RESUMEN
With the widely use of radiofrequency ablation (RFA) in the comprehensive treatment for hepatocellular carcinoma (HCC),both the related basic and clinical research become more and more systematic.Accordingly,its role in the management of such patients is being increasingly definite,mainly including the following aspects:(1) For early HCC (≤3.0 cm) patients,under the premise of individualized strategies,RFA can be used as the first line treatment with the therapeutic efficacy comparable to those of liver resection and transplantation.(2) For selected patients with medium sized (3.1 ～ 5.0 cm) and unresectable HCC lesion,local RFA combined with transarterial embolization can experientially obtain satisfactory outcome.(3) For unresectable solitary large HCC (＞5.0 cm),repeated RFA combined with other local therapeutic tools could get satisfactory therapeutic efficacy.(4) For intrahepatic recurrent HCC,if the number of lesions is limited,RFA can be applied as the treatment of choice in most patients.(5) Emergency RFA is an effective strategy for achieving hemostasis in patients with ruptured HCC,and RFA could maximally eradicate the tumor.(6) For HCC patients awaiting liver transplantation,bridge strategy with RFA debulking may prolong long-term survival.(7) RFA can safely assist liver resection and reduce the bleeding.(8) RFA treatment,especially repeated RFA,can induce positive tumor specific immunoregulation.Taken together,these roles of RFA will help facilitate the transition in the HCC treatment mode.
RESUMEN
Objective]To study Xin'an physician Wu Cheng asthenic diseases related theory of ideas in Bujuji, in order to more comprehensively understand asthenic diseases,to broaden the thinking, enhance the clinical curative effect. [Method]From the academic source of asthenic diseases , syndrome differentiation and treatment,prescription medication,clinical academic value, make research on Wu's thought about asthenic diseases treatment. [Result]Wu Cheng combined with their own perception and experience of clinical evidence, first put forward“external damage caused by asthenic diseases”;Aiming at the asthenic diseases of the treatment,Wu Cheng creatively put forward“support solution method”, “supplementary care method”, “treatment of spleen yin”;Wu Cheng's life was exploring the asthenic diseases,the theory of asthenic diseases had good clinical academic value,not only for the development of the cause of disease theory,but also enriching the theory of health prevention.[Conclusion]Wu Cheng Bujuji rich in content and its syndrome differentiation of asthenic diseases, with much experience, as today, treatment based on the thought of clinical asthenic diseases treatment still has important guiding significance.