[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fHZwis1z53nmA0U58T0-4kQfiI6tXfXEZSGxukkew_8s":8},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":45},200,"操作成功",{"id":12,"name":13,"describes":6,"symptoms":6,"checkup":6,"treatment":6,"seoTitle":14,"seoKeywords":15,"seoDescription":16,"coverVertical":6,"coverAcross":6,"introduceClassifications":17,"departments":43},4188,"阑尾癌"," 阑尾癌 – 症状、治疗及预防\n"," 阑尾癌, 阑尾癌症状, 阑尾癌治疗, 阑尾癌预防, 阑尾癌诊断, 阑尾癌风险, 阑尾癌手术, 阑尾癌存活率\n"," 了解有关阑尾癌的全面信息，包括其症状、常见治疗方法、预防措施及早期诊断的重要性。获取关于阑尾癌的专业知识，保障健康生活。",[18,23,28,33,38],{"id":19,"classification":20,"description":21,"sort":22,"diseaseId":12},130470,"病因","\u003Cp>　　(一)发病原因\u003C/p>\u003Cp>　　目前没有相关内容描述。\u003C/p>\u003Cp>　　(二)发病机制\u003C/p>\u003Cp>　　1.病理分型 阑尾腺癌有黏膜型和结肠型两种类型。\u003C/p>\u003Cp>　　(1)黏膜型：又称囊腺癌，起源于囊腺瘤，多为分化良好的细胞，与卵巢囊腺癌很相似，容易破裂和腹腔播散，导致腹膜假性黏液瘤，术后容易复发。\u003C/p>\u003Cp>　　(2)结肠型：是息肉状或溃疡状肿瘤，起源于管状或管状绒毛状腺瘤，与结肠的腺癌相似，沿淋巴道和血道转移。\u003C/p>\u003Cp>　　2.转移途径 阑尾腺癌好发于阑尾根部，所以易侵犯回盲部和结肠。转移途径主要有：①淋巴途径，结肠型最常见，一旦肿瘤侵犯黏膜下层，则极易沿阑尾系膜淋巴结、回盲动脉淋巴结、右半结肠动脉淋巴结，甚至腹主动脉淋巴结转移。②血液转移，可沿门静脉系统转移至肝脏，进一步转移至全身的组织和器官。③直接浸润和种植，可侵犯邻近肠系膜、盲肠、输尿管，甚至盆腹腔种植转移。黏膜型容易发生这种类型转移，术中可见数个至数百个大至鸡蛋，小至芝麻的胶冻样结节，常伴腹水。发生腹腔转移的结肠型腺癌则主要是黏液腺癌，其次是分化性腺癌，多出现于晚期病人。\u003C/p>",0,{"id":24,"classification":25,"description":26,"sort":27,"diseaseId":12},130471,"症状","\u003Cp>　　常见症状：腹痛、大便干结、腹泻\u003C/p>",1,{"id":29,"classification":30,"description":31,"sort":32,"diseaseId":12},130472,"检查","\u003Cp>　　检查项目：肿瘤标记抗原、腹部彩超、腹部CT\u003C/p>",2,{"id":34,"classification":35,"description":36,"sort":37,"diseaseId":12},130473,"并发症","\u003Cp>　　1.阑尾穿孔 因阑尾管壁薄，管腔狭小，加之分泌物阻塞和肿瘤浸润，易并发阑尾穿孔。临床可出现局部腹膜刺激症状，极易导致肿瘤细胞在腹腔的种植。\u003C/p>\u003Cp>　　2.肠梗阻 黏膜型腺癌伴腹腔转移的病例，可因为肿瘤压迫或侵犯肠管导致机械性或功能性肠梗阻。若未能积极治疗，病人可因肠梗阻而死亡。\u003C/p>",3,{"id":39,"classification":40,"description":41,"sort":42,"diseaseId":12},130474,"预防","\u003Cp>　　提高该病生存率，其术前确诊率是关键。而做这点相当不易。Mayo Clinic报道一组阑尾腺癌病人，均未在术前确诊，而术中确诊者也仅有42%，多数是在术后病理检查才发现。因此，临床医生在处理阑尾炎时要警惕腺癌的可能，术中应将阑尾管腔切开，检查有无肿物。对可疑病例应及时冰冻切片检查。对确诊病人争取行一期右半结肠切除术。此外，对于分化良好的阑尾腺癌需要术后严密随访，争取在形成腹膜假性黏液瘤前予以及时治疗。文献报道35%～60%的病人可能会同时或异时出现肠内或肠外的肿瘤，所以要注意术前诊断防止漏诊，术中探查排除合并腹腔肿瘤，术后随访发现异时性肿瘤。\u003C/p>",4,[44],"肿瘤综合科",true]