原发性肝癌中医药诊疗原则及方案构建

Principles and regimens for traditional Chinese medicine diagnosis and treatment of primary liver cancer

原发性肝癌治疗方案主要以手术切除、肝移植、局部治疗、全身治疗为主,但仍存在易转移、易复发、预后差等问题。多数患者确诊已为中晚期,丧失手术机会,需要多学科联合治疗,中医药治疗原发性肝癌有独特优势,能够与西医不同治疗方法结合协同增效。笔者依据原发性肝癌的不同临床分期,构建相应的中医药治疗方案:早期肝癌手术切除,扶助正气防复发;中期肝癌微创治疗,祛除癌毒增疗效;晚期肝癌对症治疗,减少疾苦保生存。

Treatment regimens for primary liver cancer mainly include surgical resection,liver transplantation,local treatment,and systemic treatment,but there are still problems such as easy metastasis,easy recurrence,and poor prognosis.Most patients are already in the advanced stage at the time of diagnosis and thus lose the opportunity for surgery and require multidisciplinary combined treatment.Traditional Chinese medicine(TCM)has unique advantages in the treatment of primary liver cancer and can exert a synergistic effect in collaboration with different Western medicine treatment methods.This article establishes TCM treatment regimens based on the different clinical stages of primary liver cancer,i.e.,surgical resection for early-stage liver cancer to strengthen vital Qi and prevent recurrence,minimally invasive treatment of middle-stage liver cancer to eliminate cancer toxicity and improve efficacy,and symptomatic treatment of advanced liver cancer to reduce pain and maintain quality of life.