(1)The surgery cures:Modern medical science outward the research of the section oesophagus cancer surgical operation treatment have already had more than 100 years of history and build up an oesophagus cancer to cut off through the chest with an expect to rebuild the modern treatment principle of digest way.Currently an expect an oesophagus cancer the surgical operation cures of 5 year, the existence leads up to 90%.Along with oesophagus cancer foundation research of further thorough, diagnosed the innovation of technical improvement, surgical operation method in early days and regard surgical operation as principle of comprehensive treatment of perfect, the treatment effect of the oesophagus cancer will raise day by day.
The surgical operation method mainly includes:1)the surgical operation fish for, the part, scope of explicit tumor, outside invade degree and transfer a circumstance;2)explicit excision scope;3)the reconstruction of the oesophagus etc..Surgical operation complications:1)lung department complications, with pneumonia, lung not piece and lung function not wholes are the most familiar;2)fit together a people Lou;3)Nong chest;4)milk Mi chest, fit together a people narrow, the stomach turn round, Ge Shan, the larynx return nerve harm etc. to less see.
(2)project a treatment:Projecting a treatment to hurt is small, be subjected to restriction of the oesophagus surroundings important dirty machine and organization less, apply scope more wide than surgical operation, is one of the important meanses that cures an oesophagus cancer.Mainly include to cure for good sex and appeasement 2 types, project light upon a method to project after including the outside project and project before the Shu with the Shu.The oesophagus cancer all generally might cure in early days.The oesophagus cancer projects to cure and the total existence rate that surgical operation cure have no obvious difference, but the neck segment is as big as the wound of the top chest segment oesophagus cancer surgical operation, complications incidence rate Gao, but put to treat to hurt small, curative effect better than surgical operation, should with put and treat for head choose.The next oesophagus cancer projects to cure once having lymphoid knot to transfer usually hard cure for good, should be led by surgical operation to choose.Shrink a narrow type oesophagus cancer, the oesophagus complete Geng Zu, have issue of blood to incline to, have obvious district lymph knot assignor etc., should be led by surgical operation to choose.
Wait and can eat half liquid substance or take a meal a liquid substance food, chest segment smoothly in the whole body condition of any sufferer the oesophagus cancer has no lock to transfer on lymphoid knot of bone and the distance transfer, have no windpipe infringe upon, have no oesophagus boring and issue of blood advertise for elephant, focus length<7-8 cms but have no Medicine taboo disease, all can carry on curing for good sex emanation treatment.Bad liquid quality, oesophagus boring and oesophagus windpipe the Lou and Zong separate burning or abscess and oesophagus a little bit in great quantities bled, the taboo projects a treatment.Other patients can carry on an aim at alleviate oesophagus Geng the Zu and improvement take a meal a difficulty, soothe ache and raise existence quality and extension to exist the appeasement of period emanation treatment.The nourishment condition that should notice to improve a sufferer before projecting a treatment, controls oesophagus partial burning disease, cure Medicine to mix up a disease.The under medical treatment wants to promise the sufferer's nourishment and prevent°froms food Geng Zu and drinks water more after taking a meal and prevent°froms food accumulating to cause an infection in the focus, the influence puts to treat sensitivity.
Project a way to mainly have:
(1)outside project;
(2)the oesophagus close quarter inside the chamber pack emanation behind.Project reaction and complications:The most familiar reaction and complications are that the radio oesophaguses are burnings and tracheitis, oesophaguses bore hole, oesophagus-windpipe Lou and issue of blood.
(3)the chemistry cure:The chemotherapy not only useds for the oesophagus cancer that cures a later period, but also useds for and surgical operation and put to treat of comprehensive treatment.General use a chemotherapy under three kinds of circumstances:
(1)for the appeasement treatment of progress oesophagus cancer, the advantage is limited;
(2)cure before the Shu, alone or with put to treat consociation application with narrow original hair tumor, improvement excision rate;
(3)with put to treat consociation to apply as the oesophagus cancer main therapy, merger usage surgical operation treatment or non- surgical operation treatment.
Main way:1)single medicine chemotherapy, the 80's mainly applies the medicine as agreeable chlorine ammonia behind platinum(DDP);2)consociation chemotherapy, majority of use medicine to come to amiable chlorine ammonia of mildewed vegetable(BLM) for the Bo platinum(DDP), uniting a chemotherapy not only useds for the oesophagus cancer that cures a later period, but also useds for with surgical operation or put to treat of comprehensive treatment.
(4)comprehensive treatment:The purpose that synthesizes a treatment lies in putting together the advantage knot of surgical operation and emanation to raise by attaining a surgical operation excision rate and reduce part and surgical operation in of plant and sow to spread, raise an existence rate thus.
(1)put to treat before the Shu:Mainly be applicable to tumor have already had an outside to invade, the clinical judgment pure surgical operation excision contains difficulty, but the tumor part may cut off after shrinking back of oesophagus cancer.
(2)the Shu put to treat behind:After cutting off to the appeasement the tumor has been already remained, Shu after pathology report the oesophagus slice a cancer gradually, the surgical operation slice good luck too narrow, the tumor is basic to cut off but clinical the estimate may have a second clinical focus to remain, put to treat after shoulding carry on Shu.
(3)the emanation, chemotherapy synthesize a treatment:Some sensitive but conduct and actionses that the chemotherapy medicine can strengthen emanations 1 kind increases a quick usage, can raise curative effect, but still need a further research.
The treatment method of oesophagus cancer
3.13.2009
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