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class=\"doctor-material-container\">\n  \u003Ch2 id=\"material_title\">靶向治疗与免疫治疗在肺癌中的选择到底该怎么定\u003C/h2>\n\n  \u003Cdiv class=\"doctor-material-section doctor-material-section-bg\">\n    \u003Ch3>有的人肺癌一查出来就问：靶向和免疫选哪个？\u003C/h3>\n    \u003Cp>\n      现在不少朋友一体检或者发现肺部有问题，就会听说“靶向治疗”“免疫治疗”这两个词。其实，这两种方法在肺癌的治疗中起很重要的作用，但怎么选择，真不是随口就能定的，需要好好聊聊每个人身体的具体情况。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"doctor-material-section doctor-material-section-bg\">\n    \u003Ch3>三点说清肺癌选择靶向治疗还是免疫治疗\u003C/h3>\n    \u003Cp>\n      \u003Cspan class=\"doctor-material-emoji\">🧬\u003C/span>\n      \u003Cb>1 基因检测结果先说话。\u003C/b> 不少非小细胞肺癌患者体内会出现像EGFR、ALK、ROS1这些基因突变。如果查出来有相关基因突变，靶向治疗抗癌的作用往往更明显，副作用也相对温和。没有这些突变，盲目选靶向并不一定有效。\n    \u003C/p>\n    \u003Cp>\n      \u003Cspan class=\"doctor-material-emoji\">🪪\u003C/span>\n      \u003Cb>2 肿瘤特征影响免疫治疗效果。\u003C/b> 如果病理提示“PD-L1”高表达，或者肿瘤突变负荷较高，那免疫治疗能帮身体自身抵抗癌细胞，有时搭配化疗或放疗，控制肺癌进展。有没有免疫相关副反应、年纪、体质也要综合评估。\n    \u003C/p>\n    \u003Cp>\n      \u003Cspan class=\"doctor-material-emoji\">👩‍⚕️\u003C/span>\n      \u003Cb>3 不是说越新越好，越贵越灵。\u003C/b> 靶向和免疫治疗用了不合适反而容易拖延黄金治疗期。部分肺癌患者两种方法都可能没效果，比如罕见基因型、病情特殊，化疗/放疗才是主力。医生建议要跟着个人实际，别只看大数据和宣传。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"doctor-material-section doctor-material-section-bg\">\n    \u003Ch3>肺癌治疗选择时，这几件事要弄明白\u003C/h3>\n    \u003Cul class=\"doctor-material-ul\">\n      \u003Cli>\n        \u003Cb>建议：\u003C/b>确诊肺癌以后，第一步先做精准的基因检测和PD-L1等相关免疫指标检测，别嫌麻烦，这一步直接决定治疗手段。\n      \u003C/li>\n      \u003Cli>\n        \u003Cb>建议：\u003C/b>有靶点就靶向，无靶点需要结合具体情况考虑免疫治疗或传统抗肿瘤方案。所有决策，都请和肿瘤科医生面对面沟通。\n      \u003C/li>\n      \u003Cli>\n        \u003Cb>不建议：\u003C/b>盲目相信广告或朋友介绍的所谓“神药”“偏方”，也别觉得越新越先进就一定管用，一定要结合检查和自身状况。\n      \u003C/li>\n      \u003Cli>\n        \u003Cb>不建议：\u003C/b>擅自停药换药，靶向和免疫治疗都需要规律用药和定期复查，不按方案调药风险大。\n      \u003C/li>\n    \u003C/ul>\n  \u003C/div>\n\n  \u003Cdiv class=\"doctor-material-section doctor-material-section-bg\">\n    \u003Ch3>肺癌患者面对新型治疗手段要稳住\u003C/h3>\n    \u003Cp>\n      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