癌症化疗要做多少次，只做了两次能够吗？会不会引起肿瘤复发？
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"> 前几天有一位<span style="color: black;">病人</span><span style="color: black;">伴侣</span>问我，他是三期的大肠癌，当地<span style="color: black;">大夫</span>说手术后要做6至8次化疗，他接受了两次化疗之后，<span style="color: black;">显现</span>了严重的腹泻反应，<span style="color: black;">每日</span>大便十几次。<span style="color: black;">况且</span>，白细胞下降的很厉害，降到了粒细胞缺乏的程度，当地<span style="color: black;">大夫</span><span style="color: black;">意见</span>他不要再化疗了。</strong></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;">然则</span>，他非常的担心，<span style="color: black;">倘若</span>化疗次数<span style="color: black;">不足</span>，癌症会不会复发<span style="color: black;">或</span>转移，应该怎么办？今天<span style="color: black;">咱们</span>就来聊一聊，化疗到底<span style="color: black;">必须</span>做多少次？<span style="color: black;">倘若</span>身体受不了怎么办？</strong></p><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/1gjfxH706psjWo4U7vz9m4Fc9gQYmWF5v9Vs2rpExITibeRBz4zl4dGEhFk5jlMCicHlMQVCIOiaYLcaHUwEDJwew/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&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;"><strong style="color: blue;"> 每一种癌症都有自己最佳的<span style="color: black;">或</span>一线的化疗<span style="color: black;">方法</span>，<span style="color: black;">是<span style="color: black;">按照</span>癌症的特性，化疗<span style="color: black;">药品</span>的特点，<span style="color: black;">病人</span>的身体承受能力等多种<span style="color: black;">原因</span>来制定的。</span>有的化疗<span style="color: black;">方法</span>是4到6次，有的是6到8次，还有十几次的，</strong><span style="color: black;"><strong style="color: blue;"><span style="color: black;">必须</span>看肿瘤类型，分期，以及所用的化疗<span style="color: black;">方法</span>。</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">大致<span style="color: black;">来讲</span>，肿瘤的化疗<span style="color: black;">能够</span>分为两类：</strong></p><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/1gjfxH706psjWo4U7vz9m4Fc9gQYmWF5Jt8FibLa9X4DcNeJqR6780tchG9MS2D2ZibTWtK2IMnExqTKLtnw4zaQ/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&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;"><strong style="color: blue;">①<span style="color: black;">辅助化疗</span><span style="color: black;">一般</span>是<span style="color: black;">初期</span><span style="color: black;">病人</span>，根治性手术后，辅助化疗<span style="color: black;">重点</span>是预防<span style="color: black;">疾患</span>复发，进一步延长<span style="color: black;">存活</span>期。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">辅助化疗的疗程约为<span style="color: black;">4个周期</span>，<span style="color: black;">按照</span>不同的肿瘤有个体差异。<span style="color: black;">有些</span><span style="color: black;">病人</span>接受2个周期的化疗，<span style="color: black;">倘若</span>真的很难耐受，再化疗可能会面临重大的生命<span style="color: black;">危害</span>。此时<strong style="color: blue;"><span style="color: black;">需<span style="color: black;">按照</span><span style="color: black;">状况</span>确定，并可在随访中进行随访观察。</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">②还有<span style="color: black;">有些</span>肿瘤，分期比较晚，在手术前就<span style="color: black;">起始</span>化疗，<span style="color: black;">叫作</span>为<span style="color: black;">新辅助化疗</span>，<span style="color: black;">倘若</span>手术前化疗了，手术要减去相应的化疗次数。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">辅助化疗的次数，不同肿瘤和不同化疗<span style="color: black;">方法</span>，是不<span style="color: black;">同样</span>的，</strong></span>以结直肠癌为例，<span style="color: black;">倘若</span>采用奥沙利铂+希罗达的三周<span style="color: black;">方法</span>，<span style="color: black;">通常</span><span style="color: black;">必须</span>化疗6至8次，<span style="color: black;">倘若</span>采用奥沙利铂+氟尿嘧啶+亚叶酸钙的两周化疗<span style="color: black;">方法</span>，<span style="color: black;">必须</span>化疗10至12次。总的疗程半年<span style="color: black;">上下</span>。</p><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/1gjfxH706psjWo4U7vz9m4Fc9gQYmWF5ibJDNSH8Dg3ibg1VHmsc9bMAZCA8vUHGZE5msgjk3AtCiasUTdxtFxgdA/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&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;"><strong style="color: blue;">姑息治疗：</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">倘若</span>肿瘤<span style="color: black;">已然</span><span style="color: black;">出现</span>广泛转移，<span style="color: black;">无</span>办法根治，只能做<strong style="color: blue;"><span style="color: black;">姑息性化疗</span></strong>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">针对</span>姑息性化疗的<span style="color: black;">病人</span>，<span style="color: black;"><strong style="color: blue;">化疗的<span style="color: black;">功效</span>是<span style="color: black;">掌控</span>肿瘤生长，<span style="color: black;">或</span><span style="color: black;">尽可能</span>减缓肿瘤生长和转移</strong></span>。肿瘤非常的狡猾，一种<span style="color: black;">方法</span><span style="color: black;">运用</span>一段时间之后，就会<strong style="color: blue;"><span style="color: black;">显现</span>耐药的<span style="color: black;">状况</span></strong>，<span style="color: black;"><span style="color: black;">必须</span><span style="color: black;">一直</span>的更换化疗<span style="color: black;">方法</span></span>，<span style="color: black;">咱们</span><span style="color: black;">叫作</span>之为<span style="color: black;"><strong style="color: blue;">一线化疗，一线不行换二线，二线不行换三线化疗<span style="color: black;">方法</span>。</strong></span></p><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/1gjfxH706psjWo4U7vz9m4Fc9gQYmWF5PFs86hnQH2PRrehicm5A5RlicqlrRHAru4nkZMmyVoHD1iaYUuEr1FibFg/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&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;"><span style="color: black;">因为</span><span style="color: black;">无</span>办法根治肿瘤，这些<span style="color: black;">病人</span><strong style="color: blue;"><span style="color: black;">可能<span style="color: black;">必须</span><span style="color: black;">长时间</span>化疗，<span style="color: black;">通常</span>要<span style="color: black;">选取</span>毒副<span style="color: black;">功效</span>小的，<span style="color: black;">尽可能</span>是口服的化疗<span style="color: black;">方法</span></span></strong>，例如<span style="color: black;">长时间</span>口服希罗达，替吉奥等化疗药。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">化疗到底要做几次？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">通常</span><span style="color: black;">来讲</span>，肺癌，胃癌，食管癌，结直肠癌、卵巢癌等临床<span style="color: black;">平常</span>恶性肿瘤，<span style="color: black;">术后辅助化疗次数为4-6次，肺癌<span style="color: black;">通常</span>提倡4次，消化道肿瘤静脉化疗<span style="color: black;">意见</span>6次为好。</span>而乳腺癌<span style="color: black;">倘若</span><span style="color: black;">运用</span>AC-TH方案的化疗<span style="color: black;">通常</span>为8次化疗，恶性淋巴瘤<span style="color: black;">亦</span>是<span style="color: black;">通常</span>为8次化疗。<span style="color: black;">不外</span>，<span style="color: black;"><strong style="color: blue;">这个<span style="color: black;">亦</span>不是完全绝对的，</strong></span>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span><span style="color: black;">病人</span>体质很差，仍然死板的按4-6次化疗，可能<span style="color: black;">病人</span><span style="color: black;">基本</span><span style="color: black;">没</span>法耐受而使<span style="color: black;">状况</span>变得更糟。</p>
<img src="https://mmbiz.qpic.cn/sz_mmbiz_png/1gjfxH706psjWo4U7vz9m4Fc9gQYmWF52ZjbIX78Xwhu5EmqicnJQBbicxAoickgic58Fnaz3icE80Swb2Y89Hic960Q/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&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;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">详细</span>病人<span style="color: black;">详细</span>对待，<span style="color: black;">详细</span>病种<span style="color: black;">亦</span>会有所不同。</strong></span>而<strong style="color: blue;"><span style="color: black;">针对</span>晚期病人<span style="color: black;">来讲</span>，化疗次数是<span style="color: black;">没</span>法预估的</strong>，<span style="color: black;">通常</span><span style="color: black;">进行2-3周期化疗后会全面复查</span>，<strong style="color: blue;"><span style="color: black;">评定</span>化疗疗效</strong>，疗效好<span style="color: black;">能够</span>继续<span style="color: black;">运用</span>原<span style="color: black;">方法</span>，<span style="color: black;">倘若</span>疗效差，病情<span style="color: black;">发展</span>，而<span style="color: black;">病人</span>体质尚可，<span style="color: black;">能够</span>换用其他化疗<span style="color: black;">药品</span>和<span style="color: black;">方法</span>继续化疗。</p><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/1gjfxH706psjWo4U7vz9m4Fc9gQYmWF5Q5Yl7Ctl9U9O1zwRQ0QuDtdgAASabqiaUTM8KmSCexBjnXPicPtguMwQ/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">【肿瘤科<span style="color: black;">大夫</span>张旭刚】</strong></p>
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