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近年来诊治肝癌合并门静脉癌栓21例,其中外科治疗13例,单行经导管动脉栓塞(TAE)治疗3例;未治5例。外科手术后平均存活时间明显长于TAE组或未治疗组。门静脉癌栓所致的门脉高压症具有病程短、病情重、出血量大、预后差等特点。并就其诊断、治疗进行了讨论。
In recent years, 21 cases of hepatocellular carcinoma complicated with portal vein tumor emboli have been diagnosed and treated. Among them, 13 cases were treated surgically, 3 cases were treated with single transcatheter arterial embolization (TAE), and 5 cases were untreated. The average survival time after surgery was significantly longer than the TAE group or untreated group. Portal hypertension caused by portal vein tumor emboli has the characteristics of short duration, severe illness, large amount of bleeding, and poor prognosis. He discussed the diagnosis and treatment.