Therapeutic way _'s treatment of hepatocarcinoma

Therapeutic way _'s treatment of hepatocarcinoma
It is a main factor of improving the prognosis of hepatocarcinoma to treat in early days. Early hepatocarcinoma should try hard to adopt the operation to excise. The big hepatocarcinoma to not excising can also adopt the complex treatment of many modes.
(1) Surgery treatment
The treating, still excising for being first-selected by surgery of hepatocarcinoma, it is the key to improving survival rate to excise in early days, the less tumour is, survival rate is the higher in five years.
The card is that the operation adapts to:
Diagnose clear, estimate pathological change limited to one leaf or half liver person;
There is no obvious jaundice, ascites or person who shifts distant place;
Liver function is compensated fairly, the person who doesn't lower than 50% of time of thrombese;
Heart, liver, person who tolerates renal function. Do not exceed 70% in the excising amount of liver of the normal one of liver function; Intermediate liver cirrhosis person exceed 50%, only can make left half liver, excise; Serious liver cirrhosis person can't do the lobe of the liver to excise. Operation and pathology verify about 80% more than hepatocarcinoma amalgamate liver cirrhosis, generally acknowledge with part excising, replacing the intersection of systematicness and lobe of the liver, it excises the perpetual result to be same, and postoperative liver function is lightened disorderlily, the mortality of operation is also reduced. Because of effect a radical cure, excise still have quite high recurring rate, should reexamine AFP and supersound to show alikely by monitor and recursing regularly while being postoperative.
Effect a radical cure, excise, follow up a case by regular visits to closely while being postoperative, so often measure " inferior clinical one " The small hepatocarcinoma recuring, it is first-selected to regard performing the operation again as, the second operation survival rate of the next five years can still reach 38.7%. Although liver transplantation skill can yet be regarded as a method to treat hepatocarcinoma, there are more foreign reports, but the position in treating hepatocarcinoma has not been verified for a long time, the application of postoperative long-term immune inhibitor, the patient often dies from and recurs. But the side to developing countries, still difficult to popularize in recent years because of supporting body source and fee question.
(2) Condoning surgical treatment
Suitable for great tumour or come loose, distribute or close to the intersection of trunk and district, amalgamate liver cirrhosis, limit but unable person who excise, the method has artery ligature sum of liver ' Or) Artery intubate chemotherapy of liver, freezing, laser treatment, microwave treatment, injection,etc. in liver artery thromboembolism treatment or absolute alcohol tumour in the skill, can make tumour dwindle sometimes, serum AFP drops, offers the chance that two steps are excised.
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