论坛 › 广东 › 得了直肠癌，保肛、保命只能二选一？满足5个基本前提，生活质量大大改善

nykek5i 发表于 2024-6-25 07:18:40

得了直肠癌，保肛、保命只能二选一？满足5个基本前提，生活质量大大改善

    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/r46HcXA1b6d8X98a3xUQNu1vO8nTOe0DzKhcAy8fPrC0Q6g8ibdG4hbL3gukf6cAKgMdX9gAmia5c9VgSZgKnicvw/640?wx_fmt=gif&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/r46HcXA1b6enqfZAONDuC5vjr4RdQLA3fu9H7lOvoDoyaKuYcHPVnFy1kXYIr0zejH2icuzcY0IUqygOPibKTRCQ/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/r46HcXA1b6enqfZAONDuC5vjr4RdQLA3eMjgreTu8lZk8bJ5CVjj6LgtDcgJrDdt5DxrwDRDiatCZtDaNhwI3EA/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">近年来，随着生活节奏的加快、生活压力的增大、<span style="color: black;">膳食</span>过于精细等<span style="color: black;">原因</span>，大肠癌<span style="color: black;">出现</span>率<span style="color: black;">亦</span>呈现<span style="color: black;">持续</span><span style="color: black;">提升</span>的态势。<span style="color: black;">按照</span>2020年最新的<span style="color: black;">全世界</span>肿瘤统计结果，大肠癌<span style="color: black;">出现</span>率已<span style="color: black;">作为</span>仅次于乳腺癌和肺癌的<span style="color: black;">第三大<span style="color: black;">平常</span>癌症</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">大肠癌<span style="color: black;">按照</span>部位<span style="color: black;">能够</span>分为结肠癌和直肠癌，其中，直肠癌<span style="color: black;">出现</span>率高，且多为低位直肠癌。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">低位直肠癌，<span style="color: black;">指的是</span>肿瘤<span style="color: black;">位置于</span>腹膜返折以下的直肠，大概距肛门8厘米以内。<span style="color: black;">日前</span>，手术仍然是治疗直肠癌的<span style="color: black;">重点</span>手段，但又<span style="color: black;">因为</span>直肠与肛门相连，手术治疗直肠癌时，<span style="color: black;"><span style="color: black;">是不是</span><span style="color: black;">保存</span>肛门</span>就<span style="color: black;">作为</span><span style="color: black;">病人</span><span style="color: black;">非常</span>关注的问题。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">肛门的去留对<span style="color: black;">咱们</span>生活有何影响？<span style="color: black;">倘若</span>想要<span style="color: black;">保存</span>肛门，又<span style="color: black;">必须</span>满足<span style="color: black;">那些</span><span style="color: black;">前提</span>呢？</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">低位直肠癌的“传统手术”</strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">倘若</span>把直肠比作一个腊肠，切掉中间有病灶的那一段，再把留下的两段接上，这<span style="color: black;">便是</span><span style="color: black;"><span style="color: black;">保存</span>肛门的手术</span>，<span style="color: black;">保存</span>下来的那段连着肛门的直肠，<span style="color: black;">便是</span>“残存直肠”。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">残存直肠的长度越长，将来肛门功能的恢复就会越好<span style="color: black;">有些</span>；残存的直肠<span style="color: black;">倘若</span>长度很短，非常靠近肛门，即使把两端的肠子接上，将来的肛门功能<span style="color: black;">亦</span>会大打折扣。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">其中，<span style="color: black;">中位、高位直肠癌</span><span style="color: black;">能够</span><span style="color: black;">思虑</span>保肛手术，术中切除有癌灶的肠段，再把留下的两段接上，这<span style="color: black;">便是</span><span style="color: black;">保存</span>肛门的手术；而<span style="color: black;">针对</span><span style="color: black;">低位直肠癌</span>来讲，<span style="color: black;">倘若</span>距离肛门很近，且<span style="color: black;">处在</span><span style="color: black;">发展</span>期，就<span style="color: black;">没</span>法保肛了。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_png/r46HcXA1b6enqfZAONDuC5vjr4RdQLA3OAd8ThsxicJCqtzXIlxzt206uFbpouLHkYQDFdbE8n1TCHiacFmXTDKw/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">此时</span>，则<span style="color: black;">必须</span>把病变肠道连同远端肛管<span style="color: black;">所有</span>切除，<span style="color: black;">而后</span>在肚子上造<span style="color: black;">“人工肛门”</span>，术后佩戴造口袋收集粪便。从此，<strong style="color: blue;">粪便不是从肛门出来，而是从肚子上挖好的孔里出来</strong>，这将给生活带来很大的改变，<span style="color: black;">非常多</span><span style="color: black;">病人</span><span style="color: black;">没</span>法接受。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">那样</span>随着医疗技术的<span style="color: black;">持续</span>进步，有什么易被低位直肠癌<span style="color: black;">病人</span>接受的新治疗模式呢？</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">低位直肠癌的“观察等待策略”</strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">所说</span>的“观察等待策略”，<span style="color: black;">便是</span>在放化疗后<span style="color: black;">8~10周</span>进行一系列诊断性<span style="color: black;">检测</span>，<span style="color: black;">包含</span><strong style="color: blue;">直肠指诊<span style="color: black;">检测</span>、内窥镜<span style="color: black;">检测</span>和磁共振<span style="color: black;">影像</span><span style="color: black;">检测</span></strong>，<span style="color: black;">而后</span>再决定<span style="color: black;">是不是</span><span style="color: black;">必须</span>进行手术。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">倘若</span>任何一项<span style="color: black;">检测</span>中都<span style="color: black;">检测不到肿瘤</span>，说明<span style="color: black;">病人</span>得到完全的临床缓解，<span style="color: black;">那样</span>就<span style="color: black;">能够</span><span style="color: black;">选取</span>观察等待<span style="color: black;">方法</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">据全国多中心的临床<span style="color: black;">科研</span><span style="color: black;">表示</span>，相比过去国际的标准治疗<span style="color: black;">方法</span><span style="color: black;">来讲</span>，低位直肠癌观察等待策略，将肿瘤完全消失的概率，由原先的<span style="color: black;">17%</span><span style="color: black;">增多</span>到<span style="color: black;">33%</span>，即三分之一的病人有机会让肿瘤<span style="color: black;">完全消失</span>。<span style="color: black;">同期</span>，<span style="color: black;">因为</span><span style="color: black;">方法</span>的<span style="color: black;">持续</span>更新优化，放化疗杀肿瘤的概率可<span style="color: black;">加强</span>到<span style="color: black;">50%</span>以上。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_png/r46HcXA1b6enqfZAONDuC5vjr4RdQLA3ee7Z3unTwZU5WvDXVzUCFkbexnoJAKXqwciaNgZT7zW7HBEPAOQtFsg/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">针对</span><span style="color: black;">病人</span><span style="color: black;">来讲</span>，肿瘤消失的几率越大，手术开刀的必要性越小，保住肛门的机会<span style="color: black;">亦</span>就越高。从<span style="color: black;">必定</span><span style="color: black;">道理</span>上来讲，<strong style="color: blue;">观察等待<span style="color: black;">方法</span>使部分<span style="color: black;">病人</span>免于外科手术，生活质量得到<span style="color: black;">明显</span>改善。</strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><strong style="color: blue;">“<strong style="color: blue;">观察等待策略</strong>”需满足5个<span style="color: black;">前提</span></strong></span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">难以行保肛手术的<span style="color: black;">病人</span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">手术是金标准，<span style="color: black;">能够</span>切除所有病灶，<span style="color: black;">能够</span>进行手术保肛的<span style="color: black;">病人</span>，不<span style="color: black;">意见</span><span style="color: black;">选取</span>观察等待。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">针对</span><span style="color: black;">没</span>法进行保肛手术的<span style="color: black;">病人</span>，<span style="color: black;">大夫</span>需仔细查体，结合各项辅助<span style="color: black;">检测</span>结果，综合分析评定，并遵循需遵循<span style="color: black;">“保命第<span style="color: black;">1、</span>保肛第二”</span>的原则，<strong style="color: blue;">在不影响根治的前提下，最大限度的改善<span style="color: black;">病人</span>的<span style="color: black;">存活</span>质量。</strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><img src="https://mmbiz.qpic.cn/mmbiz_png/r46HcXA1b6enqfZAONDuC5vjr4RdQLA34Z9sC1rTt8CA9tXWF3K1HkRjlJtrgfUFg1FDeOFsoRrPZJsFoAUDvQ/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">有<span style="color: black;">剧烈</span>保肛意愿的<span style="color: black;">病人</span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">对<span style="color: black;">有些</span><span style="color: black;">病人</span>而言，<span style="color: black;">倘若</span><span style="color: black;">没</span>法保肛，会给<span style="color: black;">她们</span>的<span style="color: black;">生活质量和精神状态</span>带来重大打击，<span style="color: black;">乃至</span>会有<span style="color: black;">病人</span>觉得失去了肛门仿佛失去了做人的尊严。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因而，<span style="color: black;">病人</span>的意愿是<span style="color: black;">非常</span><span style="color: black;">要紧</span>的<span style="color: black;">思虑</span><span style="color: black;">原因</span>。当<span style="color: black;">病人</span>有<span style="color: black;">剧烈</span>的保肛意愿，且病情<span style="color: black;">准许</span>时，<span style="color: black;">能够</span><span style="color: black;">选取</span>观察等待。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_png/r46HcXA1b6enqfZAONDuC5vjr4RdQLA3dFXREsbnq54gAZO9tMlZCoHT2cezIJaqcZvvh4k8z2fvnanKbiaGW7w/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">3</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">肿瘤不宜过大</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">肿瘤的<span style="color: black;">体积</span>决定了肿瘤有多大概率会完全消失。</span></strong><span style="color: black;">在肿瘤过大的<span style="color: black;">状况</span>下，仅<span style="color: black;">经过</span>放化疗使其完全消失有<span style="color: black;">必定</span>困难，不<span style="color: black;">意见</span><span style="color: black;">选取</span>观察等待。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_png/r46HcXA1b6enqfZAONDuC5vjr4RdQLA3ysbYROibkicebvZfKUtCJ5azTYjrVT2VmL0tgZQnPB7cJpeEMIdp7TJQ/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">4</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">肿瘤对治疗反应<span style="color: black;">显著</span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">病人</span>在放化疗<span style="color: black;">时期</span>需<span style="color: black;">大夫</span>进行疗效<span style="color: black;">评定</span>。<span style="color: black;">倘若</span>放化疗做完之后，<span style="color: black;">肿瘤<span style="color: black;">无</span>任何改变的</span>，<span style="color: black;">那样</span><span style="color: black;">病人</span>则<span style="color: black;">不该</span>继续等下去。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">趁在还<span style="color: black;">能够</span>开刀的时候，在放化疗之后<span style="color: black;">6~8周</span>的时间窗内，采取<span style="color: black;">手术治疗</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_png/r46HcXA1b6enqfZAONDuC5vjr4RdQLA3r7M8UNPG996Dxt3VnlRPHBF1ofOnsOdftWK5hqUSlic8gxbVGa8w20Q/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">5</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">病人</span>有很好的随访依从性</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">据“国际观察等待库数据”<span style="color: black;">表示</span>，<span style="color: black;">全世界</span>1000例<span style="color: black;">病人</span>，<strong style="color: blue;"><span style="color: black;">大概</span>四分之一在观察等待期<span style="color: black;">显现</span>复发</strong>，其中<span style="color: black;">88%</span>的<span style="color: black;">病人</span>复发是在放化疗之后的两年内，<span style="color: black;">另一</span><span style="color: black;">96%</span>的复发局限在肠壁内。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">因此呢</span><span style="color: black;">选取</span>观察等待的<span style="color: black;">病人</span>，<span style="color: black;">大夫</span>需对病情进行<span style="color: black;">密切监测</span>，不遵循医嘱及密切随访，后果不堪设想。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_png/r46HcXA1b6enqfZAONDuC5vjr4RdQLA34rmib9U6sAgeDnw4qEFqQia8iccLib77jyDwBfTYFA3eaur7aA7hqrkeaA/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">总体而言，低位直肠癌并非<span style="color: black;">必定</span>就要切除肛门，但保肛的前提是<span style="color: black;">精细</span><span style="color: black;">评定</span>肿瘤<span style="color: black;">状况</span>、<span style="color: black;">病人</span>身体<span style="color: black;">情况</span>及意愿，并<span style="color: black;">按照</span>不同分期<span style="color: black;">选取</span>不同的保肛方式，做到<span style="color: black;">精细</span>手术，保持术后的密切随访，这些要点都是缺一不可的。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">精彩内容请点击<strong style="color: blue;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/8jLRLrPWEgjWQEAwx729smNjibluEEvYZIKLrHaJ8oyu2Xt3feiaH0x7aILiax3DWdfNMrGCZvicNZUBs1NUJLuhCg/640?wx_fmt=gif&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1" style="width: 50%; margin-bottom: 20px;"></span></strong></span></strong><strong style="color: blue;"><span style="color: black;">节目视频</span></strong></span></strong></p><img src="https://mmbiz.qpic.cn/mmbiz_png/r46HcXA1b6enqfZAONDuC5vjr4RdQLA3RW5Ct9ZxTyoElLTibyL5HhVd3FCbGYdzCfEZ591okSKzwdZaicYnLmMA/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">本期《养生大国医》专家|朱骥</strong></span></p><span style="color: black;"><strong style="color: blue;">专家名片</strong></span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">专家</span>医师,科副<span style="color: black;">专家</span>,博士,教授,博导,曾担任复旦大学<span style="color: black;">附庸</span>肿瘤医院放射治疗中心副<span style="color: black;">专家</span>。自2006年起,<span style="color: black;">科研</span>聚焦于直肠癌新辅助治疗模式的优化，<span style="color: black;">经过</span>系统性的文献复习<span style="color: black;">选取</span>UGT1A1基因引导下进行伊利替康给药<span style="color: black;">做为</span>突破口，在直肠癌新辅助化放疗<span style="color: black;">行业</span>进行了一系列<span style="color: black;">科研</span>。</span></p><span style="color: black;"><strong style="color: blue;"><span style="color: black;">善于</span><span style="color: black;">行业</span></strong></span><img src="https://mmbiz.qpic.cn/mmbiz_gif/r46HcXA1b6fSATychAAQbdsaeXUibXSOtumqeKBClHNfxtKCZVRHWGmpcyEOdajVaicK848Y3eOw0LcWgAOaG5Ww/640?wx_fmt=gif&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">善于</span><span style="color: black;">各样</span>腹盆腔肿瘤的放、化疗综合治疗，尤其是胃肠道肿瘤的术前、术后化、放疗及晚期姑息减症治疗。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/r46HcXA1b6fSATychAAQbdsaeXUibXSOtAODTJmfKDE66s4hCLvYlZBviaSnqsDLObOXEbdMQr6ibz7fCW2aHwH2Q/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><span style="color: black;"><strong style="color: blue;">门诊信息</strong></span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">位置</span></span></strong><span style="color: black;">：中国科学院大学<span style="color: black;">附庸</span>肿瘤医院腹部放疗科</span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">（浙江省杭州市拱墅区半山东路1号）</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">时间</span></strong><span style="color: black;">：每周二上午</span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">tel</span></span></strong><span style="color: black;">：0571-88122222</span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">今日节目预告</strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">《<strong style="color: blue;"><span style="color: black;">全世界</span><span style="color: black;">第1</span>大癌：乳腺癌</strong></strong><strong style="color: blue;">》</strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">乳腺结节、乳腺增生会变成乳腺癌吗？<span style="color: black;">那些</span>症状“暗示”乳腺癌？容易得乳腺癌的危险<span style="color: black;">原因</span>有哪些？本期“全国肿瘤防治宣传周”<span style="color: black;">尤其</span>节目邀请中国科学院大学<span style="color: black;">附庸</span>肿瘤医院乳腺内科<span style="color: black;">专家</span>医师<strong style="color: blue;">王晓稼</strong>，给你上一堂防治乳腺癌的必修课。<strong style="color: blue;"><strong style="color: blue;">精彩节目敬请关注今日17:25分浙江电视台<span style="color: black;">资讯</span>频道、22:30分浙江电视台教科影视频道《养生大国医》。</strong></strong></span></p><img src="https://mmbiz.qpic.cn/mmbiz_gif/r46HcXA1b6fSSf2ySS2clE6ThnV8rFuqzCrx6k4cUCG1lXHrGxPVb0OvzaPH84iblbOmfHiab9YMqST9UBIkUjhA/640?wx_fmt=gif&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">怎样</span>预防直肠癌？专家<span style="color: black;">尤其</span>强调这几点！</strong></span></p><span style="color: black;">点击查看</span><img src="https://mmbiz.qpic.cn/mmbiz_gif/8jLRLrPWEgjWQEAwx729smNjibluEEvYZIKLrHaJ8oyu2Xt3feiaH0x7aILiax3DWdfNMrGCZvicNZUBs1NUJLuhCg/640?wx_fmt=gif&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">专家提醒</span><img src="https://mmbiz.qpic.cn/mmbiz_png/r46HcXA1b6fS62YBWvCm39w5HNbrgj97B6LuEI9R1glAfSRTaID4E4mwe43YQL18OIB8OMMnFXZz4qib9UmnOQQ/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/r46HcXA1b6fS62YBWvCm39w5HNbrgj97H7aibhU3Slt8GchOkwZd355EXXt5BeSz4biau709zRod2WPuQvmKItlA/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/QDTa3lHem03fgjaIdPII6HOwDYaY6Dib5ia76ehUXJMJsAUF91WGBTCdHg1dWFBdIHrJZsiarYQrg8pPrpvNkIh8w/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">分享</span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/QDTa3lHem03fgjaIdPII6HOwDYaY6Dib5oibU8KAYz2GHiahibWyFboUUvz2D2eFfcH6tj4oJTk0TknMOM1EiaXiarjw/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">点<span style="color: black;">保藏</span></span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/QDTa3lHem03fgjaIdPII6HOwDYaY6Dib5hmwY8mDVpHGQLIE7BkgdK0WBjC4lbex138FpAibtiaznYzj7XUKYrDoQ/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">点点赞</span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/QDTa3lHem03fgjaIdPII6HOwDYaY6Dib5HZL3tuAYP0UibQkjE19WRGibcKnSQEzGRxzLXsxicafW7qV3lkOmZrNgQ/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">点在看</span></p>

quintin 发表于 2024-8-30 15:08:24

顶楼主，说得太好了！

m5k1umn 发表于 2024-10-6 21:03:41

顶楼主，说得太好了！

7wu1wm0 发表于 4 天前

认真阅读了楼主的帖子，非常有益。

查看完整版本: 得了直肠癌，保肛、保命只能二选一？满足5个基本前提，生活质量大大改善