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find Keyword "辅助疗法" 2 results
  • Perioperative Assistant Therapy of Liver Transplantation for Primary Hepatocellular Carcinoma

    【Abstract】ObjectiveTo analyse the current situation and advance in perioperative therapy of liver transplantation for primary hepatocellular carcinoma(HCC).MethodsThe published papers on current situation and advance in the perioperative therapy of liver transplantation for HCC were reviewed.ResultsThe survival rate of liver transplantation for HCC in early stage has been the same as that for benign liver diseases up to now. However, it is still a difficult problem to improve the survival rate of liver transplantation for advanced HCC. The ideal perioperative therapies of liver transplantation for HCC should be helpful to suppress the growth of tumor while the HCC patients are waiting for donated livers, to diminish or eliminate the intraoperative spread or implantation of tumor cells and to repress the micrometastasis postoperatively. The current perioperative therapies of liver transplantation for HCC include hepatic arterial chemoembolization, systemic chemotherapy, radiotherapy, percutaneous ethanol injection into HCC and radiofrequency ablation etc. ConclusionThe perioperative assistant therapy of HCC can not only save time for patients before liver transplantation but also improve the survival rate after operation.

    Release date:2016-09-08 11:53 Export PDF Favorites Scan
  • Lennox-Gastaut综合征患者的非药物治疗——生酮饮食和迷走神经刺激

    Lennox-Gastaut综合征(Lennox-Gastaut syndrome,LGS)的患者常常对于药物治疗无效或耐药。对于这些药物难治性患者,生酮饮食(Ketogenic diets,KD)和迷走神经刺激(Vagus nerve stimulation,VNS)可作为非药物治疗的选择。传统的KD用于癫痫治疗已经有90余年的历史了,它是一种高脂、低碳水化合物饮食,其中90%的热量来自于脂肪。KD治疗对于约半数的LGS患者有效,癫痫发作可减少50%以上,有些患者癫痫发作甚至可减少90%以上。VNS疗法,需要手术植入一个刺激发生器,它可以通过缠绕在左侧迷走神经上的电极对大脑进行间断性电刺激。VNS作为辅助疗法可用于不宜手术治疗的药物难治性癫痫患者(包括LGS)。与KD相似,VNS对约半数的LGS患者有效,癫痫发作将减少50%以上,而且随时间的推移,疗效会逐渐增强。KD和VNS均可作为LGS患者的治疗选择。

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