Abstract: 【Abstract】〓Portal vein tumor thrombosis (PVTT) is one of the most important prognostic factors for survival in patients with hepatocellular carcinoma (HCC). Patients with PVTT have significantly worse outcomes after treatment. There is no consensus about the optimal treatment for such patients. To improve on the results of treatment of HCC with PVTT, various methods have been applied, such as transarterial chemoembolization, systematic treatment with drugs, radiofrequency ablation therapy and hepatic resection. However, the results are not so encouraging. With the development of surgical techniques and new drugs, a good prognosis would be achieved with combined treatments.

Key words: Hepatocellular carcinoma, Portal vein tumor thrombosis, Treatment

摘要： 【摘要】〓门脉癌栓是肝癌患者不良预后的重要指标,然而对于合并门脉癌栓的肝癌患者,国际上并没有统一的治疗标准。尽管临床尝试了各种方法,如肝动脉栓塞化疗(TACE),全身药物的系统治疗,局部消融治疗及积极的手术治疗,但治疗效果不尽理想。随着外科技术的发展以及新的技术和药物的研发,希望通过综合的治疗,提高此类患者的治疗效果,延长患者的生存。

关键词: 肝癌, 门脉癌栓, 治疗方法