CAJ | 학술논문

目的：分析原发性肝癌术后复发因素分析。方法回顾性分析60例后原发性肝癌手术治疗的患者的临床资料，采集患者一般资料、临床资料，随访手术近期和远期复发情况，并对影响复发的相关因素进行分析。结果在影响远期复发和近期复发的相关因素分析中显示，Child-Pugh分级、肿瘤直径、有子瘤结节、有血管癌栓、TNM分期、因出现症状而发现、输血是影响复发的主要因素（P＜0.05或P＜0.01）。结论肿瘤直径、有子瘤结节、有血管癌栓、TNM分期、因出现症状而发现是影响近期复发的主要因素，Child-Pugh分级、输血是影响远期复发的主要因素。
목적：분석원발성간암술후복발인소분석。방법회고성분석60례후원발성간암수술치료적환자적림상자료，채집환자일반자료、림상자료，수방수술근기화원기복발정황，병대영향복발적상관인소진행분석。결과재영향원기복발화근기복발적상관인소분석중현시，Child-Pugh분급、종류직경、유자류결절、유혈관암전、TNM분기、인출현증상이발현、수혈시영향복발적주요인소（P＜0.05혹P＜0.01）。결론종류직경、유자류결절、유혈관암전、TNM분기、인출현증상이발현시영향근기복발적주요인소，Child-Pugh분급、수혈시영향원기복발적주요인소。
Objective To discuss influencing factors of recurrence for primary hepatic carcinoma after curative resection. Methods Clinical data of 60 cases with primary hepatic carcinoma were retrospectivly analyzed. Recent and forward recurrences were followed up, and influencing factors were analyzed. Results After follow up, Child-Pugh, diameter of tumor, blood vessel invasion, TNM, discovered for syndrome, transfusion were influencing factors of recurrence for primary hepatic carcinoma after curative resection(P < 0.05 or P < 0.01). Conclusion Diameter of tumor, blood vessel invasion, TNM, discovered for syndrome are influencing factors of recent recurrence for primary hepatic carcinoma after curative resection, and Child-Pugh and transfusion are influencing factors of forward recurrence.