Which liver cancer patients are not suitable for interventional treatment? 7 types of people are not suitable for interventional treatment of liver cancer

Which liver cancer patients are not suitable for interventional treatment? 7 types of people are not suitable for interventional treatment of liver cancer

Interventional treatment of liver cancer is to introduce special puncture needles, catheters, guidewires, balloon stents, drainage tubes and other precision instruments into the human body under the guidance of medical imaging equipment to diagnose and locally treat some liver diseases. Interventional therapy is currently the most effective and commonly used treatment method for patients who cannot undergo surgical resection of liver cancer. Interventional therapy can be roughly divided into two types according to the approach, one is vascular intervention and the other is non-vascular intervention. Vascular intervention is the most commonly used treatment method. Liver cancer has a very rich and single blood supply. Embolization therapy for liver cancer patients can occlude tumor blood vessels, shrink tumor blood vessels, and cut off the tumor's nutritional source to achieve the purpose of treatment.

However, not all patients with primary liver cancer can undergo interventional treatment. They are mainly the following five groups:

1. Severe liver dysfunction Child-Pugh grade C.;

2. Severe and uncorrectable decrease in coagulation function;

3. The main trunk of the portal vein is completely embolized by the cancer thrombus, and few collateral vessels are formed;

4. Patients with active infection who cannot be treated simultaneously;

5. Patients with extensive distant metastasis of the tumor and estimated survival period of less than 3 months;

6. Patients with cachexia or multiple organ failure;

7. The tumor accounts for ≥70% of the whole liver; if the liver function is basically normal, a small amount of iodized oil emulsion can be considered for embolization in batches;

8. Peripheral blood leukocytes and platelets decreased significantly, leukocytes <3.0×109/L

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