2017/6/7

Local ablation can directly eliminate the tumor

What are the local ablation procedures?
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Local ablation therapy is divided into physical ablation and drug ablation. Physical ablation of "cold ablation", "heat ablation" of the points, that is, with the method of heating and cooling "kill" the tumor. Which is the most commonly used in the thermal ablation of microwave ablation. Drug ablation is through the injection of anhydrous alcohol or acetic acid to tumor necrosis, to achieve the purpose of treatment.
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How is the tumor "ablated"? Microwave ablation, for example, with a needle electrode, in the imaging equipment (such as CT, ultrasound) under the guidance of the tumor area, through the polar molecules friction to heat up the tumor area, the temperature will reach about 100 ℃, thus So that tumor cells coagulation necrosis.
 
Different ablation of various ablation
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Thermal ablation includes microwave ablation, radiofrequency ablation and sea knife, the most commonly used local ablation is microwave ablation, its advantage is a large range of ablation, and can accurately control the ablation range.
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Frozen ablation (such as argon-helium knife), although not as good as thermal ablation, has its unique advantages. In the liver treatment, it can not only cause tumor necrosis, it has been reported that it can stimulate the patient's immune system, prompting patients to produce their own ability to kill the tumor. At the same time cold treatment during the cold pain is mild, or even do not use anesthesia, which makes a lot of patients can not accept preoperative anesthesia also have the possibility of receiving ablation.
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Drug ablation is more suitable for clinical use than medical ablation. It has the advantage of being safer and more suitable for "dangerous tumors" growing in special parts, such as vascular plexus, but the effect of drug ablation is less than that of physical ablation, The treatment is often used as a secondary project in the patient's treatment process.
 
Who can choose ablation therapy
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How can a patient be tested for local ablation? First of all can see the tumor size, for no more than 3cm of the tumor, ablation therapy and traditional surgery is exactly the same, for this part of the patients, ablation can replace surgery; for 3 ~ 5cm of the tumor, the effect of surgery more accurate, But also refer to the patient's other circumstances; for patients with tumors greater than 5cm, ablation can not replace surgery, radical cure more thoroughly, but the ablation can not cure patients with tumor reduction therapy, with other comprehensive treatment can also let Patients get a good treatment and good quality of life. With the continuous development of various equipment and technology, local ablation to adapt to the scope of more and more widely.
 
Positive and negative both sides to see ablation
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The advantages of local ablation is obvious, ① the effect is exactly: As mentioned before, for the conditions in line with the patients, the efficacy of local ablation and surgery quite; ② trauma: it left the patient to the wound only "eye" size, On the second day after surgery, patients can resume their daily lives, while the traditional hospital cycle of surgery takes a week, and then to complete recovery takes a long time; ③ more economical: whether it is money or time, local ablation for patients Save a lot.
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At the same time, we have to see its shortcomings: the local ablation of the tumor for the patient group is more limited, for the tumor is too large, or more specific patients,
 
We recommend that the first consideration of other interventional treatment, depending on the development of the disease and then add line ablation therapy. At the same time, ablation and surgery, there are many taboos, such as a large number of liver ascites, coagulation dysfunction, severe infection and so can not immediately ablation treatment.
 
Minimally invasive "no risk"
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Since this minimally invasive treatment of small wound, fast, does that mean that there will be no postoperative complications? Of course not, local ablation of the possibility of complications also exist, but the incidence of relatively low compared to traditional surgery
 
Just now. In this case, need to remind the majority of patients, must be strictly according to the indications to choose whether to carry out this treatment, and to choose an experienced doctor, not blindly. Whether surgery or ablation, for their own is the best.
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The birth of local ablation is the gospel of cancer patients, it is not just for patients with liver cancer, but also treatment of lung cancer, retroperitoneal tumors, kidney tumors and thyroid and breast tumors. With the development of this technology and the extensive use of treatment, there will be more and more patients benefit.

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