文章摘要
乙型肝炎肝硬化并发肝癌的危险因素探讨
Risk factors of hepatitis B cirrhosis complicated with liver cancer
  
DOI:10.3969/j.issn.1007-8134.2019.06.014
中文关键词: 乙肝肝硬化  肝癌  危险因素  临床诊治
英文关键词: hepatitis B cirrhosis  liver cancer  risk factor  clinical diagnosis and treatment
基金项目:淮安市第四人民医院科研基金(2017003)
作者单位
张 睿 淮安市第四人民医院肝病科 
朱礼尧 淮安市第四人民医院肝病科 
赵 艳 淮安市第四人民医院肝病科 
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中文摘要:
      目的 探讨乙型肝炎(乙肝)肝硬化并发肝癌的危险因素,为临床诊治提供依据。方法 回顾性分析我院2016年1月—2018年12月收治的238例乙肝肝硬化患者资料,按照是否并发肝癌分为肝癌组(120例)与非肝癌组(118例),分析乙肝肝硬化并发肝癌的危险因素。结果 肝癌组在性别为男性、肝癌家族史、其他肿瘤家族史、糖尿病史、长期吸烟史、长期饮酒史、HBV阳性及抗病毒治疗的比例方面均高于非肝癌组(P均<0.05)。Logistic回归分析显示,有糖尿病史、有长期饮酒史、有长期吸烟史、HBV阳性及未接受抗病毒治疗是乙肝肝硬化患者并发肝癌的危险因素。结论 男性患者发生乙肝肝硬化的几率高于女性患者。糖尿病史、未接受抗病毒治疗、长期吸烟史、长期饮酒史、HBV阳性均是乙肝肝硬化并发肝癌的危险因素。
英文摘要:
      Objective To investigate the risk factors of hepatitis B cirrhosis complicated with liver cancer and provide evidence for clinical diagnosis and treatment. Methods Data of 238 patients with hepatitis B cirrhosis admitted to our hospital from January 2016 to December 2018 were analyzed retrospectively. The included patients were divided into 2 groups according to the presence/absence of hepatocellular carcinoma, namely liver cancer group (120 cases) and non-liver cancer group (118 cases). The risk factors of hepatitis B cirrhosis complicated with hepatocellular carcinoma were analyzed. Results The percentages of male, family history of liver cancer, family history of other tumors, diabetes history, long-term smoking history, long-term drinking history, positive HBV and antiviral treatment in the liver cancer group were higher than those in the control group (P<0.05). Logistic regression analysis showed that the history of diabetes, long-term drinking history, long-term smoking history, positive HBV and no antiviral treatment were risk factors for liver cancer in patients with hepatitis B cirrhosis. Conclusions Male patients are more prone to hepatitis B cirrhosis than female patients. The risk factors for liver cancer in patients with hepatitis B cirrhosis include the history of diabetes, absence of antiviral treatment, long-term smoking history, long-term drinking history and positive HBV.
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