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［目的］探讨原发性大肝癌的手术治疗方法。［方法］回顾性分析１９９２年２月至１９９９年１０月间手术切除的９４例原 发性大肝癌。治疗方法分Ⅰ期手术切除（７８例）、肝动脉栓塞化疗（ＴＡＥ）或肝动脉结扎（ＨＡＬ）后Ⅱ期切除（１２例）及癌块中心挖除 快速缩小后Ⅱ期切除（４例）三种。［结果］全组手术死亡３例，总的１、３及５年生存率分别为６３．７％、３４．４％和３０．０％。［结论］尽量 保留肝组织的不规则肝切除是原发性大肝癌的有效术式， ＴＡＥ／ＨＡＬ的治疗效果有待提高，而癌块快速缩小后 Ⅱ期手术切除的方 法值得进一步探索。
[Objective] To investigate the surgical treatment of primary hepatocellular carcinoma. [Method] A retrospective analysis of 94 cases of primary hepatocellular carcinoma resected between February 1992 and October 1999 was performed. The patients underwent surgical resection in stage Ⅰ (78 cases), stage Ⅱ resection (TAE) or hepatic artery ligation (12 cases) and stage Ⅱ excision (4 cases) Three kinds. [Results] All the patients died of operation in 3 cases. The total 1, 3 and 5-year survival rates were 63.7%, 34.4% and 30.0% respectively. [Conclusion] It is an effective procedure to keep hepatic tissue from irregular hepatectomy as much as possible, and the therapeutic effect of TAE / HAL needs to be improved. However, the method of surgical resection of stage Ⅱ tumor deserves further exploration.