Stomach cancer head the treatment method for choose is still surgical operation excision, but the complications brought sufferer not a few pain and sufferings after the Shu, so not a few scholars emphasize for the living quality which raises a sufferer, applied tiny create a surgery technique to cure the stomach cancer in earlier period.
The surgical operation cure
Adapt a certificate:The all earlier period and middle stomach cancer patient all can go to cure for good sex surgical operation.Because the stomach cancer canned be can cure by surgical operation in early days, middle stomach cancer through reasonable of the surgical operation cut off again add a current assistance treatment can prolong an existence period, even can cure.
The stomach cuts off scope:Agree with stomach Dou or the tumor of stomach body can go stomach a distant stomach time whole excisionses, but have to promise that the lump leaves a top and bottom to slice the minimal 5 Li rices in good luck or so, so if can't satisfy above the request often needs to go whole stomach excision.Agree with stomach Dou lump but speech distant place slice good luck should also cross a You door to take care of 3 Li rices, to Ben door stomach bottom whether the tumor of the area goes whole stomach or not, the resection still has an issue, but to the pathological changes scope more and widely and gradually sex cancer, lump body invade small once bent the later period cancer of half, Ben door cancer Shu behind relapse or cripple the stomach cancer do the whole stomach excision opinion more consistent.From 5 years existence rate to see, someone thought that the selectivity cured for good all of sex stomach time and whole stomach resection after the basic homology of the death rate and the complications.
The lymphoid close account sweeps scope:Total of to say that lymphoid close account in the district sweeps containment stomach to greatly bend the side lymphoid knot, the excision of big retina, You door knot with lymphoid top and small retina together cut off.The stomach small curved side of lymphoid settle in addition to go to the stomach left artery root also ligature the stomach left artery in the root.
To the You door close account with lymphoid Dou cancer sweep scope to include ① ② and part and the ③ stand lymphoid knot.If the Yi have Pi door or Pi artery side many lymphoid knots to transfer, and when the tumor gradually go to a Yi body tail, should merge to do spleen, the Yi body tail resection.(D3 Shu)
Sweep to exist different viewpoint by exaltation existence rate towards extending lymphoid close account.The Japanese scholar promotes in recent years at appropriate of point to advertise for under add to do to include to clean up stomach aorta to pour a flattering D4 type surgical operation beside to raise an existence rate.The this kind way of doing hasn't been agree with by scholar in all countries to adopt.The result enunciation blindness of first step's extending lymphoid close account to sweep also can't prolong Shu young man to save a rate, complications incidence rate after on the contrary willing raise Shu.Total of can acquire to saying if pressing the above performance for 5 years of cure for goods, the existence rate attains above 63%.To early, the middle case should emphasize the 1st-time surgical operation thoroughly sex.
Someone think:"Only be lymphoid close account to sweep scope to equal perhaps exceed when it transfer scope(the R - number ≥ N - number), this surgical operation then can be called to cure for good sex lymph to clean up Shu".But some scholars discover stomach cancer of lymphoid transfer of the regulation be more difficult in control, before the Shu Shu in all can't be correct to estimate male and lymphoid knot number.The feminine gender lymph that the check of one part of diseases show knot, if go to cut into slices in a row and ask for help from the immunity set molecular biology method for turn can confirm to is lymphoid for masculine gender to knot.So can't make to more and completely diagnose before Shu and design better treatment project.
For work°outing this problem, someone lays claim to before the Shu Shu in under the stomach mucosa(before the Shu through the stomach mirror) or Shu in while strach the film and the lymphoid knot inject CH - 44 activate carbon particles, make lymphoid knot in the district dye into black, be advantageous to make to extensively clean up and also lend the same principle accidentally unites MMC to make a partial chemotherapy.
Appease sex treatment
The later period stomach cancer also needs the appeasement toward the disease treatment and include ache and vomit, swallow difficulty and bleed of processing.Cut off to then want to see its possibility as for appeasement the stomach cancer.Appease sex excision compares with other treatments to often have higher death rate.To the Ben door that can't cut off cancer sufferer, the fiberscope places support or fiberscope laser to cut off(the Nd - Yag laser) and can alleviate to swallow a difficulty.
Get involved therapy:Carry the rumen chemotherapy inside the artery bolts to fill(iodine oil, clear gum sponge+ mildewed vegetable, agreeable platinum, silk crack mildewed vegetable, 5 - Fus choose to use match) is medium later period stomach cancer the appeasement cans be provided as usage in the therapy of one of the method.
Project a treatment:To can't surgical operation or Shu relapse behind of the low mark turn or didn't divide the stomach cancer chemotherapy in later period ineffective can try out.
The chemistry cure:Chemotherapy to the set's patient even the Shu lends support to a chemotherapy to disappoint me(us) under the a lot of condition behind.The up to now agree with stomach cancer has cell poison the medicine of the activity to have:5 - Fus, MMC, Methotrexate(MTX), Cis - Platinum(agreeable platinum).The stomach cancer companion was lymphoid to knot an assignor to lend support to a treatment after being a Shu in early days, have no lymphoid knot assignor generally not lay claim to a chemotherapy.The chemotherapy project include:The FM0、5 - Fu+LV(four hydrogen A Mao folic acid calcium), FAM, EAP, ELF etc., choose to use according to the different circumstance.
The Chinese medicine medicine cure:The III ~ IV expect stomach cancer after operation or can't the sufferer of surgical operation, win doctor to combine to cure ameliorable life quality, extension existence period.
Remediable measure
In great quantities clinical with visit to discover that the stomach cancer relapses after cure for good the Shu the half the number is after peritoneum of tumor bed area, so some scholars speak of applying before the Shu new assistance chemotherapy, the belly cavity in Shu flushes to add a cytology check, the belly cavity warms up a chemotherapy, continuous the belly cavity warm up to infuse to wash etc. be an all commendable method, can prolong existence a period on the different degree.The clearance swims to leave cancer cell and prevent°from relapse inside belly cavity and the immunity chemotherapy's etc.'s method all has treatment value on the different degree and can prolong existence to expect, is what most scholars value.
Friday, 16 May 2008
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