目的:探讨原发性肝癌伴门静脉癌栓(PVTT)外科治疗的方法及疗效.方法:27例均行肝癌连同PVTT切除或经门静脉断端取栓或切开主干取栓.术后18例同时行肝动脉及门静脉化疗,单纯行5例肝动脉插管化疗栓塞术(TACE),未做化疗4例.结果:术后1、3、5年生存率分别为66.7％ (18/27)、29.63％ (8/27) 、11.11％ (3/27).结论:外科手术是治疗肝癌合并PVTT的有效方法,术后辅以门静脉化疗及TACE术能明显提高治疗效果.%Objective: To explore the methods and effects of surgical therapy for primary liver cancer (PLC) with tumor thrombus in portal vein (PVTT). Methods; Twenty - seven cases of PLC with PVTT underwent liver resection for PLC combined with tumor thrombectomy or the removal of tumor thrombus by broken ends of portal vein or by the section of portal vein. After operation, 18 cases were treated by transcatheter hepatic arterial chemo-embolization (TACE) and portal vein chemotherapy (PVC) while 5 cases only by TACE and 4 cases without chemotherapy. Results; Overall 1 - , 3 - , and 5 - year survivals were 18 cases (66.7% ) , 8 cases (29.63% ) , and 3 cases (11.11%), respectively. Conclusion; Surgical therapy is an effective way for PLC with PVTT and the surgical effects can be further improved with the assistance of PVC and TACE.
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