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从增加高危人群定期筛查依从性谈原发性肝癌早期诊断
Increasing early diagnosis of primary liver cancer by improving the compliance with regular screening in the high-risk population
文章发布日期:2018年07月06日  来源:  作者:罗心晨,周友乾  点击次数:210次  下载次数:22次

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【摘要】:原发性肝癌患者诊断时多已为中晚期,失去最佳治疗时机,而提高原发性肝癌的早期诊断率对于改善患者预后具有重要意义。新型血清肿瘤标志物的研究进展迅速,但临床应用仍有不太理想之处,根据原发性肝癌高危人群病史信息和常规筛查指标等多因素综合早期风险预测进行风险再分层,针对不同风险等级采取相应的筛查方式,有利于增加患者依从性,进而提高原发性肝癌的早期诊断率。就目前原发性肝癌早期诊断现状及高危人群早期筛查方法和早期发病风险预测等方面的研究进展进行阐述。
【Abstract】:Most patients with primary liver cancer are in the advanced stage at diagnosis and have missed the best timing of treatment, and therefore, increasing the early diagnostic rate of primary liver cancer has great significance in improving patients’ prognosis. There is a rapid progress in the research on new serum tumor markers, but their clinical application is still not satisfactory. The screening method of risk re-stratification based on the medical history of individuals at a high risk of primary liver cancer and conventional screening indices and adoption of different ways of screening based on the level of risk can improve patient compliance and thus increase the early diagnostic rate of primary liver cancer. This article reviews the research advances in the current status of early diagnosis of primary liver cancer, the early screening methods in the high-risk population, and early risk prediction.
【关键字】:肝肿瘤; 病人依从; 早期诊断; 综述
【Key words】:liver neoplasms; patient compliance; early diagnosis; review
【引证本文】:LUO XC, ZHOU YQ. Increasing early diagnosis of primary liver cancer by improving the compliance with regular screening in the high-risk population[J]. J Clin Hepatol, 2018, 34(8): 1788-1792. (in Chinese)
罗心晨, 周友乾. 从增加高危人群定期筛查依从性谈原发性肝癌早期诊断[J]. 临床肝胆病杂志, 2018, 34(8): 1788-1792.

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