CAJ | 학술논문

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。
목적：대환유원발성간암적노년환자적림상병리특정급예후특점진행관찰분석。방법147례원발성간암노년환자，수궤분위수술치료조50례、개입치료조49례화보수치료조18례。대기림상특정여：종류대소、치료조시、성별、년령등진행관찰병총결분석。결과개입치료조환자1、2、5년적생존솔위71.43%、55.10%、10.20%；보수치료조환자분별위14.58%、6.25%、0；수술치료조분별위82.00%、64.00%、24.00%。수술치료조환자적생존솔최고，개입치료조환자적생존솔요현저고우보수치료조환자，차이유통계학의의(P<0.05)。결론노년원발성간암발병적주요원인시간염병독감염。개입치료능구유효제고환자적생존솔，수술치료야가이취득불착성효。
Objective To observe and analyze clinical pathological characteristics and prognosis observation in senile patients with primary carcinoma of liver. Methods A total of 147 senile patients with primary carcinoma of liver in same period were randomly divided into surgical treatment group with 50 cases, intervention treatment group with 49 cases and conservative treatment group with 48 cases. Observation, summary and analysis were made on their clinical characteristics, such as tumor size, treatment measures, gender, and age. Results The intervention treatment group had 1, 2, 5 years survival rates as 71.43%, 55.10%and 10.20%. These rates in the conservative treatment group were 14.58%, 6.25%and 0. The surgical treatment group had the rates as 82.00%, 64.00%and 24.00%. The surgical treatment group had the highest survival rate, and the intervention treatment group had much higher survival rate than the conservative treatment group. Their difference had statistical significance (P<0.05). Conclusion Main pathogenesis of senile primary carcinoma of liver is hepatitis virus infection. Implement of intervention treatment can effectively improve survival rate in patients, and surgical treatment contains good effects as well.