(录相)：“做B超发现肝上有10公分大的肿瘤”，
“B-ultrasonography showed a 10cm tumor
in the liver.” (任恢忠)
“发现肺癌下半部也有肿瘤，而且又转移到肝脏”，
Tumor was also founded in the lungs
and then proliferated to the liver.
如果肝癌失去手术时机，如果肝癌病人不能接受手术，这个时候该怎么办呢？
If liver cancer lost the opportunity
of operation or patient couldn’t accept
operation, what should we do now?
稍后敬请收看冷冻消融治疗肝癌。
Coming up next, please watch the program
of treatment of liver cancer with cryoablation.
(拔号)您好!这里是中央电视台健康之路。
Hello, here is the channel of “Road
to Health” in China Central TV.
主持人：“好，以上就是我们今天的健康咨讯了，下面要进入到我们今天的现场访谈时间。
Hostess: Above is our today’s health
information. Now it’s time for the live
talking.
肝癌是常见的恶性肿瘤，
Liver cancer is a common malignant tumor.
我国是肝癌的高发病区，
Our country is one of the highest incidence
areas of liver cancer.
每年新增患者近20万人。
Every year, nearly 200,000 new cases
of liver cancer were found.
那么对于肝癌患者来说呀，最好的治疗方法就是手术切除肝癌了。
For those patients with liver cancer,
the best treatment method is operative
resection.
但是肝癌在早期临床症状并不明显，
But symptom of liver cancer in early
stage normally is not apparent.
一经发现，往往己经到了中晚期。
Usually once the cancer was diagnosed,
it has entered into middle or late stage.
有的患者甚至己经失去了最佳手术治疗时机，
Some patients even missed the best operation
time of treatment.
那么可想而知，对于患者来讲，面临的将会是什么？
So we can imagine what this means to
the patients.
在今天的节目中要向您介绍一种氩氦刀冷冻消融治疗肝癌的新技术，
Today we are going to introduce a new
technology called cryoablation with
argon-he knife for the treatment of
liver cancer.
好，我们先来看一个故事”。
First, let’s watch a story.
(录相)“现年62岁的任恢忠，退休前是福建省福清市从事林业工作近40年的工程师。
Ren Huizhong, 62 years old, a retired
engineer of forestry in Fuqing city
of Fujiang province.
这位未能跨进大学门坎的农家子弟。
He is a farmer’s son and has never entered
university.
读高中时就迷上哲学。
When he was in high school, Mr. Ren
Huizhong was infatuated with philosophy.
他以大森林为伴，
He lived along with forest.
利用30多年的业余时间
In his more than 33 years’ spare time,
撰写出33万字的哲学著作《物质?意识?场》”。
He wrote a 330 thousands-word philosophy
work <Material. Consciousness. Ground>.
(任恢忠讲)“我这本书就是想，使我们对事物单一的平面的认识，上升为多方、多层次的立体认识”。
(Ren Huizhong) The intent of my book
is to raise our knowledge of a single
object from a single plane to stereoscopic
gradation.”
“1996年9月国内50多位知名专家学者参加了任恢忠著作研讨会。
On September 1996, more than fifty famous
specialists and scholars attended the
symposium of Ren Huizhong’s philosophy
works.
我国著名科学家钱学森亲笔致信任恢忠，
The famous scientist of our country,
Mr. Qian Xuesheng wrote to Ren Huizhong:
说：“我读后扩宽了视野，深受教益”，
He said,“Your book helped me to expand
my vision and I gained a lot from it.”
并称赞他“就是在探索新的哲学思维”。
He also commended that “Mr. Ren Huizhong
is exploring new philosophy thinking.”
有的人称他是“从大森林里走出来的哲学家”。
Some other people regarded Mr. Ren Huizhong
as a philosopher coming from forest.
正当任恢忠向哲学高峰攀登的时候，病魔向他袭来”。
When Ren Huizhong was climbing toward
the new heights of philosophy, disease
attacked him.
(任恢忠讲)“去年10月20日，发现得了肺癌，当时诊断为肺癌晚期。
(Ren Huizhong) “Last year on October
20th, I was diagnosed to have late-stage
lung cancer”
去年12月6日，在山东做配合检查的时候，
“On October 6th, when I took an examination
of PET in SanDong province,
又发现肺癌下半部也有个肿瘤，并且转移到肝脏”。
another tumor was found in the lower
part of lungs and the liver also has
metastases”.
“为治病，任恢忠辗转大江南北多家医院；
Mr. Ren Huizhong went to many hospitals
across the country to treat his disease.
为治病，他的四个孩子倾其所有，筹措50多万元的医疗费，已分文不剩。
His four sons and daughters used up
as much as 500 thousands Yuan for his
treatment..
在任恢忠即将倒下的时候，他执意以自己的哲学著作版权来换取生命，
At this critical time, he decided to
sell the copyright of his work in exchange
for his life.
力争尽快写出他的三本哲学新作”。
He would try his best to finish three
new philosophy works as soon as possible.
(徐克成)“我们在向社会呼吁向任恢忠伸出援助之手的同时，
(Xu) When we were arousing the whole
society to provide assistance for Mr.
Ren Huizhong,
尽最大努力延续他的生命，
We tried our best to extend his life.
希望他正在撰写的几本哲学著作早日问世”。
We also hoped his several in-progress
philosophy works to be published as
early as possible.
(任恢忠)“我跟他说吧，死神每天都在向我招手，
(Ren) I told him that death was waving
to me every day.
他说没关系，他说我会把你拉住，
He comforted me not to worry and he
would drag me back from the death.
以氩氦刀为中心做冷冻治疗，再做综合治疗”。
Mr. Ren Huizhong would be treated by
the combination of using cryoablation
of argon-he knife as a central modality
and
combined therapies.
(牛立志)“我们采用最先进的技术和最大的爱心来医治老任的肿瘤”。
(Niu) We used the most advanced technique
and the best love to treat Mr. Ren’s
cancer.
主持人：“观众朋友，非常有幸，我们今天把为任老师治疗的两位专家请到了我们演播现场。
Hostess: today we have the honor to
invite two specialists who treated cancers
for teacher Ren.
好，他们都来自广州复大肿瘤医院，
They came from Fuda Cancer Hospital
of Guangzhou.
一位是徐克成院长，另一位是副院长牛立志博士，欢迎两位
This is president Xu Kecheng and that
is vice president Dr. Niu Lizhi. Welcome.
任老师的故事非常感动，
We are impressed very much by Teacher
Ren’s story.
那么，今天在我们演播现场和副演播现场，也有四位医学专家.
Today, there are another four doctors
in our studio.
那么如果大家有关于肝癌方面的问题需要咨询，欢迎大家拔打我们现场热线电话
010-68508866，或者是通过手机短信和网上问答的方式参与我们的节目。
If anyone has question about the liver
cancer, you are welcome to dial our
hot line 010-68508866, or to join
our program through short message
of cellular phone and website.
那么在刚才的节目中，我们已经看到了任老师现在的这些情况，
In the preceding program, we have
seen teacher Ren’s recent situation.
两位专家今天己经被请到了我们的节目现场.
Two specialists are invited to our
program now.
首先，来让我们看看两位专家相关背景介绍：(画外音)
First, let’s look at the introduction
of two specialists’ background.
“徐克成教授、主任医师，广州复大肿瘤医院院长；
Professor Xu Kecheng, director doctor,
president of Fuda Cancer Hospital
of Guangzhou,
擅长肝癌早期诊断和经皮介入治疗。
He specializes in early diagnosis
and percutaneous intervene therapy
of liver cancer.
先后在日本、美国研修肝癌病理学和药物学；
He has ever studied pathology of liver
cancer and pharmacology in Japan and
USA.
目前任中国中西医结合消化病学会常委
Now he is a standing member of society
of digestive disease under association
of China Integrated Traditional Chinese
Medicine and Western Medicine
兼全国肝病研究协作组常务组长，
and the chief officer of affiliated
National Cooperation of Research for
Liver Disease,
广东消化病学会副主委
He also is an associate chief of Digestion
Branch of Guangdong Medical Association.
主编和编著专著《消化病现代治疗》、《临床胰腺病学》等专著七部
As a chief editor, he wrote and compiled
seven medical works such as <Modern
Therapy of Digestive Disease> and
<Clinical Pancreatology>;
参加编著《肝脏病学》等专著 20 余部，
He also took part in compiling of
more than 20 medical works.
在国内外发表论文 100 余篇；
He had more than 100 papers published
in national and international medical
magazines.
牛立志：副主任医师、副教授，医学博士，
Niu Lizhi , associate director doctor
and associate professor,
广州复大肿瘤医院副院长；
He is the vice president of Fuda Cancer
Hospital of Guangzhou.
第四军医大学医学博士毕业；
He earned his doctor degree from The
Fourth Military Medical University.
撰长经皮微创治疗肝癌、肺癌等肿瘤；
He is an expert of miniinvensive therapy
for tumor such as liver and lung cancer.
参与编著《氩氦靶向肿瘤治疗技术》专著一部，
As one of main editors, he wrote a
part of work <Argon-helium Targeting
Therapy for
Tumor>.
在国内外发表氩氦刀治疗肝癌等论文20余篇”。
He also published more than 20 papers
about treatment with argon-helium
knife for liver cancer in national
and international magazines.
主持人：好，徐院长，我想了解一下，
Hostess: Hi, President Xu, I would
like to know,
当时呀，任老师到你们这里来的时候，
when teacher Ren came to your hospital,
您是采用什么样的方法为他进行治疗的？
and what you used for his treatment?
徐：老任到我们医院来的时候，他是一个肺癌转移到肝脏，
(Xu) Mr. Ren had been diagnosed to
have lung cancer and liver metastasis
when he came to our hospital.
我们先后为他做了两次氩氦冷冻消融治疗，
We have treated him twice using argon-helium
cyoablation:
一次是针对肝脏；一次是针对肺脏，
one was against liver cancer and the
other one was against lung cancer.
下面我们来看看治疗的电脑图”。
Let’s watch computer pictures of the
therapy.
主：这是您当时用这种方法为任老师进行治疗的？
Hostess: Did you use this method to
cure teacher Ren at that time?
牛：是，这种氩氦刀冷冻，其实不是开刀，
Niu: Yes. The argon-helium knife of
cryoablation actually is not a real
knife.
只是一个经皮穿刺，插入肿瘤中心进行冷冻治疗”。
It is a percutaneous puncture trocar
and is inserted into the center of
tumor for cryoablation.
徐：下面，是不是让我们来看看这个电脑图，
Xu: Following let’s watch the computer
pictures.
那么这就是一个肝脏，这在肝脏里面是一个肝脏肿瘤，
This is a liver and this is a hepatoma
in liver,
这就是一个氩氦刀，这个氩氦刀其实上不是一个刀，
This is an argon-helium knife. The
argon-helium knife is no knife in
fact,
其实上它是一个氩氦冷冻消融系统，那么这个呢是一个个的导管，
It is an argon-helium cryoablation
system. These are trocars.
在治疗的时候，我们就把这个导管插到肿瘤的中心，
In the treatment, we insert the trocars
into the center of the tumor
然后就开动这个机器，那么这个氩气就输入到这个导管里面去，
Then we operate the machine to pump
the argon into the trocar,
它在这个肿瘤的里面就快速的降温，这样就形成了一个个的冰球，
Temperature in tumor will be rapidly
decreased and then formed multiple
ice balls.
这个冰球就形成了，也就是肿瘤细胞就被冷冻了，
Once ice balls are formed, tumor cells
will be frozen.
那么大概持续10-15分钟左右之后呀，那么我们就停止输入氩气，
After continuous freezing for 10 to
15 minutes, we stop the argon,
就改输氦气，氦气是一种致热原，它能把这个冰冻的冰球给融解，
and change to pump helium. Helium
is a thermogenic agent and can thaw
those ice balls.
一融解以后呀，那么这个氦气输进以后，这个冰球就融解了，
After ice balls are thawed and helium
is pumped, the ice balls will be melted.
一融解以后，这个癌细胞先是冷冻后来融解，
The cancer cells are frozen first
and then are thawed,
这个癌细胞就崩解了，
finally the cancer cells will be collapsed.
崩解以后呢，肿瘤就达到一个消融的目的，那么治疗呀就这样结束了，
As tumor is collapsed, the goal of
ablation is attained, and the therapy
is finished,
那么这个肿瘤就由此而消失了，就这样一个治疗过程。
Therefore, the tumor is disappeared.
This is the process of the treatment.
主：那么刚才我们了解到这个治疗的一个原理，
Hostess: we just understand the principle
of the therapy,
那么具体的手术过程是什么样子的？
then, what is the real process of
the operation?
牛：我们通过一个片子来具体看看氩氦刀治疗过程。
Niu: Let’s watch the treatment processes
of argon-helium knife through a video.
主：好的。
Hostess: Ok.
牛：氩氦刀不用开刀，
Niu: argon-helium knife is not a real
operation.
一般情况下，就是通过B超或CT定位下做治疗就可以了，
In general, the therapy is performed
under the localization of B-sonography
or CT.
这是我们在B超定位，
This is B-sonography localization.
B超定位确定以后进行消毒，
Following B-sonography localization,
we will sterilize the skin.
这是打局部麻醉，不用全身麻醉，
We only make local anaesthesia, not
whole body’s anaesthesia.
整个治疗过程中病人都是比较清醒的，
During the whole period of treatment,
the patient is always awake.
然后，通过B超定们以后就把这个穿刺针直接插到肿瘤中心，
Then, under the guidance of the B-sonography,
trocar is inserted into the center
of tumor.
所以这个过程是很确切的。
Therefore this process is very accurate.
到位以后，我们通过B超可以看到确切的插在肿瘤中心，
After localization, we can clearly
watch the trocar inserting into the
center of tumor through B-sonography.
所以这个过程不会伤及到其它正常组织，
This process would not affect and
damage other normal tissue.
这个情况下呢，我们就开始进行冷冻治疗.
The next step is to start cryotherapy.
冷冻治疗，打开氩气这后，可以迅速将肿瘤组织降温到-154℃，
After pumping argon, the temperature
in tumor is decreased to –154 degrees
Centigrade,
在这个情况下任何活体组织都会被冻死的，
in this situation, all lived tissues
will be killed.
在这个过程中病人没有太多的感觉，
The patient doesn’t feel much pain
during the whole process.
大家请看看，在这个过程中我们跟病人充分交谈，
Look, here we were talking with the
patient in the process.
病人没有什么痛苦，
the patient didn’t suffer much pain.
过程大概要半个小时左右，
The process lasts about a half hour.
冷冻15分钟，
Freezing for another 15 minutes,
然后复温以后，再循环一个过程，
after the thawing, repeat an another
cycle.
在这个过程中，我们让病人尽量的安静，
During the process we try to keep
the patient quiet as much as possible.
这个治疗是很确切的，
The therapy is very exact.
因为这个冷冻针直接插到肿瘤中心进行冷冻，
Because the freezing trocar is directly
inserted into the center of tumor,
所以它是很确切的.
therefore it is very exact.
做完以后病人没有太多的感觉
after the process, patient will not
have much bad feeling.
不用缝针，拔出来就可以，这样病人，
Trocar can be pulled out without suture.
大多数病人可以自行返回病房，大家请看。
Most of patients can walk back to
their rooms by themselves.
主：那刚才通过您的介绍，我也知道，
Hostess: After your introduction,
I understand that
这个氩氦刀其实它不是一种刀，是一种象导管一样的装置，是吧？
the argon-helium knife is no a real
knife, actually it is a kind of apparatus
like trocar, isn’t it?
那么之所以把它称之为“刀”，可能是一种比喻，
The reason we call it “knife” is
因为它能起到手术刀一样的效果。
because it has the same efficacy as
operative knife.
牛：是的，是的。
Niu: Yes.
主：那么这个方法的特点是什么？
Hostess: What are characteristics
of this therapy?
徐：这个氩氦冷冻消融治疗呀，它大概具有三个特点：
Xu: The argon-helium cryoablation
has three features:
第一个 特点就是它是一个微创治疗，
first, it is a mini-invasive therapy,
因为它这个导管呀实际上只有几个毫米，
because the trocar has only a few
micrometers in diameter.
穿刺以后，对病人创作很小；
Its inserting only causes patient
minor invasion;
第二个呢，它对那些手术能够切除肿瘤，
second, for those resectable tumors,
能够切除的那些肿瘤，但是由于其它原因，
but because of other reasons,
比如说年龄大呀，比如说这个病人全身状况不好呀，
such as old age, poor general condition,
或者合并其它疾病呀，不能手术切除的，
or other associated disorders, patient
was not able to be operated,
或者病人拒绝手术切除的，
or for those patients who refused
operation,
我们也可能把它切除掉，可以冷冻把它冷冻掉，
we can give them resection with cryoablation
by freezing.
对于那些本来不能手术切除的那些肿瘤，
For those unresectable tumors,
比如说大的肝癌，或者进展期的肝癌，
such as large liver cancer or advanced
liver cancer,
那些我们可以通过氩氦刀把它消除掉，
we can also eradicate it by argon-helium
knife.
所以，它是一个手术的延长，
Therefore, it (argon-helium knife)
is an extension of operation.
能够替代一些手术不能切除的肿瘤，把它清除掉。
It can destroy those tumors that are
unable to be resected by operation.
主：这就是说，这个方法的一个特点。
Hostess: That is a feature of this
modality.
徐：是
Xu: Yes.
主：那么这个手术方法治疗任老师呀，他的效果怎么样呀？
Hostess: How about the efficacy of
this modality for teacher Ren?
您向我们大致的先介绍一下。
Please introduce it to us at first.
徐：那么我们可以看这儿有一个CT片子，
Xu: Let’s look at a CT film here.
这个就是任老师在治疗前的肝脏里面的肿瘤，
This was the tumor in teacher Ren’s
liver before treatment.
你看，一个个的转移灶，
Look, these were metastasis loci.
那么经过氩氦刀治疗之后，这是最近给他拍的一个CT片，
This is a recent CT film after treatment
of argon-helium knife.
大家可以看到，这个CT片子上，肿瘤大部分肿瘤基本上己经消失了，
As you can see from the film, the
majority of tumors have almost disappeared.
再来看一看，我们又给他做了肺癌的一个氩氦冷冻消融治疗，
Look at it again! We gave him an argon-helium
cryoablation for his lung cancer.
这个就是肺癌的肿瘤，那么现在基本消失。
This was the original tumor in lung,
now, it disappeared
主：关于任老师现在的情况呀，，
Hostess: What’s teacher Ren’s recent
condition?
我们的电话联线己经准备好了
Our phone connection is ready,
我们来关注一下，任老师？任老师？您听得见吗？
Let’s pay attention how teacher Ren
is going right now. Teacher Ren, can
you hear us?
噢!现可能因为种种原因，我们还没跟任老师联系上，没有关系，
Oh! Something might be wrong, we haven’t
contacted teacher Ren yet.
我们接下来继续聊，
Let’s continue our discussion.
那么刚才，我们聊的是手术的一些特点，这个治疗方法的一些特点，
We just talked some features of the
therapy,
那么刚才，我们也谈了任老师，
we also talked about the case of teacher
Ren,
他得的是肺癌，
he got lung cancer,
然后转移到肝癌，是吧？
and had metastasis in liver, right?
那么这是一种继发性的肿瘤，
So this belonged to a secondary liver
cancer.
那么对于一些原发性的肝癌，
For those primary liver cancers,
它的治疗效果怎么样呢？
how is the efficacy of the therapy
?
牛：对于原发性肝癌的治疗，它也是有比较好的效果的，
Niu: For primary liver cancer, it
has better efficacy too.
这样，我们通过一个病例来进行一个介绍。
Let me explain it with a case.
主：好的，我们来看一下。
Hostess: Ok, Let’s take a look.
牛：这个从这个电脑图上看到，
Niu: as it showed on the computer
picture,
在治疗前呢，这个病人发现一个右肝13公分大的肿瘤，
before treatment, the patient was
discovered to have a tumor of 13cm
in his right liver.
是属于巨块型肝癌，
This belonged to a huge type of liver
cancer.
传统的方法己经没有太多的意义，
Traditional therapy couldn’t give
it too much effect.
经过氩氦刀治疗以后，肿瘤只剩下5公分，
After treatment of argon-helium knife,
tumor was shrunken to 5cm.
而且经过我们穿刺的病理学检查，
Moreover, after we gave it pathologic
examination with biopsy,
手术前是大量癌细胞，
those large amount of cancer cells
before therapy,
手术后都成了坏死的疤痕组织，
became necrotic and scar tissue after
therapy.
所以这个病人情况是非常好的。
Therefore, this patient’s condition
was very good.
主：噢!那么刚才我们谈的都是原发性，
Hostess: Ok. What we just talked was
primary liver cancer.
是在你们医院碰到的这位病人，是姓谭？，好象？
The patient we met in your hospital
his name is Tang? right?
牛：是。
Niu: Yes.
主：那么我们在医院前期采访的时候，
Hostess: when we visited your hospital,
我们也碰到了这位前来医院复查的病人，
we met a patient who came for follow-up
examination.
我们来看看他现在的情况怎么样？
Let’s watch his recent condition.
(录相谭讲)：“我今年3月底来广州复大肿瘤医院，
Tang: on March of this year, I entered
Fuda Cancer Hospital of Guangzhou
做氩氦刀冷冻治疗，
for a treatment of argon-helium knife.
通过半年的时间，那么做了氩氦刀冷冻以后，
During this half year after argon-helium
treatment,
觉得肝区的感觉相当好，
my feeling in liver area is pretty
good.
以前没有做之前，肝区的感觉抽痛，
Before therapy, I was always suffered
pain in liver area
通过做了氩氦刀冷冻以后，这个症状就完全消失了，
this painful symptom disappeared after
freezing with argon-helium knife,
以前吃饭只能吃半碗，
I could only eat a half bowl of food
before,
做了氩氦刀冷冻以后，吃饭增到2碗饭，
after freezing with argon-helium knife
I can eat two bowls.
睡眠方面以前睡不着，现在睡得着了，
I couldn’t sleep well before, but
now I have no problem in sleeping.
现在来说我的精神状况比以前好多了。
At present, my spirit has become much
better.
主：好，我们刚才看到这位谭先生的恢复情况不错，
Hostess: Ok. It seems that Mr. Tang
recovered very well.
那么，现在导揪告诉我，任老师那边连线己经连好了，
Now, our director tells me that the
communication with teacher Ren is
ready.
任老师。
Teacher Ren!
任：您好!
Ren: How are you!
主：您好!听得见我声音呀，
Hostess: How are you! Can you hear
me?
我们现在非常关心您现在的身体恢复情况，
Now we are concerned very much about
your status of recovering.
您向我们一下。
Could you brief us your situation?
任：好，我肝癌和肺癌做了氩氦刀治疗后，
Ren: Sure. After the treatment of
my liver and lung cancers with argon-helium
knife,
我感觉疼痛基本消失，咳嗽比过去明显减少，
My pain has almost disappeared and
cough is alleviated comparing to the
past
睡眠也比过去时间长了，比过去有精神了。
My sleep time is also prolonged. My
spirit becomes better,
信心也增强了，
My confidence is enhanced too.
我想借此机会感谢家乡领导，
I would like to take this opportunity
to appreciate all the supports and
helps from leaders of my hometown,
广东省有关领导
leaders of Guangdong province
以及关心我、帮助我的各界同志，
and other people in our society.
我将尽快完成我的新的三本哲学新作，
I will try my best to finish my three
new philosophy works as soon as possible
以回报社会对我的关照”。
to return the society.
主：嗯，在这里呢，我也代表我们栏目组全体工作人员
Hostess: Ok. Here I represent all
stuffs in our department to
祝您能够早日康复，
wish you to recover as early as possible
您的著作能够早日问世。
and your works to be published soon.
任：好，谢谢你们。
Thank you.
徐：老任呀，我是徐教授，中央电视台对你非常关心呀，
Xu: Lao Ren, I’m professor Xu. CCTV
concerns your health very much.
你要增强信心，做好你的近一步治疗工作。
You should increase your confidence
on your further therapies.
主：任老师，您听见了吗？
Hostess: teacher Ren! Can you hear
us?
徐院长给您的祝福。
President Xu is giving you his blessing.
任：听见了。
Ren: I heard.
主：给您打气呢，
Hostess: He is encouraging you.
那么就这样，祝您早日康复。谢谢您!
We hope you to recover early. Thank
you for your participation.
任：谢谢。
Ren: Thanks.
主：好，再见。
Hostess: Ok. Good bye.
任：好，谢谢你们。
Ren: Thank you.
主：好，再见，那么看来任老师现在恢复的真是很不错呀，
Hostess: Good bye. It looks that Mr.
Ren’s recovery is going well.
能够说话，而且感觉气色，听上去，怎么说呢，听上去中气还挺足的。
He can talk. Sounds he is full of
energy.
徐：是，是呀，现在蛮好的，
Xu: Yes, he is pretty good right now.
他来的时候，本来是很重的.
When he came to our hospital, he was
very serious.
他的治疗出乎我们的意料之外，
The efficacy of treatment was beyond
our prediction.
他来的时候，全身疼痛，也失去了生存的信心。
When he came here, he was painful
in whole body and also lost the confidence
of living
我们给他做了治疗以后，现在病情恢复的很好.
after our therapy, he recovered very
well.
我们还是充满信心的，这样，进一步为他做好治疗工作。
We are still full of confidence to
give him further effective treatment.
主：噢!象任老师这样的情况，在你们医院多见吗？
Hostess: are there other cases like
Mr. Ren in your hospital?
就是原来可能病情比较重，
that means that their previous illness
condition was serious,
但现在恢复的还比较好的？
but now their conditions are much
better?
徐：嗯，我们下面可以给大家举一个例子.
Xu: we will show another case for
you.
这也是一个教师，
He is a teacher too.
这是一个教师.
This is a teacher.
那是一个哲学家，下面是一个教师，
That is a philosopher. Next is a teacher,
是不是我介绍一下。
Could I introduce?
主：好，您向我们一下。
Hostess: Sure, please introduce to
us.
徐：那个，大概在三、四年之前呀，我们到广东的西部地区去一个廉江去进行义诊，
Xu: about 3-4 years ago, we were in
Lianjiang of west Guangdong to take
compulsory diagnosis.
在那儿呀，就遇到一个，一个肝癌病人，
I met a patient with liver cancer.
那么这个肝癌病人在治疗之前，在我们去之前的半年，他就患了肝癌，
A half year before we went there,
he suffered from liver cancer,
先后做了五次介入治疗，
He received five times of intervening
therapy.
做了介入治疗以后呀，开始病情是好转的，后来病情又复发了。
In the initial stage of intervening
therapy, his status became better,
but his illness recurred later.
我们去了以后呢，就进行了会诊，建议他做氩氦刀冷冻治疗。
We took a consultation for him and
suggested him to take therapy of argon-helium
knife.
主：就是说，氩氦刀对于别的方法治疗，比如象或者是复发的肝癌，也有效果？
Hostess: Does it mean that argon-helium
knife is also effective for the tumor
such as recurrent liver cancer while
other
therapies may fail?
徐：是，但一般，小肝癌就是开刀治疗，
Xu: Yes. Generally small liver cancer
can be resected by operation,
但是大、中型的肝癌，一般开刀治疗效果是不好的，
but for middle to large liver cancer,
operation is not very effective and
useful.
那么，一般先做介入治疗，就是血管栓塞治疗。
Normally, the first step is to give
intervening therapy, that is vascular
embolization therapy.
但是血管栓塞治疗以后呢，它往往开始较好，
But after vascular embolization, the
efficacy usually shows better result
in initial stage.
到后来再几次就不行了，
later, after a few times of embolization,
the efficacy will diminish.
因此必须及时转移到做其它治疗，比如说手术呀，
Therefore, it is necessary to change
to other therapies methods, such as
operation
或者是我们现在所讲的氩氦冷冻消融治疗了，
or cryoablation with argon-helium
that we are talking about now.
我们这位老师就是这样一个情况。
This teacher’s condition is such a
case.
主：噢!是这样的，那你们医院开展这个氩氦冷冻消融技术治疗己经多少年了？
Hostess: Oh. I see. How long has your
hospital performed the argon-helium
cryoablation?
牛：我们已经开展3年时间了
Niu: We have performed this therapy
for three years，
在这3年中，我们做了近千例的手术，
During three years, we have carried
out almost a thousand therapies,
其中肝癌患者有500例，
including 500 cases of liver cancer.
总的效果是比较好的，
the overall efficacies were good.
通过，我们不但对肝癌治疗取得好的效果，
we got good efficacies not only for
liver cancers
对肺癌、乳腺癌、胰腺癌、肾癌以及软组织肿瘤都有非常好的效果。
but also for lung cancers, breast
cancers, pancreatic cancers, renal
cancers, and tumors of soft tissue.
主：嗯，那就是说总的疗效是令人满意的。
Hostess: Ok. That means that overall
efficacy was satisfactory.
牛：是。
Niu: Yes.
主：嗯，好的，非常感谢两位专家，
Hostess: Good. Thank two specialists
very much.
其实呀，任何手术，任何治疗，它都会带来一些风险，
In fact, any operation and therapy
might induce some risk.
那么我想氩氦刀可能也不例外，
I think that it is no exception for
argon-helium knife.
那么，广告之后我们聊一聊它可能带来的并发症，
Then, after advertisements, we will
talk about complications it may bring.
一会见。(广告约24秒)。
See you later.
主：观众朋友，欢迎您继续收看健康之路直播节目，
Hostess: friends, Welcome to continue
watching our live program <Road
to Health>.
我们今天跟大家介绍的是一种治疗肝癌的新技术，
Today we introduce a new modality
for treatment of liver cancer,
氩氦冷冻消融技术治疗肝癌，
therapy of argon-helium cryoablation
for liver cancer.
那么，刚才我们也谈到了您去廉江义诊的时候碰到了一位老师，
Just now we talked about a teacher
you met during the compulsory diagnosis
and treatment in Lianjiang.
这位老师通过手术治疗，
The teacher received the therapy,
您觉得效果还不错，
you think that the efficacy is pretty
good.
那您向我们一下效果到底好到什么地步？
Could you explain to us how well the
efficacy is?
徐：嗯，我想用这个电脑图来显示一下。
Xu: Ok. I want to show you the computer
picture.
这个是我们在义诊当中遇到的一位老师，
This is teacher we met during compulsory
diagnosis and treatment,
这个老师叫莫田汉，
His name is Mo Tianhan.
他呢，己经做了5次血管栓塞治疗，
He had been given 5 times of vascular
embolization.
但是最后复发了，所以我们给他进行了会诊，
but eventually his illness recurred.
We took a consultation for him.
会诊以后，我们就劝他进行氩氦冷冻治疗，
Then we advised him to receive argon-helium
freezing therapy.
治疗以前，大家可以看到，这个肝脏里面有几个多复发的癌肿。
As you can see, before the treatment,
there were multiple recurrent tumors
in his liver.
主：是多发性的？
Hostess: Multiple?
徐：对，是多复发的癌肿。
Xu: Right, it was multiple cancers.
现在他的情况怎么样，大家可以看到
How about his recent condition? Let’s
take a look.
主：基本上是看不出来了。
Hostess: Basically, the tumor disappeared.
徐：看不出来了，去年呢，这个香港电视台专门到这儿来采访他，
Xu: Yes. Last year, Hong Kong TV station
visited him
他们认为这是一个奇迹，
They regarded it as a miracle.
现在他的情况还是一直工作在教学岗位上，
Now he is still working on his education
position.
下面是不是看他的一个录相。
Following is a video for him.
主：好，让我们来看一看莫老师现在的情况。
Hostess: Ok. Let’s watch teacher Mo’s
recent situation.
录相：问：你是什么时间发现自己生了肝癌的？
Video: When did you discover your
liver cancer?
莫：我是1999年3月份，到湛江农垦医院检查出来的。
Mo: on March 1999, I was discovered
to have liver cancer in Zhanjiang
Agriculture Hospital
检查出来就进行治疗，后来进行了5次的介入治疗，,
and received therapy. I totally took
5 times of intervene therapy.
还是不行，还是复发了，
Efficacy was poor and illness still
recurred.
当时我的心情肯定害怕，
At that time, I was scared.
因为癌症是不治之症，怎么办呢？
because cancer was considered to be
an untreatable illness. What could
I do?
当时徐教授向我建议，做氩氦刀冷冻治疗，
Professor Xu suggested me to receive
freezing therapy of argon-helium knife.
所以我就听他的建议到肿瘤中心做了氩氦刀冷冻治疗，
Therefore, following his suggestion,
I went to his Oncology Center.
治疗以后回家20天，我就上课了。
On the 20th day after the therapy,
I went back to school.
现在很好，因为不疼，吃的，睡的，工作都很好，所以我觉得没什么问题。
Now I feel very well. No pain. Eating,
sleeping and working are all good.
I think I have no problem.
主：您是在什么时候给莫老师进行这个治疗的？
Hostess: When did you give the therapy
to Mr. Mo?
徐：四年，三、四年之前了，现在莫老师的情况己经很不错了。
Xu: 3-4 years ago. Now Mr. Mo’s situation
has been pretty good.
主：这是不是他最近拍的生活录像？
Hostess: Is this his recent living
video?
徐：是呀，最近几年来，一直上班，一直在工作。
Xu: Yes! he has been working during
the past years.
主：嗯，那么，我们知道得了肝癌之后，生存率是很小的，
Hostess: As we know, the survival
rate of liver cancer is very low.
但是我们现在看到莫老师情况，
but from Mr. Mo’s current situation,
我想那些患了肝癌的病人呢，应该树立起这个信心，
I think that those patients with liver
cancer should establish their confidence,
其实自己也可以活得这么好，
they may live as well as Mr. Mo.
那么刚才我们也谈了医院开展这项技术这么多年，治疗效果还是肯定的，
We just talked that your hospital
has carried out this modality with
affirmative effect for many years.
但是任何手术治疗呢都会带来一些风险，
But any therapy may induce some risk,
我就想了解一下，您这是经皮穿刺的治疗方法，那么在穿刺的过程中，
so I’d like to find out that during
the percutaneous puncture,
会不会伤及一些血管？
Is there any damage to some blood
vessel ?
牛：氩氦刀治疗其实上是一种微创，
Niu: Argon-helium knife actually is
a miniinvansive therapy.
微创也是有创的一种，
Miniinvasion is one of invasive therapies
as well,
但是它的创伤是非常小的，跟手术比起来，
but the trauma is very small compared
with operation,
一般情况下，没有什么太大的危险和并发症，
Normally it won’t induce large risk
and complications
最主要的就是说手术中一定要定位准确，
The most important thing is that localization
should be very accurate during the
therapy.
避开主要的血管、重要的神经组织，
It needs to bypass main blood vessels
and important nerve tissues.
这样经过我们这么多年的经验来看，
In terms of our experience during
these years,
大多数情况都没有太多的并发症，
there were not many complications
in most cases,
病人恢复都很是很好。
patients recovered very well.
主：噢!那它会不会伤及一些正常的组织，周边的正常组织。
Hostess: So, is it possible to damage
some normal tissue or surrounding
normal tissues?
牛：正常组织我们在B超或CT尽量避免去触及到它，一般情况下不会的。
Niu: Under B-sonography or CT’s guidance,
we always try our best to keep away
from injuring normal tissues.
主：嗯，那这个跟手术的大夫、经验、手法都很有关系，是吗？
Hostess: This depends on doctor’s
experience and skill, isn’t it?
牛：是，
Niu: Absolutely.
主：噢，一般来讲，做为病人来讲，如果在术前、术中、术后需要注意些什么问题？
Hostess: Generally, what does a patient
need to pay attention during pre-,intra-,and
post-therapy?
徐：嗯，做了治疗以后，大多数病人都会有些发烧，大概38℃左右，这是很正常的，
Xu: After therapy, most patients will
have fever around 38 degrees of Centigrade.
This is normal reaction.
我们发现发烧的病人效果还一点，
We discover that the efficacy of patients
with fever is even better,
因为这个发热并不是感染的发烧，
because the fever is not due to infection.
这种病人仍然可以跑步，可以走路，可以活动，可以吃饭，吃得也很好，
The patient can still walk and eat,
主要是肿瘤之后坏死引起的，
fever is mainly caused by tumor necrosis.
所以，这是个好事，并不是个坏事，
Therefore, this fever is a good rather
than bad.
那么我们开始治疗的时候，有一个病人出现了治疗之后出现了出血，
At initial stage of therapy, there
was one patient complicated by liver
bleeding,
但是，经过保守治疗好了，
but the complication was quickly controlled
with conservative treatment.
现在我们经验很多了，
Now we have gained much more experiences.
象我们牛博有上千例的经验，
Like our Doctor Niu, he had experiences
of a thousand cases,
所以他穿的很准确，现在并发症己经很少了。
His puncture is very accurate. Now
complications are few.
主：那刚才您也提到了说这个经过冷冻消融之后呀，这个肿瘤呢，可能就消失了
Hostess: You just mentioned that tumor
may disappear after cryoablation.
那消失后，比方说，如果是个肝癌，
Following the disappearance of tumor,
such as liver cancer,
那会不会在原处有这么一个空洞？会不会出现这么一个东西？
Is it possible that a cavity is created
in the original place?
牛：一般情况下，肿瘤是一个逐渐的缩小的消失过程，
Niu: Under general conditions, the
tumor will gradually shrink,
大多数情况下，病人只是肿瘤变成一个疤痕在体内，
For most patients, tumor will become
to a scar.
这种疤痕呢，对人体正常没有什么影响的
This kind of scar does not affect
human body. ，
而且它会是一种肿瘤免疫作用，
Moreover, it could create an immunologic
effect on tumor,
刺激人体的免疫力，所以一般情况下，对病人是有好处的。
It stimulates body’s immune. Therefore,
generally, it is beneficial to human
body.
主：噢，就是说它不会影响正常组织。
Hostess: That means that it does not
influence normal tissue.
徐：它会变成一种肿瘤抗原，
Xu: It will become a tumor antigen.
这种抗原可以刺激人体的免疫系统，
The antigen could stimulate immune
system in body,
那么最后呢，产生一种抗肿瘤免疫，反而对病人是有益的，
In the end, it will induce an immunity
against tumor. That is beneficial
to human body.
所以我们就希望呀，能产生这样一种抗复发的一个效果。
Therefore we hope it to induce an
efficacy against tumor recurrence.
主：嗯，那么在这个治疗之后，病人需要多长时间可以正常的工作？
Hostess: How long can patients go
back to their normal work after therapies?
徐：一般几天就可以了，
Xu: Normally a few days are enough.
我们有很多香港、澳门来的病人呢，
There were a lot patients from Hong
Kong and Macao,
他们都很紧张，今天来，第二天，第三天就回去，出院了。
They were very busy. So they came
to our hospital on the first day and
left on the second or third day.
主：那么象这种治疗技术费用是否有些昂贵呢？
Hostess: Is the therapy expensive?
徐：我们一般说来比手术治疗应该还便宜一些，1万5仟元左右吧。
Xu: Generally it is even cheaper than
operation. Around fifteen thousand
Yuan (RMB).
主：噢，好的，节目进行到现在有许多观众提出的热线问题呀，我们来看看。
Hostess: Ok. Up to now many viewers
raised questions in our hot line.
Let’s take a look.
黑龙江的李先生问，他父亲75岁高龄，
Mr. Li from Heilongjiang asked that
his farther, 75 years old,
4年前做了肝癌手术切除，
received operative resection for liver
cancer 4 years ago.
今年6月发现肝下方长出一个4cm大小肿瘤，
on the June of this year, he was discovered
a 4cm tumor developed on lower surface
of his liver.
他拒绝再手术，他问氩氦刀能治疗吗？
He refused operation again. He asked
if argon-helium knife can treat him.
徐：这个是可以治疗的，但是他这个肿瘤在肝的下方，
Xu: Yes it can. But his tumor developed
on lower surface of liver.
这个解剖部位很特殊，所以治疗的时候哓，。
this anatomic place is very specia
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