中医药治疗原发性肝癌的研究进展

摘要

原发性肝癌是消化系统常见的恶性肿瘤，发现时多处于中晚期，预后差。中医药在防治原发性肝癌方面有其独特的优势，简述了原发性肝癌的病因、病机和中医对肝癌的辩证治疗，总结了中医药联合经肝动脉化疗栓塞术、肝癌根治术、放化疗以及分子靶向药物等综合治疗方面取得的进展，以期对原发性肝癌的临床治疗及改善预后提供一定的参考。%Primary liver cancer is a common malignant tumor in the digestive system.Most patients are in the advanced stage when a con-firmed diagnosis has been made,and prognosis is often unfavorable.Traditional Chinese medicine (TCM)has unique advantages in the pre-vention and treatment of primary liver cancer.This article briefly introduces the etiology and pathogenesis of primary liver cancer,as well as syndrome differentiation and treatment of liver cancer with TCM,and summarizes the advances in multimodality therapies including TCM combined with transcatheter arterial chemoembolization,radical surgery for liver cancer,chemoradiotherapy,and molecular-targeted thera-py,in order to provide a reference for the clinical treatment and improvement in the prognosis of primary liver cancer.