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Virologie de l'hépatite B
EMC - Hépatologie
Pub Date : 2006-01-01 DOI: 10.1016/S1155-1976(06)31599-9
F. Zoulim, A. Kay, P. Merle, C. Trepo
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引用次数: 2
Abcès non parasitaires du foie. Diagnostic et conduite à tenir 肝脏的非寄生虫性脓肿。诊断和行为
EMC - Hépatologie
Pub Date : 2006-01-01 DOI: 10.1016/S1155-1976(06)40365-X
C. Silvain, C. Chagneau-Derrode, C. Crugeon, J. Tasu
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引用次数: 5
Hyperplasie nodulaire régénérative 再生性结节增生
EMC - Hépatologie
Pub Date : 2006-01-01 DOI: 10.1016/j.emchep.2004.08.002
J.-F. Blanc, C. Balabaud, P. Bioulac-Sage
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引用次数: 0
Hyperplasie nodulaire focale 局灶性结节增生
EMC - Hépatologie
Pub Date : 2006-01-01 DOI: 10.1016/j.emchep.2004.06.001
C. Laurent, H. Trillaud, P. Bioulac-Sage, C. Balabaud
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引用次数: 2
Utilisation des médicaments chez le cirrhotique 肝硬化药物的使用
EMC - Hépatologie
Pub Date : 2006-01-01 DOI: 10.1016/S1155-1976(03)00073-1
F. Durand, A. Plessier
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引用次数: 0
Prise en charge des hémorragies par rupture de varices œsophagiennes chez les patients porteurs d'une cirrhose 肝硬化患者食管静脉曲张破裂出血的管理
EMC - Hépatologie
Pub Date : 2006-01-01 DOI: 10.1016/S1155-1976(06)40567-2
C. Bureau, J. Vinel
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引用次数: 0
Traitement chirurgical de la lithiase biliaire et de ses complications 胆结石病及其并发症的外科治疗
EMC - Hépatologie
Pub Date : 2006-01-01 DOI: 10.1016/S1155-1976(03)00070-6
A. Gainant, S. Bouvier, M. Mathonnet
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引用次数: 1
Infections bactériennes et cirrhose alcoolique 细菌感染和酒精性肝硬化
EMC - Hépatologie
Pub Date : 2005-10-01 DOI: 10.1016/S1155-1976(05)40366-6
C. Silvain, C. Chagneau-Derrode
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引用次数: 0
Traitement percutané du carcinome hépatocellulaire 肝细胞癌的经皮治疗
EMC - Hépatologie
Pub Date : 2004-10-01 DOI: 10.1016/j.emchep.2004.07.002
V. Sitruk (ancien Chef de clinique-assistant) , O. Seror (Praticien hospitalier) , J.-C. Trinchet (Professeur des Universités Praticien hospitalier)

Despite advances in imaging techniques and surveillance program, most hepatocellular carcinoma patients are still diagnosed at advanced stages and cannot benefit from surgical curative treatment. Percutaneous destruction of tumour by chemical substances or thermal energy sources is a good alternative to surgery. Percutaneous ethanol injection, the earliest developed method, has been widely reported and has proven its efficacy achieving a complete response in 80-100 % of hepatocellular carcinoma less than 3 cm in diameter. It is simple, safe and cheap and is until now the gold standard in percutaneous treatments. Over the past 10 years, methods using thermotherapy (radiofrequency, microwaves, laser) have been developed. Radiofrequency is the most assessed method and it achieves at least the same response as percutaneous ethanol injection but with a complication rate which could be higher. Microwave and laser are promising technologies, but only few clinical data are available. Randomized controlled trials are needed in order to assess treatment response, long-term survival, safety and cost-efficacy of the new techniques.

尽管成像技术和监测计划取得了进步，但大多数肝细胞癌患者仍处于晚期，无法从手术治疗中获益。通过化学物质或热能来源经皮破坏肿瘤是手术的一个很好的替代方案。经皮乙醇注射是最早开发的方法，已被广泛报道，并已证明其对直径小于3cm的肝细胞癌的疗效达到80-100%。它简单、安全、便宜，是目前经皮治疗的黄金标准。在过去的10年里，已经开发出了使用热疗（射频、微波、激光）的方法。射频是评估最多的方法，它至少达到了与经皮乙醇注射相同的反应，但并发症发生率可能更高。微波和激光是很有前途的技术，但临床数据很少。需要进行随机对照试验，以评估新技术的治疗效果、长期生存率、安全性和成本效益。
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引用次数: 8
index auteur 作者索引
EMC - Hépatologie
Pub Date : 2004-10-01 DOI: 10.1016/S1638-6221(04)00018-1
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引用次数: 0
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