[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fZebSJtIP0dbuNagM65V1lX5CBglUBpGsVZHRAWw6h6c":8,"$fhz6VQtnEEd5KmcFtww2E2FBAx3EfDYNKrQZzpWQL_oc":89,"$f73g3cshDFSBa3rPtZUct3EEkYUbf8lpzBgtt8wXje4E":90,"$fh0E95I_J-4ZUJa-H5eQXdEp8_RqEbtJS-b_amwtmTGU":94},{"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":88},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":17,"adept":18,"hospital":19,"department":20,"postsTitle":21,"materialTotal":17,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":29,"mediaType":30,"views":31,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":32,"seoTitle":23,"seoKeywords":33,"seoDescription":34,"shelvesTime":35,"menus":36,"menuId":76,"type":26,"quality":86,"commentCount":17,"isComment":30,"deviceType":22,"url":87},28354,1014211,[],"https://ystcdn.venuertc.com/venue/app/48789/2026-07-24/47393ed0-8a4c-4d90-921d-9ed61c36b3d8.png","罗杰",0,"肿瘤靶向治疗免疫治疗","内江市第二人民医院","肿瘤科","住院医师",4,"乳腺癌靶向治疗与化疗的选择，怎么判断适合哪种？","https://cdn.yishi-tong.com/console/3/DDF3b3NTCx_3u0anJoh74ZSW63woqG2b.png","https://cdn.yishi-tong.com/console/3/QfPYVQoLLe6L9y-07vfZ-Tf1oXpBZXyo.png",2,"\u003Cdiv id=\"material_title\">乳腺癌靶向治疗与化疗的选择，怎么判断适合哪种？\u003C/div>\n\n\u003Cdiv class=\"material_section\">\n  \u003Cdiv class=\"material_subtitle\" style=\"background: linear-gradient(90deg, #f6f8fc 0%, #e9f3fb 100%);\">乳腺癌治疗方式别盲选\u003C/div>\n  \u003Cdiv class=\"material_text\">\n    身边很多乳腺癌患者和家属在问：到底选靶向治疗还是化疗更合适？今天我们就好好聊聊乳腺癌靶向治疗和化疗的选择。这个话题和咱们乳腺癌患者体检报告、治疗方案息息相关。如果你或家人正面临乳腺癌治疗，不妨听听肿瘤科的临床经验。\n  \u003C/div>\n\u003C/div>\n\n\u003C!-- 案例引入：无病例材料，跳过 -->\n\n\u003Cdiv class=\"material_section\">\n  \u003Cdiv class=\"material_subtitle\" style=\"background: linear-gradient(90deg, #e8f5e9 0%, #e0f7fa 100%);\">三个关键要素影响乳腺癌治疗方案\u003C/div>\n  \u003Cdiv class=\"material_text\">\n    乳腺癌靶向治疗和化疗的选择，主要受这三个因素影响：\u003Cbr>\n    ① \u003Cstrong>肿瘤类型和分子分型\u003C/strong>：乳腺癌不是一类病，有很多分型，比如HER2阳性、激素受体阳性等。如果是HER2阳性的乳腺癌，往往能用靶向药物精准打击坏细胞。化疗主要针对更广泛的类型，但副作用也相对明显。\u003Cbr>\n    ② \u003Cstrong>身体状态和耐受能力\u003C/strong>：有些患者年纪稍大，身体基础差，化疗后可能容易出现白细胞减少、胃肠道反应等副作用。靶向治疗副作用相对轻，但不是所有乳腺癌类型都能用。\u003Cbr>\n    ③ \u003Cstrong>阶段和方案搭配\u003C/strong>：乳腺癌治疗常常是化疗和靶向治疗组合使用。比如早期乳腺癌手术后，组织分型决定是否加靶向药；晚期转移时，联合治疗能提高效果。这些都需要肿瘤科医生根据报告给出具体建议。\u003Cbr>\n    乳腺癌的治疗方式个体差异大，病理报告和分子分型决定了用药的方向，盲目模仿别人不可取。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"material_section\">\n  \u003Cdiv class=\"material_subtitle\" style=\"background: linear-gradient(90deg, #fff3e0 0%, #f0e9ff 100%);\">乳腺癌患者怎么做选择，哪些细节要注意\u003C/div>\n  \u003Cdiv class=\"material_text\">\n    建议乳腺癌患者和家属，一定要这样做：\u003Cbr>\n    \u003Cspan style=\"font-size:18px;\">✔\u003C/span> \u003Cstrong>先做全面病理和分型检查\u003C/strong>，决定是否适合靶向药物。如果报告显示HER2阳性，和医生好好聊聊能否加靶向治疗。\u003Cbr>\n    \u003Cspan style=\"font-size:18px;\">✔\u003C/span> \u003Cstrong>与肿瘤科医生沟通副作用担忧\u003C/strong>，不要只怕化疗副作用就拒绝，靶向药物也有心脏毒性等风险。医生会根据你的身体状态选择方案。\u003Cbr>\n    \u003Cspan style=\"font-size:18px;\">✔\u003C/span> \u003Cstrong>保持规律复查和随访\u003C/strong>，靶向和化疗可能交替进行，过程中需定期监测血象、心脏、肝肾等情况。\u003Cbr>\n    不建议自行查网盲选药物，也不要仅凭亲友经验或网络讨论定方案。乳腺癌治疗一定要靠医生根据个人检查结果定制，别贪快、也别害怕慢慢治疗过程。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"material_section\">\n  \u003Cdiv class=\"material_subtitle\" style=\"background: linear-gradient(90deg, #e1f5fe 0%, #f6f8fc 100%);\">乳腺癌治疗的要点再提醒\u003C/div>\n  \u003Cdiv class=\"material_text\">\n    乳腺癌治疗方案不是轻轻松松定下来的，每个人的病理检查、分型都不一样。化疗和靶向治疗怎么用，要根据乳腺癌类型和身体情况灵活组合。遇到乳腺癌，不妨和医生慢慢讨论方案，定期复查，争取最合适的治疗效果。\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n#material_title {\n  font-size: 28px;\n  color: #234878;\n  font-weight: bold;\n  margin: 20px 0 30px 0;\n  letter-spacing: 1px;\n  text-align: left;\n}\n\n.material_section {\n  margin-bottom: 28px;\n}\n\n.material_subtitle {\n  font-size: 20px;\n  color: #2b5c7f;\n  font-weight: 500;\n  padding: 14px 16px;\n  border-radius: 8px;\n  margin-bottom: 10px;\n  background-size: 100% 65px;\n  background-repeat: no-repeat;\n}\n\n.material_text {\n  font-size: 17px;\n  color: #444;\n  line-height: 1.7;\n  padding-left: 10px;\n  padding-right: 10px;\n  word-break: break-all;\n  margin-bottom: 3px;\n}\n\n.material_text strong {\n  color: #214973;\n  font-weight: 600;\n}\n\u003C/style>","v0247cg10004d9o09bi7dlda4m51ugfg",194,1,826,"2026-08-03 09:26:36","乳腺癌, 靶向治疗, 化疗, HER2阳性, 乳腺癌分型, 身体状态","了解如何根据肿瘤类型、身体状态和阶段选择乳腺癌的靶向治疗或化疗，帮助患者获得最合适的治疗效果。","2026-08-20 18:50:41",[37,57,75],{"menuId":38,"menuName":39,"parentId":17,"orderNum":22,"path":40,"component":41,"isFrame":42,"isCache":43,"menuType":44,"visible":30,"status":17,"createDept":6,"remark":45,"createTime":46,"children":47,"columnImage":48,"columnLogo":49,"uncheckedLogo":50,"checkedLogo":51,"isHot":30,"isHome":17,"forceLogin":17,"color":52,"seoTitle":53,"seoKeywords":54,"seoDescription":54,"contentNum":6,"promotionalPoster":55,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":56,"routerPath":40,"componentInfo":41},"1997925012023775234","热门频道","column","/column/tcm_index.html","1","0","T","","2025-12-08 15:03:37",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:18/ef345cdc-bb06-4db5-b74d-6ecfafabe83e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:21/81815950-9711-4b40-8543-421bd7701d0f.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:32/99452289-a401-4ab2-ae91-2a1a1f7442d1.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:29/f52b1198-7225-4f72-89f3-605e6a14f530.png","#42a5f6","sadf","asdf","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:25/cf4f002d-c534-4c28-b405-a2e504dc5188.png","Column",{"menuId":58,"menuName":59,"parentId":38,"orderNum":60,"path":61,"component":62,"isFrame":42,"isCache":43,"menuType":44,"visible":30,"status":17,"createDept":6,"remark":45,"createTime":63,"children":64,"columnImage":65,"columnLogo":66,"uncheckedLogo":67,"checkedLogo":68,"isHot":17,"isHome":17,"forceLogin":17,"color":69,"seoTitle":70,"seoKeywords":71,"seoDescription":72,"contentNum":6,"promotionalPoster":73,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":74,"routerPath":61,"componentInfo":62},"1989172310225670145","公益项目",6,"public","/column/public_index.html","2025-11-14 11:23:30",[],"https://ystcdn.venuertc.com/venue/undefined/2025-12-18-14:41:13/1b7a5e2b-9e7d-4769-851f-1c55c481fa82.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-18-14:41:18/b79a0a5e-411c-4282-8eaf-86fcc7e492bf.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-24-16:17:17/6f411ecf-82d8-4fb5-9371-fa7faba2cb8f.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-24-16:17:16/93f832c4-2264-4094-88fd-6fd80c8d9369.png","#80cbc4","健康科普工公益行——携手共建健康未来","健康,科普,公益行,健康知识,公众健康,社会健康,健康活动,健康意识","健康科普工公益行活动,传播健康知识,提高公众健康意识,共同促进社会健康发展,关注您和家人的健康！","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:12:46/1f2ac83a-c564-4aeb-ad97-5b5c4f09bfa5.png","Public",{"menuId":76,"menuName":77,"parentId":58,"orderNum":60,"path":78,"component":79,"isFrame":42,"isCache":43,"menuType":44,"visible":30,"status":17,"createDept":6,"remark":45,"createTime":80,"children":81,"columnImage":82,"columnLogo":6,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":77,"seoKeywords":83,"seoDescription":84,"contentNum":6,"promotionalPoster":6,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":85,"routerPath":78,"componentInfo":79},"2047224557296840705","“健康中国-医路相伴健康同行”肿瘤领域科普传播计划","publicTFPAPP","/column/public_publicTFPAPP","2026-04-23 16:02:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-04-23-15:59:55/812f101e-9b62-472f-b155-2cb356602a89.png","肿瘤科普、癌症科普、肿瘤防治、科学抗癌、健康中国科普、医路相伴健康同行","响应 \"健康中国 2030\" 战略，\"健康中国 - 医路相伴健康同行\" 肿瘤领域科普传播计划，联合权威医学专家，提供肿瘤预防、筛查、治疗、康复全周期科学科普内容，普及抗癌知识，破除健康误区，助力全民肿瘤防治素养提升。","PublicTFPAPP","癌症肿瘤","https://vod.haohuanjiao.com/huanjiao/specialistVideo/1014211/80519b1d-f803-4c71-b3c5-cbf195ca108c.tmp?a=0&auth_key=1789891150-a90e728e6ba5488fb9f997e847a293b9-0-b71ae0619d5495a52f7fccb57228eff2&br=584&bt=584&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004d9o09bi7dlda4m51ugfg&er=0&l=20260821055557F37858FA3919592C6E58&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=amo0cGRvOmUzPDczNGY3M0ApaXg4N2dnbDxyZzMzajo1eWdjcjIxYWFmNmxhLS1kNC9zc2RkLmpeaTRfLTYxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":87,"message":6,"data":6,"success":88},{"code":9,"msg":10,"message":6,"data":91,"success":88},{"pageNo":30,"pageSize":92,"result":93,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":95,"success":88},{"authors":96,"appraiseDimensionScoresVos":97},[],[]]