wloe2gf 发表于 2024-6-24 18:46:03

结肠癌中晚期五年存活率有多高?到了中晚期怎么样加强治愈率?


    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">按照</span>美国ASCO官网数据<span style="color: black;">表示</span>:结直肠癌<span style="color: black;">病人</span>的5年<span style="color: black;">存活</span>率为65%。<span style="color: black;">然则</span>,结直肠癌的<span style="color: black;">存活</span>率可能会因多种<span style="color: black;">原因</span>而异,尤其是分期。<span style="color: black;">针对</span>结肠癌,整体5年<span style="color: black;">存活</span>率为64%。局限期结肠癌5年存活率为90%;转移到<span style="color: black;">周边</span>组织或器官和/或区域淋巴结,则5年<span style="color: black;">存活</span>率为71%;<span style="color: black;">倘若</span>结肠癌<span style="color: black;">已然</span><span style="color: black;">出现</span>远处转移,则5年<span style="color: black;">存活</span>率为14%。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">对于直肠癌,总体5年<span style="color: black;">存活</span>率为67%。局限期直肠癌5年存活率为89%;转移到<span style="color: black;">周边</span>组织或器官和/或区域淋巴结,则5年<span style="color: black;">存活</span>率为70%。<span style="color: black;">倘若</span>直肠癌<span style="color: black;">出现</span>远处转移,则5年<span style="color: black;">存活</span>率为15%。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">中晚期结肠癌,是一种恶性肿瘤,<span style="color: black;">通常</span>会<span style="color: black;">显现</span>肠系膜血管<span style="color: black;">周边</span>,<span style="color: black;">或</span>肠系膜血管根部淋巴结转移,有时中晚期结肠癌,还<span style="color: black;">经过</span>血液转移至肝脏,肺脏,还有骨。此时或许有人会问,<span style="color: black;">那样</span><span style="color: black;">存活</span>期会是几年?</p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/ZU1R5DRSz3PSWSYYPYdOtDoE0YHu8hUCj74eDic05Hcd6sbNU3ibKewwBpojtfp0gUZ7xTuYypm2jvBSbL68LHZQ/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其实<span style="color: black;">针对</span>结肠癌活多久,这个问题<span style="color: black;">无</span>谁会给出一个准确的数字,<span style="color: black;">不外</span>相比较活多久,<span style="color: black;">咱们</span>的关注点更应该放在<span style="color: black;">怎样</span>活,<span style="color: black;">怎样</span>治疗<span style="color: black;">才可</span>活更久。</p>结肠癌中晚期指三期和四期。三期五年存活率约为50%-70%,四期<span style="color: black;">运用</span>根治性切除和姑息治疗后五年的存活率分别为30%-8%。以五年<span style="color: black;">存活</span>率为参照,结肠癌一期病人的五年<span style="color: black;">存活</span>率在90%以上。二期、三期<span style="color: black;">病人</span>约为70%。四期结肠癌<span style="color: black;">运用</span>根治性切除的治疗<span style="color: black;">办法</span>,<span style="color: black;">存活</span>率五年<span style="color: black;">达到</span>到30%,<span style="color: black;">倘若</span><span style="color: black;">运用</span>姑息治疗的方式,五年<span style="color: black;">存活</span>率约为8%。<span style="color: black;">亦</span><span style="color: black;">便是</span>说,<span style="color: black;">处在</span>三期的<span style="color: black;">病人</span>术后五年的<span style="color: black;">存活</span>率不到70%,<span style="color: black;">处在</span>四期的<span style="color: black;">病人</span><span style="color: black;">倘若</span><span style="color: black;">运用</span>根治性切除术,存活五年的概率可能为30%,如<span style="color: black;">运用</span>姑息治疗存活五年及以上的时间概率则为8%。结肠癌<span style="color: black;">重点</span>治疗<span style="color: black;">办法</span><span style="color: black;">包含</span>手术治疗、放疗、化疗、中医药治疗等,<span style="color: black;">详细</span>的治疗<span style="color: black;">方法</span><span style="color: black;">必须</span><span style="color: black;">按照</span><span style="color: black;">病人</span>的病理类型、病变范围以及程度来<span style="color: black;">选取</span>。<span style="color: black;">初期</span>首选外科治疗,术后应<span style="color: black;">按照</span>分期进行辅助放化疗,减少术后复发。<span style="color: black;">因此</span>在<span style="color: black;">状况</span>较好的时候,肠内的病灶相<span style="color: black;">针对</span>其它癌症,会好<span style="color: black;">掌控</span><span style="color: black;">有些</span>,<span style="color: black;">经过</span>手术、淋巴清扫、再放化疗,<span style="color: black;">通常</span>都<span style="color: black;">能够</span><span style="color: black;">掌控</span>病情。III期<span style="color: black;">病人</span>的五年<span style="color: black;">存活</span>率在60%<span style="color: black;">上下</span>,十年以上<span style="color: black;">存活</span>的<span style="color: black;">亦</span>不会很少。<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">结肠癌晚期<span style="color: black;">怎样</span>治疗?<span style="color: black;">怎样</span><span style="color: black;">加强</span>治愈率?</span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/ZU1R5DRSz3PSWSYYPYdOtDoE0YHu8hUCoek03Q0Rhp1OOuqMiboAOfUG9xaERqAbkxKISVXGYnIY5Q2KFOZ7RaA/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">放疗化疗</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">放疗和化疗,是<span style="color: black;">针对</span>癌症治疗的<span style="color: black;">重点</span>治疗手段,放化疗在晚期的时候起到<span style="color: black;">要紧</span>的辅助治疗。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">手术治疗</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">到了晚期结肠癌的<span style="color: black;">病人</span>就<span style="color: black;">必须</span>进行手术来直接切除恶性肿瘤,达到对<span style="color: black;">疾患</span>的<span style="color: black;">掌控</span>效果。此时,为了<span style="color: black;">保准</span>治疗的效果,还<span style="color: black;">必须</span>放疗化疗<span style="color: black;">同期</span>进行来<span style="color: black;">帮忙</span><span style="color: black;">掌控</span>癌细胞。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">结肠癌到了晚期,但<span style="color: black;">病人</span>只要不放弃积极的<span style="color: black;">协同</span>治疗,还是能够<span style="color: black;">经过</span>各项治疗手段,来<span style="color: black;">显著</span>的延长<span style="color: black;">病人</span>生命。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">尽早<span style="color: black;">发掘</span>肠癌的<span style="color: black;">办法</span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/ZU1R5DRSz3PSWSYYPYdOtDoE0YHu8hUC6ibPrbYHKQLuiaIwRsyjOCXebOicKF5aM1Q0UVgkJaDgRNuq7pjics7Z6g/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">看到<span style="color: black;">这儿</span>会有不少人有疑问,既然<span style="color: black;">初期</span>肠癌<span style="color: black;">无</span>啥症状,<span style="color: black;">怎样</span>尽早<span style="color: black;">发掘</span>这个隐患呢?简单,做<span style="color: black;">检测</span>!<span style="color: black;">按照</span>中国临床肿瘤学会结直肠癌诊疗指南(2020)中<span style="color: black;">没</span>症状健康人群的结直肠癌筛查部分<span style="color: black;">意见</span>,<span style="color: black;">能够</span>采取两种策略:<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">第1</span>种:</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">50岁以后,做高危<span style="color: black;">危害</span><span style="color: black;">评定</span>,每年查一次大便隐血实验,<span style="color: black;">始终</span>查到75岁,一旦结果为阳性,就做结肠镜检测。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">第二种:</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">50岁以后,直接做结肠镜<span style="color: black;">检测</span>,<span style="color: black;">无</span><span style="color: black;">发掘</span>肿瘤的,每5年复查一次;<span style="color: black;">发掘</span>肠道肿瘤的,<span style="color: black;">大夫</span>会<span style="color: black;">按照</span>肿瘤<span style="color: black;">体积</span>、性质及<span style="color: black;">病人</span>身体<span style="color: black;">状况</span>,给予复查时间的<span style="color: black;">意见</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肠镜是结直肠癌筛查的金标准。虽然做这个<span style="color: black;">检测</span>要喝难喝的洗肠液,要拉得干干净净彻彻底底,但它的优点<span style="color: black;">亦</span>比较<span style="color: black;">明显</span>,既能看完<span style="color: black;">全部</span>结直肠,<span style="color: black;">发掘</span>可疑病变还能取组织活检,<span style="color: black;">知道</span>病理诊断。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">高危人群<span style="color: black;">必须</span>做肠镜<span style="color: black;">检测</span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/ZU1R5DRSz3PSWSYYPYdOtDoE0YHu8hUCVAkYJZkmjIzLTP6LQYN62guXKxnMyzP9YbX8icm16QO9LcorZn6687w/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">肠癌的<span style="color: black;">初期</span>症状很容易被<span style="color: black;">忽略</span>,<span style="color: black;">因此呢</span>,肠道<span style="color: black;">疾患</span>的确诊,还是需要依赖肠镜等<span style="color: black;">检测</span>。<strong style="color: blue;">高危对象:</strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">40岁以上有两周肛肠症状,<span style="color: black;">显现</span>大便形状、性质改变,腹部固定部位<span style="color: black;">病痛</span>等。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有肠癌家族史的直系亲属。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肠腺瘤治疗后的人群。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">长时间</span><span style="color: black;">身患</span>溃疡性结肠炎的<span style="color: black;">病人</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肠癌手术后的人群。</p>
    <img src="https://mmbiz.qpic.cn/mmbiz_png/ZU1R5DRSz3PSWSYYPYdOtDoE0YHu8hUCyvqWWB4lrtibGiaXA2T2hfEPibiceEYqYEF8Ugmagk1tVMxmd0Wtyc5k5Q/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">




nykek5i 发表于 2024-10-3 15:30:21

期待与你深入交流,共探知识的无穷魅力。

qzmjef 发表于 2024-10-29 00:55:03

同意、说得对、没错、我也是这么想的等。
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