影响我国原发性肝癌治疗效果的因素及对策

Influential factors on treatment effect of primary hepatic cancer and the countermeasure

目的 提高原发性肝癌 (PHC)的治疗效果。方法 对影响我国PHC治疗效果的因素进行分析 ,并提出对策。结果与结论 影响我国PHC治疗效果的主要因素有 :(1)诊断不及时 ,致使大多数亚临床期病人未及时确诊 ,丧失了手术良机 ;(2 )观念陈旧 ,认为肝癌是“不治之症” ,治疗态度消极 ;(3)治疗方法选择不当 ,使一些本来可以切除的PHC病人错过了手术时机 ;(4 )手术医生技术不熟练 ,术中出血多 ,增加了手术后并发症和死亡率 ;(5 )对PHC合并门静脉癌栓 ,胆管癌栓 ,门静脉高压症等合并症缺乏积极治疗态度 ;(6 )不重视或不合理应用综合治疗措施等。因此 ,要提高PHC的治疗效果 ,必须作好以下几点 :(1)提高全民保健意识 ,加强高危人群的定期体检 ;(2 )及时更新医务人员的专业知识 ,提高诊断、治疗和手术技术水平 ;(3)加强PHC的基础研究 。

Objective To improve the treatment effect of primary hepatic cancer (PHC). Methods Analysis of the influential factors on treatment effect of PHC in China, and propose the countermeasure. Results and Conclusions The main factors influencing the treatment effect of PHC in China are the followings: (1) Most patients with PHC of subclinical type failed to be diagnosed and treatment in time. (2) As a wrong idea PHC has been considered an “uncurable disease', so the treatment strategy is nagative. (3) Unsuitable choice of treatment resulted in some PHC unable to be resected. (4) Intraoperative massive bleeding due to unskill-operative techniques, increase the postoperative morbidity and mortality. (5) The manner of treatment is not positive for PHC patients with portal cancer thrombosis, bile duct cancer hteombosis and portal hyperlension. (6) Combined therapy can not be used or unsuitably used. The following things should be done in order to improve the treatment effect of PHC: (1) Strengthening improving the health-protective consciousness of people and regular examinaton of “high risk' population. (2) Renewing the professional knowledge in time to improve the level of diagnosis, treatment and operative techniques of medical personnel. (3) strengthening the basic medical research to make a break through in PHC treatment.