直肠癌能不可做手术医生是怎么样评定的？
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">原文来自直肠癌冷冻消融保肛中心，今天周末，本来是在家<span style="color: black;">休憩</span>的，<span style="color: black;">然则</span>不<span style="color: black;">晓得</span>是谁介绍的，给了<span style="color: black;">病人</span>我的<span style="color: black;">tel</span>号码，<span style="color: black;">而后</span>一大早，就有<span style="color: black;">病人</span>来咨询我：“<span style="color: black;">大夫</span>，我父亲85岁了，昨天<span style="color: black;">检测</span>出来得了直肠癌，有人说直肠癌千万别动手术，<span style="color: black;">为何</span>？到底能<span style="color: black;">不可</span>做手术？”听到这种问题，我本来有点不愉快，<span style="color: black;">由于</span>感觉问<span style="color: black;">这般</span>问题的<span style="color: black;">病人</span><span style="color: black;">或</span>家属多少有点讳疾忌医的感觉，<span style="color: black;">然则</span>想到可能<span style="color: black;">每一个</span>人的思想和想法都不<span style="color: black;">同样</span>，于是我<span style="color: black;">起始</span>了一大早几<span style="color: black;">非常</span>钟的<span style="color: black;">认识</span>病情、分析<span style="color: black;">状况</span>，总结经验的<span style="color: black;">tel</span>式问诊，<span style="color: black;">最后</span>沟通结果是：等周一来医院分析<span style="color: black;">状况</span>后，老人家自己决定<span style="color: black;">是不是</span>要治疗的前提下再决定下一步<span style="color: black;">怎样</span>治疗。<span style="color: black;">针对</span>直肠癌能<span style="color: black;">不可</span>做手术的问题，<span style="color: black;">自己</span>觉得看这两点。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-5478ec703b2f8432d30ff83baa32da87_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;"><span style="color: black;">首要</span>，<span style="color: black;">病人</span>自己的意愿。患者自己的意愿是很<span style="color: black;">要紧</span>的，<span style="color: black;">非常多</span><span style="color: black;">病人</span>不想治疗你若强拉着治疗，这种治疗会很费劲且难达到效果，<span style="color: black;">病人</span>的不<span style="color: black;">协同</span>会<span style="color: black;">导致</span>事倍功半，吃力不讨好的效果。<span style="color: black;">针对</span>癌症本身，<span style="color: black;">此刻</span>医学上<span style="color: black;">针对</span>中晚期<span style="color: black;">病人</span><span style="color: black;">无</span>能<span style="color: black;">保准</span>治愈好的，再者<span style="color: black;">针对</span>上面<span style="color: black;">这般</span>的高龄<span style="color: black;">病人</span><span style="color: black;">来讲</span>，高龄<span style="color: black;">病人</span>肿瘤的发展<span style="color: black;">通常</span>都比较慢，常规手术治疗可能会身体承受不住，<span style="color: black;">因此呢</span><span style="color: black;">针对</span>高龄患者，<span style="color: black;">咱们</span>医院会<span style="color: black;">思虑</span>做微创的冷冻消融术来姑息治疗。<span style="color: black;">大夫</span><span style="color: black;">亦</span>好，<span style="color: black;">病人</span>家属<span style="color: black;">亦</span>好，<span style="color: black;">首要</span>要<span style="color: black;">认识</span><span style="color: black;">病人</span>的意愿再做决定。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-512763d398a779ab36025cd854df3276_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;">其次，要综合病情来看。<span style="color: black;">倘若</span>是<span style="color: black;">初期</span>，有手术<span style="color: black;">前提</span>的，<span style="color: black;">大夫</span>都是会<span style="color: black;">意见</span>做手术，暂时<span style="color: black;">无</span>手术<span style="color: black;">前提</span>的，<span style="color: black;">大夫</span>会<span style="color: black;">意见</span>先辅助治疗一段时间创造手术<span style="color: black;">前提</span>。<span style="color: black;">例如</span>有些<span style="color: black;">初期</span><span style="color: black;">病人</span>在怀孕<span style="color: black;">时期</span>或高血压、糖尿病严重到暂时<span style="color: black;">没</span>法<span style="color: black;">掌控</span>的<span style="color: black;">病人</span>等。<span style="color: black;">倘若</span>是中晚期，<span style="color: black;">病人</span>有淋巴、远端转移<span style="color: black;">状况</span>，<span style="color: black;">倘若</span><span style="color: black;">状况</span>还比较<span style="color: black;">阳光</span>，<span style="color: black;">大夫</span>是会<span style="color: black;">意见</span>尽早手术，不要发展成大面积的转移和到时候想治疗都<span style="color: black;">没</span>从下手的<span style="color: black;">状况</span>。但<span style="color: black;">倘若</span>转移严重，<span style="color: black;">那样</span>做手术毫<span style="color: black;">没</span><span style="color: black;">道理</span>，对<span style="color: black;">病人</span>身体打击大不说，全身上下都是肿瘤，手术切除不可能切除所有的病灶，这种就<span style="color: black;">必须</span>姑息治疗了，<span style="color: black;">通常</span><span style="color: black;">大夫</span>的<span style="color: black;">意见</span>都是保守治疗、<span style="color: black;">例如</span>冷冻消融、放化疗等，不<span style="color: black;">意见</span>做手术，<span style="color: black;">倘若</span>能<span style="color: black;">处理</span><span style="color: black;">关联</span>症状就<span style="color: black;">处理</span>，生活上尽心呵护，以<span style="color: black;">加强</span>生命质量，延长生命周期为主。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-635971317fd4e9847c2cc87353846107_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;"><span style="color: black;">因此呢</span>，<span style="color: black;">按照</span>这两种<span style="color: black;">状况</span><span style="color: black;">来讲</span>，直肠癌的治疗<span style="color: black;">重要</span>不在于<span style="color: black;">是不是</span>手术，<span style="color: black;">病人</span>的意愿<span style="color: black;">必定</span><span style="color: black;">前提</span>下是<span style="color: black;">能够</span>改变的，但病情这<span style="color: black;">一起</span><span style="color: black;">便是</span>硬指标，<span style="color: black;">倘若</span><span style="color: black;">病人</span>或家属在纠结要不要手术时，<span style="color: black;">能够</span>先<span style="color: black;">按照</span>病情来综合判断<span style="color: black;">是不是</span><span style="color: black;">必须</span>手术，直肠癌能<span style="color: black;">不可</span>做手术既不是网络<span style="color: black;">流言</span>说的做了就没救了，更不是做了手术就<span style="color: black;">必定</span>能活<span style="color: black;">或</span>得了直肠癌<span style="color: black;">大夫</span>就<span style="color: black;">必定</span>会<span style="color: black;">意见</span>做手术。</p>
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