6257rv7 发表于 2024-6-24 17:11:09

得了肠癌,到底能活多少年?


    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“<span style="color: black;">大夫</span>,我亲属这个病还能活几年”,这是几乎所有肠癌<span style="color: black;">病人</span>家属都会问<span style="color: black;">大夫</span>的话。“这个,很难回答,影响<span style="color: black;">原因</span>太多了”<span style="color: black;">做为</span><span style="color: black;">大夫</span>,可能只能这么回答或这么想。今天,<span style="color: black;">咱们</span>来认真说下,得了肠癌,到底能活多少年?</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-4111a7d1bf678271889a9609a01f99de_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;">咱们</span><span style="color: black;">必要</span>承认,恶性肿瘤,即<span style="color: black;">一般</span><span style="color: black;">咱们</span>说的癌,<span style="color: black;">日前</span>还是个世界性<span style="color: black;">困难</span>,尽管<span style="color: black;">日前</span>医疗技术<span style="color: black;">已然</span>很进步,<span style="color: black;">然则</span>,<span style="color: black;">无</span>一个<span style="color: black;">公司</span>,<span style="color: black;">无</span>一个国家宣布,肿瘤<span style="color: black;">能够</span>治愈。<span style="color: black;">日前</span>医疗技术,手术,化疗,放疗,生物治疗,中医治疗等等都只能达到延长生命,减轻痛苦的程度。<span style="color: black;">然则</span>,<span style="color: black;">针对</span><span style="color: black;">有些</span><span style="color: black;">发掘</span>早的肿瘤<span style="color: black;">能够</span><span style="color: black;">经过</span>手术等方式,达到相对的治愈。而晚期肿瘤,<span style="color: black;">有些</span>生物学<span style="color: black;">行径</span>良好的(对化疗等治疗<span style="color: black;">敏锐</span>)<span style="color: black;">能够</span>达到与肿瘤共存,达到相对稳定的状态,而延长生命,但其他,<span style="color: black;">能够</span>说大部分都难逃厄运。<span style="color: black;">因此</span>,<span style="color: black;">初期</span><span style="color: black;">发掘</span>对肿瘤<span style="color: black;">来讲</span>是最<span style="color: black;">要紧</span>的。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">话说回来,说到肿瘤的存活时间。现代医学,<span style="color: black;">通常</span>讲5年<span style="color: black;">存活</span>率,讲的是概率。<span style="color: black;">例如</span>甲状腺癌5年<span style="color: black;">存活</span>率<span style="color: black;">达到</span>到90%以上,而胰腺癌五年<span style="color: black;">存活</span>率不到5%。以甲状腺癌为例,100个<span style="color: black;">病人</span>,有<span style="color: black;">最少</span>90个以上<span style="color: black;">能够</span>存活到5年以上。讲到这,<span style="color: black;">通常</span>会有<span style="color: black;">病人</span>问出问题“是不是说,这个病最多活5年”,当然不是,<span style="color: black;">通常</span>的肿瘤到5年<span style="color: black;">无</span>复发转移,以后再复发转移的几率非常低。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">一样</span>的<span style="color: black;">针对</span>大肠癌<span style="color: black;">来讲</span>,Ⅰ期(<span style="color: black;">通常</span>肿瘤分Ⅰ、Ⅱ、Ⅲ、Ⅳ期,越往后越晚)大肠癌的五年<span style="color: black;">存活</span>率<span style="color: black;">达到</span>到90%以上,而Ⅳ期肠癌的五年<span style="color: black;">存活</span>率不到8%。<span style="color: black;">亦</span><span style="color: black;">便是</span>说,肿瘤<span style="color: black;">发掘</span>越早,治疗效果越好。进一步分析,可能<span style="color: black;">针对</span>一个<span style="color: black;">初期</span>的肠癌,可能大部分(90%)都会<span style="color: black;">长期</span>存活,<span style="color: black;">然则</span><span style="color: black;">亦</span>有10%的人群<span style="color: black;">出现</span>复查转移,可能<span style="color: black;">亦</span>会<span style="color: black;">引起</span>死亡;而<span style="color: black;">针对</span>一个晚期肿瘤经过系统治疗,虽然90%多以上都治疗效果<span style="color: black;">通常</span>,<span style="color: black;">然则</span><span style="color: black;">亦</span>有活到5年以上。同理,<span style="color: black;">针对</span>中期的Ⅱ,Ⅲ期的肿瘤,<span style="color: black;">亦</span><span style="color: black;">同样</span>。<span style="color: black;">然则</span><span style="color: black;">日前</span>困难的是<span style="color: black;">咱们</span>不<span style="color: black;">晓得</span><span style="color: black;">咱们</span>每一个<span style="color: black;">病人</span>属于这100个<span style="color: black;">病人</span>哪一部分人群。<span style="color: black;">日前</span>有些有<span style="color: black;">前提</span>的单位<span style="color: black;">能够</span>做基因检测,液态活检等,这些指标<span style="color: black;">能够</span>对<span style="color: black;">病人</span>的预后有提示,<span style="color: black;">然则</span>还达不到非常<span style="color: black;">知道</span>的一对一<span style="color: black;">指点</span>,更达不到<span style="color: black;">能够</span>推测<span style="color: black;">病人</span>的存活时间。</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-3657b6a58d1bdb0f301b14b1653f64b3_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;">由于</span>人体很<span style="color: black;">繁杂</span>,肿瘤<span style="color: black;">亦</span>很<span style="color: black;">繁杂</span>。肿瘤的预后除了和规范的手术、辅助治疗等<span style="color: black;">相关</span>外,<span style="color: black;">病人</span><span style="color: black;">自己</span>的免疫状态,<span style="color: black;">病人</span>的<span style="color: black;">膳食</span>,<span style="color: black;">病人</span>机体对放化疗的<span style="color: black;">敏锐</span>性等都会有影响。<span style="color: black;">因此</span>会<span style="color: black;">显现</span>同一个年龄,同一个病,同一个主刀<span style="color: black;">大夫</span>,同一个化疗<span style="color: black;">方法</span>,但<span style="color: black;">结果</span>不同。<span style="color: black;">例如</span>有些<span style="color: black;">病人</span>是低位直肠癌的,有些年纪大了,但身体<span style="color: black;">情况</span>只能说是勉强,指南规范说是要手术切除,有些便做了造口手术,但有些<span style="color: black;">晓得</span><span style="color: black;">能够</span>做冷冻消融保肛术的,做的冷冻保肛了,后面的放化疗接着做,<span style="color: black;">一样</span>体质下,做了造口的<span style="color: black;">病人</span>肯定会身体<span style="color: black;">情况</span>不如做冷冻保肛的,如果是晚期,<span style="color: black;">一样</span>的<span style="color: black;">病人</span>很大程度会<span style="color: black;">由于</span>身体<span style="color: black;">情况</span>的<span style="color: black;">原由</span>,存活的时间有差距。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其次有个误区是。有<span style="color: black;">非常多</span><span style="color: black;">病人</span>家属都会在治疗前,有<span style="color: black;">自信心</span>的告诉我,“我<span style="color: black;">伴侣</span>的爷爷直肠癌,<span style="color: black;">此刻</span>术后20年了还好着”这句话听起来<span style="color: black;">特别有</span>道理,<span style="color: black;">然则</span>其实<span style="color: black;">没</span>道理,他在说这话的时候是在默认自己的家属</p>




听听海 发表于 2024-9-3 06:43:43

回顾历史,我们不难发现:无数先辈用鲜血和生命铺就了中华民族复兴的康庄大道。

nqkk58 发表于 2024-10-22 15:32:55

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