甲状腺癌的治疗
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">由于</span>甲状腺癌大部分是分化好的乳头状癌，<span style="color: black;">存活</span>率较高，俗<span style="color: black;">叫作</span>“懒癌”，是个不太冷的“杀手”。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">那样</span>咱们今天就讲讲这个不太冷的“杀手”--甲状腺癌的治疗吧。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">讲治疗前咱们先<span style="color: black;">认识</span>一下甲状腺癌的<span style="color: black;">归类</span>。<span style="color: black;">按照</span>肿瘤的起源及分化差异，<span style="color: black;">咱们</span><span style="color: black;">能够</span>把甲状腺癌分为以下几大类：</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-a735403d94208e9a26292f0978150bc1_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">从这个表<span style="color: black;">能够</span>看出乳头状癌是最<span style="color: black;">平常</span>的，预后相对最好。而未分化癌虽然很少见，<span style="color: black;">然则</span>预后极差，髓样癌介于两者之间。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-23bf19c02f8976ada2e92864157ef01e_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>乳头状癌症状图<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不同病理类型的甲状腺癌，治疗<span style="color: black;">办法</span>和预后都有所不同。<span style="color: black;">咱们</span><span style="color: black;">一块</span>再看个表<span style="color: black;">认识</span>一下吧。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-753af78b8526da8d455f08fa933104d7_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">手术治疗<span style="color: black;">针对</span>几乎所有病理分型的甲状腺癌<span style="color: black;">来讲</span>，都是首选的治疗<span style="color: black;">方法</span>，<span style="color: black;">而后</span><span style="color: black;">按照</span>不同的病理分型，<span style="color: black;">协同</span>化疗、放疗、内分泌治疗、靶向治疗等等。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-df0681b9fd0265ea33f8e8303225e1ec_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>治疗方式图<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">那<span style="color: black;">详细</span>的手术治疗方案有<span style="color: black;">那些</span>呢？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">按照</span>肿瘤最大径、<span style="color: black;">是不是</span>有肉眼可见的腺体外侵犯、<span style="color: black;">是不是</span>有临床<span style="color: black;">显著</span>的淋巴结转移或远处转移等来确定手术切除范围，<span style="color: black;">重点</span><span style="color: black;">包含</span>：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">● 单侧腺叶部分切除</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">● <span style="color: black;">一边</span>腺叶及峡部切除</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">● <span style="color: black;">一边</span>腺叶、峡部+对侧腺叶部分切除</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">● <span style="color: black;">一边</span>腺叶、峡部+对侧腺叶次全切除</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">按照</span><span style="color: black;">实质</span><span style="color: black;">状况</span>，可能<span style="color: black;">必须</span>对区域淋巴结进行清扫。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-fa55a9eeecd108f4351a8501a28c25ff_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>手术治疗图<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺癌的切除手术多种多样，<span style="color: black;">详细</span><span style="color: black;">选取</span>哪种<span style="color: black;">方法</span>要结合每位<span style="color: black;">病人</span>的<span style="color: black;">实质</span><span style="color: black;">状况</span>来决定。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">那¹³¹I治疗又是什么呢？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">¹³¹I治疗<span style="color: black;">包括</span>两个层次：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">● 采用¹³¹I清除分化型甲状腺癌术后残留的甲状腺组织，简<span style="color: black;">叫作</span>为¹³¹I清甲。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">● 采用¹³¹I清除手术<span style="color: black;">不可</span>切除的分化型甲状腺癌转移灶，简<span style="color: black;">叫作</span>¹³¹I清灶。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">目的不同，适应症及治疗剂量<span style="color: black;">亦</span>不同。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-2d610a3e777ced6884d22ee0c9acf8b0_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">那放疗和化疗呢？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">放疗其实仅在很少一部分<span style="color: black;">病人</span>中<span style="color: black;">运用</span>，甲状腺癌对放射治疗的<span style="color: black;">敏锐</span>性差，<span style="color: black;">通常</span>需<span style="color: black;">协同</span>手术治疗。而化疗<span style="color: black;">亦</span><span style="color: black;">重点</span>用在甲状腺未分化癌的治疗上。手术治疗是甲状腺癌的首选，其他的治疗<span style="color: black;">重点</span>是<span style="color: black;">按照</span><span style="color: black;">详细</span><span style="color: black;">状况</span>来<span style="color: black;">选取</span>的辅助治疗<span style="color: black;">方法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">除了上面<span style="color: black;">咱们</span>说的几种治疗外，TSH<span style="color: black;">控制</span>治疗<span style="color: black;">针对</span>减少分化型甲状腺癌的复发<span style="color: black;">亦</span>有比较明确的疗效。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不同危险分层的<span style="color: black;">病人</span>有不同的TSH治疗<span style="color: black;">目的</span>：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">● <span style="color: black;">针对</span>高危<span style="color: black;">病人</span>，初始TSH应<span style="color: black;">掌控</span>在0.1mU/L以下；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">● <span style="color: black;">针对</span>中危<span style="color: black;">病人</span>，初始TSH<span style="color: black;">控制</span>在0.1～0.5mU/L之间；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">● <span style="color: black;">针对</span>低危患，TSH应<span style="color: black;">掌控</span>在0.5~2mU/L。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有些<span style="color: black;">伴侣</span>可能还想<span style="color: black;">晓得</span>，甲状腺癌<span style="color: black;">能够</span><span style="color: black;">经过</span>中药治疗吗？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">关于这个问题，<span style="color: black;">日前</span>中医治疗甲状腺癌方面<span style="color: black;">重点</span>是<span style="color: black;">协同</span>手术、化疗、放疗，减轻治疗对身体<span style="color: black;">导致</span>的负荷，起到减轻不良反应、<span style="color: black;">加强</span>体力、改善食欲等等方面的<span style="color: black;">功效</span>，<span style="color: black;">然则</span><span style="color: black;">不可</span><span style="color: black;">做为</span><span style="color: black;">重点</span>的治疗手段。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此</span>，面对甲状腺癌，还是<span style="color: black;">意见</span><span style="color: black;">大众</span><span style="color: black;">即时</span>到医院就诊。</p>原创声明：本篇<span style="color: black;">文案</span>是松果医服团队原创作品（除标注引用<span style="color: black;">外边</span><span style="color: black;">媒介</span><span style="color: black;">文案</span>以外），<span style="color: black;">倘若</span><span style="color: black;">必须</span>转载或引用，<span style="color: black;">包含</span>整篇<span style="color: black;">文案</span>转载、部分转载、引用数据<span style="color: black;">照片</span>等<span style="color: black;">必须</span>与松果医服联系，取得授权许可后方可<span style="color: black;">运用</span>，否则松果医服<span style="color: black;">保存</span>追究法律责任的权利。授权咨询邮件：Scohmed@<a style="color: black;">flins.com.cn</a>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-b08d9c9cfa16defa17d05579736e9338_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
你的话语如春风拂面，温暖了我的心房，真的很感谢。 谢谢、感谢、感恩、辛苦了、有你真好等。 你的见解真是独到，让我受益匪浅。 感谢你的精彩评论，为我的思绪打开了新的窗口。 说得好啊！我在外链论坛打滚这么多年，所谓阅人无数，就算没有见过猪走路，也总明白猪肉是啥味道的。
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