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极早期肝癌的治疗方法多样,各有所长。肝移植、手术切除、经皮消融是极早期肝癌最有效的治疗方法。由于供肝资源缺乏,肝移植难以广泛开展,手术切除和经皮消融在临床上最为常用,且效果理想。经皮消融作为新型治疗方式,在微小肝癌和老年患者的治疗中较手术切除有明显优势,但术后复发率较手术切除高。当以上3种治疗方法不可行时,肝动脉插管栓塞化疗可作为补救性治疗。局部联合治疗优于单独局部治疗,适用于无法手术切除的患者。“观察疗法”仍需更多的临床研究证实其安全性和有效性。
Very early treatment of liver cancer varied, each having its own advantages. Liver transplantation, surgical resection, percutaneous ablation is the most effective treatment for very early liver cancer. Due to the lack of liver resources, liver transplantation is difficult to carry out extensively, and surgical resection and percutaneous ablation are the most commonly used in clinical practice, and the results are satisfactory. Percutaneous ablation as a new treatment, in the treatment of small liver cancer and elderly patients than the surgical removal of obvious advantages, but the recurrence rate after surgery than surgery. When the above three kinds of treatment is not feasible, hepatic artery embolization chemotherapy can be used as a remedial treatment. Local combination therapy is superior to the single topical treatment, suitable for patients who can not be surgically removed. “Observational therapy” still needs more clinical studies to confirm its safety and effectiveness.