巨大肝癌手術(shù)切除的療效分析.pdf

1、分類號：分類號：R6R657.357.3密級：密級：巨大肝癌手術(shù)切除的療效分析巨大肝癌手術(shù)切除的療效分析TheCurativeEffectAnalysisofHugeHepatocellularCarcinomabySurgicalResection作者姓名：作者姓名：劉添劉添學科專業(yè)：學科專業(yè)：外科學（肝膽外科）外科學（肝膽外科）導師：師：董家鴻董家鴻答辯委員會主席：答辯委員會主席：論文答辯日期論文答辯日期：二〇一二〇一四年五月年五月

2、二十七二十七日院校地址：北京市復興路院校地址：北京市復興路2828號郵政編碼：郵政編碼：101008530853解放軍醫(yī)學院碩士學位論文目錄中文摘要中文摘要....................................................................................................................(1)英文摘要英文摘要...............

3、.....................................................................................................(2)前言前言................................................................................................................

4、............(4)正文正文............................................................................................................................(4)1.資料和方法...................................................................

5、.........................................(4)1.1患者入選標準..................................................................................................(4)1.2精確的術(shù)前評估........................................................

6、......................................(5)1.3精細的手術(shù)操作..............................................................................................(5)1.4隨訪研究.................................................................

7、.........................................(5)1.5統(tǒng)計分析..........................................................................................................(6)2.結(jié)果........................................................

8、...............................................................(6)2.1臨床和病理特點..............................................................................................(6)2.2術(shù)中及術(shù)后檢驗指標...................................

9、...................................................(7)2.3術(shù)后并發(fā)癥比較..............................................................................................(8)2.4術(shù)后總體生存率以及術(shù)后無瘤生存率........................................

10、..................(9)2.5預后相關(guān)因素的COX生存分析...................................................................(10)2.6影響術(shù)后1年復發(fā)率的COX單因素及多因素分析...................................(11)3.討論...........................................

11、...........................................................................(13)3.1精準術(shù)前評估對于巨大HCC手術(shù)切除的重要性......................................(13)3.2EdmonsonSteiner病理分級與巨大HCC的預后的關(guān)系............................(15)3.3剩余肝體積與

12、巨大HCC預后的關(guān)系...........................................................(15)3.4手術(shù)切緣與巨大HCC預后的關(guān)系...............................................................(16)3.5手術(shù)切除方式與巨大HCC預后的關(guān)系..........................................

13、............(16)3.6其他影響巨大HCC患者預后的危險因素...................................................(17)4.結(jié)論......................................................................................................................(18)參考

14、文獻參考文獻..................................................................................................................(19)附錄附錄............................................................................................

15、..............................(21)文獻綜述文獻綜述..................................................................................................................(23)攻讀學位期間發(fā)表文章情況攻讀學位期間發(fā)表文章情況....................................