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 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.
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