CAJ | 학술논문

门静脉癌栓是影响肝细胞癌患者预后的重要因素之一.手术治疗、介入治疗、放疗、局部毁损治疗、靶向治疗在门静脉癌栓形成的治疗中各有特点,但效果均不理想.目前国内外学者正在探索采用多种治疗模式治疗门静脉癌栓,以其达到更好的效果.以手术为主的综合治疗可以切除肿瘤和癌栓,改善患者肝脏功能,提高生存质量,延长生存时间;但手术风险大、创伤大;以非手术为主的综合治疗具有创伤小、风险小,能够提高癌栓的局部控制的优点;但有效率低,不能达到根治,缓解期短,效果不佳.因此,应该根据不同的癌栓分型选择不同的治疗模式,探索最佳治疗模式组合.
문정맥암전시영향간세포암환자예후적중요인소지일.수술치료、개입치료、방료、국부훼손치료、파향치료재문정맥암전형성적치료중각유특점,단효과균불이상.목전국내외학자정재탐색채용다충치료모식치료문정맥암전,이기체도경호적효과.이수술위주적종합치료가이절제종류화암전,개선환자간장공능,제고생존질량,연장생존시간;단수술풍험대、창상대;이비수술위주적종합치료구유창상소、풍험소,능구제고암전적국부공제적우점;단유효솔저,불능체도근치,완해기단,효과불가.인차,응해근거불동적암전분형선택불동적치료모식,탐색최가치료모식조합.
Portal venous tumor emboli is one of the important factors that affect the prognosis of patients with hepatocellular carcinoma (HCC).There are different characters of surgery,interventional therapy,radiation therapy,treatment of local damage,targeted therapy in the treatment of portal venous tumor emboli,but the effects are not ideal.Scholars at home and abroad are exploring a variety of treatment patterns in the treatment of portal venous tumor emboli,to achieve better effect.Predominantly surgical comprehensive treatment can excision of tumor and tumor emboli,improve liver function,improve the quality of survival,prolong survival time.But the operation risk is big.Mainly non-surgical treatment has advantages of little trauma,less risk,and better local control of tumor emboli.But the efficiency,effect,alleviate period is ineffective.Therefore,the best treatment mode should be explored according to the different tumor emboli parting.