呼唤规范化的肝癌介入治疗

介入方法治疗肝癌效果较好,已被公认为肝癌的非手术治疗首选方法.但肝癌介入治疗后的复发、转移问题,影响其远期生存率.规范肝癌的介入治疗十分必要,其中包括严格掌握肝癌介入治疗适应证;精细介入手术操作;对患者实施优化的"个体化"方案;制定疗效观察、分析的客观指标和方案.采用综合性治疗措施,包括经动脉化疗栓塞联合热消融治疗,放射治疗,联合抗肿瘤血管生成,细胞因子和基因治疗,联合介入后二期外科手术切除和肝肿瘤切除术后的预防性介入治疗等.

Need for standardized interventional treatment of hepatocellular carcinoma

Interventional therapy has good curative effect and been generally recognized as a nonoperative method of choice in the treatment for hepatocellular carcinoma(HCC).The long survival rate of patient has been reduced because of recurrence and metastasis of the tumor after interventional treatment. Therefore,it is necessary for us to formulate standardized interventional treatment program especially for HCC. These measures should include the following criteria:1.Controlling strictly the indications for interventional therapy of nonoperable HCC;2.Performing carefully in the interventional manipulation;3.Selecting superior treatment plan for individual patient;4.Working out indexes of assessing interventional curative effects;5. Adopting comprehensive treatment measures,such as TACE plus RFA,TACE plus radiotherapy,TACE plus biotherapy and gene therapy,etc.