(One) the cure below the endoscope of inchoate cancer of the stomach
Because endoscope technology develops ceaselessly, and people is deepened increasingly to the understanding of inchoate cancer of the stomach, discover pathological changes is less than 2 centimeters, infiltration reachs the inchoate cancer of the stomach of mucous membrane to increase significantly only, make the inchoate cancer of the stomach of certain type undertakes remedial becoming a possibility below endoscope, the method that uses at present has two kinds, it is right resection of flesh of work and rest of pathological change of certain apophysis sex, another kind of method uses laser treatment, use argon dye and hematic Bu Lin commonly.
From theoretic tell, of inchoate cancer of the stomach effect a radical cure sexual endoscope issues cure, must have two requirements, it is tumor is not had lymphatic reach far to transfer, additional be can eliminate cancerous organization completely. After from the analysis statistic concerns the material of inchoate cancer of the stomach in great quantities, think comfortable be as follows at making the inchoate cancer of the stomach of local cure.
1, point to cancer of sex of card ① kitchen absolutely; ② is less than 3 centimeters Ⅱ а inchoate cancer of the stomach; The gastritis appearance that ③ is less than 2 centimeters is inchoate cancer of the stomach (all transfer) without lymph node.
2, the inchoate cancer of the stomach that reckons relative to ① pointing to card lymphatic move rate is extremely low, be like tiny cancer or no matter the gastritis appearance of size is inchoate cancer of the stomach; This model lymphatic move of cancer is led only 1. 7% ; The person that ② rejects an operation or should not be the inchoate cancer of the stomach of the operation.
Because endoscope issues naked eye to observe pathological changes may produce an error, when checking excision sample (laser treatment cannot collect specimen) , if discover pathological changes is wide base quality, or already dip sob comes mucous membrane lower level, or cut a predestined relationship to be apart from tumor not as good as when 5 millimeter, need to make resection of gastric greater part again. Conversely, be thought to effect a radical cure sexual endoscope issues resection, and do not need to make any operations again.
(2) chemistry medications
Chemistry medications cancer of the stomach, multi-purpose the auxiliary cure after art of cancer of the stomach or cannot the terminal cancer of the stomach of the operation. But, although in recent years anew medical development, no matter all sorts of combination of medicaments, or waited to have many jobs to medical way, heretofore still is not had one by everybody the optimal treatment program with accepted place. Have data statistic the cure of pure operation and operation + chemistry medications two groups of case of illness, conclusion is two groups curative effect does not have difference. Consequently the chemistry of cancer of the stomach medications still is the task that remains to study deep.
Current and clinical the chemistry with go up to think commonly better medications plan has: FAM plan (element of mildew of fluorine Niao pyrimidine, A, silk cracks mildew poisonous) . MFC plan (silk cracks) of glucoside of afterbirth of candy of pyrimidine of Niao of mildew element, fluorine, A. Also but pyrimidine of Niao of fluorine of furan of long-term profess to convinced.
(3) radiative cure
Cell of cancer of the stomach is not sensitive to radiative cure, and mucous membrane of normal gastric bowel path is epithelial easy be injured by radiation. Consequently illuminate dosage has certain restriction, have separate radiative treatment still not easily to cancer of the stomach at present. But before radiative cure regards cancer of the stomach as art or the auxiliary cure in art, have fair value. The cancer that because the operation is operated,radiative cure can decrease before art and causes is swollen diffuse and transfer, also can make tumor is excised easily and raise excision rate. Can raise Ⅱ the curative effect of Ⅲ period cancer of the stomach 10% the left and right sides, illuminate dosage needs 3000 ～ 4000rad commonly. And before be identical of bowel of the stomach after the stomach in art is excised, after the illuminate that makes one-time larger dose can eliminate excision, remain at illuminate wild the cancer cell inside. These all are the comprehensive treatment program that are worth exploration.
(4) Chinese traditional medicine is treated
At present majority is coordinate an operation or change cure to have comprehensive treatment. Can reduce the side effect that changes cure and the disease-resistant capacity that enhance airframe. According to the patient particular case is adj theory treat. Come loose with Yu of clear hot detoxify, dispel knot, actually attacks, empty fills, to treat a principle. Commonly used Chinese herbal medicine has wind of root of pear of grass of tongue of half branch lotus, long-nodded pit viper, cane, swollen section to wait to have certain curative effect to cancer of the stomach.
(responsibility edits: Luo Ying week)
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Professor Yu Guiqing has academy of Chinese traditional Chinese medical science the following 3 proved recipe can offer differentiate card to choose:
Drink of tea of hill grape root, yangtao root. Take 2 taste each 40 grams, preparation of groovy water simmer in water, flavor. Daily 1 agent, cent morning and evening is taken 2 times.