Wednesday, March 28, 2012

Our country achieves surgery and treats the clinical curative effect of hepatocarcinoma prominently a little

Our country achieves surgery and treats the clinical curative effect of hepatocarcinoma prominently a little
Our country achieves surgery and treats the clinical curative effect of hepatocarcinoma prominently a little
Reporter Chen torch September 20 tumour a little creates the innovation strategy alliance of the treatment technology to know from China, our country launch radio frequency melt, microwave melt, argon helium knife freeze, melt and chemistry melt create the intersection of surgery and hospital to treat hepatocarcinoma for more than 100 a little at present, the patient receiving treatment has no survival rate of tumour to rise to about 50% from 20% original, the hepatocarcinoma patient lengthens, lives in life cycle quality is improved notably in later period in increasingly many. China tumour create the intersection of treatment technology and the intersection of innovation strategy and Zheng, president of alliance, add, born, point out a little, at present, create surgery, treat hepatocarcinoma, accumulate ripe experience already a little while being clinical, 80% about the intersection of hepatocarcinoma and patient can accept, create the intersection of surgery and treatment a little. Hepatocarcinoma threatens malignant tumour of human health and life seriously, the morbidity occupies the fifth of global malignant tumour. Our country sends to a patient about 370,000 people of hepatocarcinoma newly every year, and increase at 5% of the speeds of every year. The pathogenesis of hepatocarcinoma is not so obvious at present, the scientific practice indicates, the morbidity of hepatocarcinoma relates to hepatitis B, third liver and liver cirrhosis. The hepatocarcinoma patient above 90% of our country happens on the basis of hepatitis B or third liver, the person who amalgamates liver cirrhosis of hepatocarcinoma is up to 83.6%. Because the liver has no nerve, the patient keenlies feel when only liver tumour corrodes peripheral internal organs and blood vessel. The clinical practice proves, the later period in 80% of the hepatocarcinoma patients have already reached while making a definite diagnosis of, lose possibility of regular surgery treatment. Zheng adds and catches pointing out, achieving surgery a little has many kinds of means to treat hepatocarcinoma, among them the radio frequency melts and launches time relatively early, security is mostly been neither high nor clinical in in adopt at tumours little; When the microwave melts and treats hepatocarcinoma, tumour melts fast, is often used in greater tumour clinically; As to neighbouring skeleton and hepatocarcinoma of the diaphragm skin position, adopt argon helium to freeze while melting to treat, can be in order to reduce the patient's pain notably. The clinician will adopt different creating treating surgery a little according to different characteristics of the hepatocarcinoma patient, achieve the goal that the patient has no tumour to survive, lengthen life cycle finally. Our country adopt create the intersection of surgery and the intersection of treatment and the intersection of diameter and 5 more than hepatocarcinoma and loud tumour, already reach the international most advanced level a little. The 54 -year-old Beijing patient so-and-so Lu has suffered from hepatitis B for many years, while helping fitting the hospital in Beijing and going to a doctor last September, tumour diameter of right leaf of the liver has already been up to 12 centimetres, and a plurality of distributes little tumour. Doctor carry on the intersection of liver and the intersection of artery and the intersection of conduit and the intersection of chemotherapy and the intersection of thromboembolism and skill first for him, enable tumour and most necrosis. One month later, the doctor decides to carry on argon helium and freeze melting to treat to him, adopt, make enormous tumour disposable to at all melt by 17 frozen probe in the skill; After protecting the liver, antiviral treatment, adopt radio frequency again method of melting a plurality of little tumour disposable to at all melt the intersection of he and liver. At present, have not seen tumour recur through checking many times. Over the past 4 years, Beijing has helped and fitted 378 for hepatocarcinoma patient of under 5 centimetres of hospital treatment, survival rate is 100% in one year, survival rate is up to 79% in 3; Treat 365 for hepatocarcinoma patient of more than 5 centimetres of liver tumour, melt the largest diameter of tumour is 16 centimetres, the patient, survival rate is 97.5% in one year, survival rate is up to 72% in 3. Surgery treated hepatocarcinoma after our country launched the microwave to melt at first in the world since 1999, the whole country finish more thanth microwave melt surgery every year at present. 56 -year-old hepatocarcinoma patient so-and-so Liu, while helping fitting the hospital to go to a doctor in Beijing in January of this year, tumour diameter of right leaf of the liver has already been up to 11 centimetres. The doctor has carried on microwave two times and melted and treated according to her situation. This was once diagnosed that there are only patients of 3 life cycles month, were nowadays still living normally. Zheng adds and catches pointing out, infringe the intravenous blood vessel, the hepatocarcinoma patient of the cancer bolt of portal vein takes place to liver tumour, adopt radio frequency melt, microwave melt surgery and combine the intersection of artery and thromboembolism, treat, have made prominent curative effect. At present, 134 patients receiving treatment, survival rate is 90.1% in one year, survival rate is 71% in 3. It is reported, already more than 1000 doctors have grasped various and achieved and treated the technology of hepatocarcinoma a little in the whole country at present, launch more than 12000 operations every year. China tumour create the intersection of treatment technology and the intersection of innovation strategy and alliance, popularize, create, treat the technology of hepatocarcinoma a little further in the whole country a little, more than 200 hospitals can make hepatocarcinoma and create the operation a little to try to reach within 5 years, make clinically to achieve operation rate and more than 60% a little. (Point out: Launch how many it will be surgery, mean treating patient's number. Quite a lot of hepatocarcinoma patients need to carry on the surgery treatment two or more times, each time carrying on surgery and count as a surgery. ) Chain: Radio frequency melt whom radio frequency melt on being at present clinical adopting most treat creating technology a little of hepatocarcinoma. Doctor until CT, Ultrasonography B, nuclear magnetism image guide, puncture get patient in the liver tumour accurately the intersection of radio frequency and the intersection of electrode and needle. The radio frequency generator produced 300- 500 thousand hertzs (kHz) High-frequency electromagnetic wave, ion high frequency while making tumour organized is shaken, rub and produce heat each other, reach 90- 100 �� high temperature, cause liver tumour to organize solidifying necrosis. The tumour tissue of solidifying necrosis is absorbed by patient's organism, the new born liver tissue will in fact fill-up the space that tumour occupies gradually. Microwave melt microwave melt, treat hepatocarcinoma, it is whom our country launch first that create the treatment technology a little. Doctor melt in needle puncture, reach patient's tumour organize microwave until image guide, employ 2450�� 50 MHZ now (mHz) Electromagnetic wave,make at organism to contain last ionization son,shake moisture son,etc. member material high frequencies polar, produce heat energy, make tumour melt in the organizing area and reach 90- 100 �� high temperature to lead to the fact protein changes the sex, cause liver tumour and melting and organizing area solidifying necrosis. Argon the intersection of helium and knife freeze, melt the intersection of argon and the intersection of helium and freeze, melt, adopt argon refrigerate, it is hot for helium to make, control cold and hot change technology in real time at the operation, melt liver tumour. Argon the intersection of helium and one hundred sheetses of cycle, when the argon, the temperature of the knife tip is dropped to in the twinkling of an eye - 180 ��, freeze the hepatocarcinoma organization into ice hockey in several minutes, make tumour organize cells to break necrosis. The temperature of knife tip rises fast to about 40 ��, melt the ice hockey while circulating the helium, enable liver tumour and cell necrosis. Chemistry melt clinical main application to inject, treat by the intersection of skin and anhydrous ethanol at present. Anhydrous ethanol can make liver tumour organize albumens to change the sex, produce solidifying necrosis. Chemistry melt danger to be relatively little, melt close to trunk, heart important liver tumour of internal organs suiting, the operation erupts less diseases simultaneously. Because chemistry melts and treats the big limitation to hepatocarcinoma, use clinically less at present. Launch, treat to create technology have laser melt and supersound focus melt, the intersection of nanometer and the intersection of knife and treatment,etc. on a little while being other hepatocarcinoma at the other at present clinical therapeutic method. These methods are less in our country's clinical and therapeutic case, still need further research, discussion.


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