosphatase(ALP)and platelet(PLT)of the study group were lower than those of the control group,with statistical significance(P<0.05).Conclusion Compared with non-biphenotypic hepatocellular carcinoma,biphenotypic hepatocellular carcinoma has higher malignant degree,shorter survival time,and worse prognosis.

biphenotypic primary hepatocellular carcinomasurgical treatmentserum biochemical indexsurvival timesurvival rateprognosis

刘腾、曾建兴、吕嘉晖

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福建医科大学孟超肝胆医院肝胆外科,福建福州 350001

双表型原发性肝细胞癌 外科手术治疗 血清生化指标 生存时间 生存率 预后

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(10)
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