Our country treats the means _'s treatment of hepatocarcinoma at present
Of our country treatment of hepatocarcinoma have progress greatly at present, enable hepatocarcinoma by the past " incurable disease " Change into " Can partly manage " ,Survival rate rose to 20.6% from 2.6% too in 5. The goal one of hepatocarcinoma treatment is to effect a radical cure, second, lengthen life cycle, third, lighten the agony, improve life quality. Find in early days, treat in early days it is still a route to improve curative effect of hepatocarcinoma.
The operation of hepatocarcinoma is excised, it is still the best one of curative effect in various treatments. Every hepatocarcinoma is diagnosed clearly, tumour range is little, excise it perhaps, liver function is compensated fairly, the time of thrombinogen is basically normal, there is no obvious jaundice, ascites or person who shifts distant place, the whole body state is better, without other serious organic diseases, the ability should try hard to strive for the effecting a radical cure surgery treatment by surgery person.
Because clinical the intersection of finding and the intersection of hepatocarcinoma and later period enter already more, with liver cirrhosis hepatocarcinoma patient about 80%, hepatocarcinoma that can implement the effecting a radical cure excision skill is only the minority, most hepatocarcinoma is mainly depending on complex treatment. Improving life quality, lengthening to survive to these patients, time is the main goal treated. Complex treatment is a basic principle of hepatocarcinoma of later period while treating at present, and select excising some treatment of appropriate performing the operation for use at first, it is a key link of complex treatment to kill the cancer cell in a large amount. Some treatment is mainly as follows, that it is various clinical to apply to at present Liver artery thromboembolism, alcohol injection, radio frequency, microwave, laser, freezing,etc., take various some treatments as the core, implement immunization therapy, lead treatment, gene therapy, traditional Chinese medicine at the same time treatment,etc. the intersection of hepatocarcinoma and therapeutic main means at present.
Puncture liver by leather arteria femoralis artery thromboembolism skill to can't perform the operation, treat the intersection of hepatocarcinoma and first-selected therapeutic method of patient. Its principle is based on the normal liver to organize the blood to be for 25% to come from the liver artery, 75% come from the portal vein, and hepatocarcinoma tubercle blood for nearly all coming from the liver artery. If will offer the liver artery of nutrition of tumour to prop up thromboembolism of intubate, not merely can block cancer and organize the blood to support, restrain tumour from growing, can lead to the fact that organize necrosis and dwindle in cancer and and does not cause liver function to be depleted. Get involved in the meeting material of radiology in the whole country: 3807 adopt later period hepatocarcinoma in liver artery thromboembolism treatment, survival rate is up to 35.5% - 62.5% in one year. The records of more than 10 years of once surviving of simple thromboembolism.
It is to puncture the needle and puncture and enter tumour in the body by the cover under the circumstances that Ultrasonography B or CT guides that absolute alcohol pours into the treatment, pour into absolute alcohol, in order to treat tumour. Main function mechanism is to utilize absolute alcohol to organize fast dehydration fixation to tumour, make tumour organize ischemic necrosis. This method is easy and simple to handle, the agony is little, there are few complications, the expenses are cheap. It can make hepatocarcinoma obviously shrink to pour into absolute alcohol, it is reported 100% of the tumours dwindle, 90% tumour dwindle 30% greater than, 60% tumour dwindle greater than 50%.
Radioactive particle organize room plant, it enters skills to be the intersection of hepatocarcinoma and therapeutic one new method for ever, someone of medical circle calls it vividly " The particle knife " . It achieves the way to encapsulate a plurality of the good radiosiotope with certain specification, activity a little or through the operation, construct the intersection of source and conduit discharge, get hepatocarcinoma organize directly, through device of source constructed, the radioactive source according to the size and shape of tumour, arrange according to certain law, shine the close quarter, high dosage to the tumour organization, achieve the goal of treating disease.
The radio frequency damages the new technology that is hepatocarcinoma of a treatment, have security high, complication few, apt characteristics of tolerating etc.. The radio frequency is damaged to give play to the thermal effect, characteristic that utilizes tumour to be heat-labile to achieve the goal of damaging tumour. Radio frequency the intersection of electrode and the intersection of needle and peak can stretch out and draw back 10 fishhook crooked little electrodes, usually call that " multiple warhead " ,Open in organizing in umbrella shape, produce even and unanimous sphere solidifying necrosis area.
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