{"nowTime30":1785253193777,"lyBarModerator":null,"metaSearch":{"description":"男,55岁。升结肠溃疡型中分化腺癌（管状腺癌混合粘液腺癌，各占50%），侵及肠壁全层达浆膜及外膜纤维脂肪组织并累及回盲瓣，局部区可见癌深处癌细胞出芽形成（约3个/20X视眼），伴癌旁癌结（1个）形成，回盲部淋巴结（2/28个）有癌转移，结肠周淋巴结（2个）、回肠周淋巴结（1个）未见癌转移，回肠及结肠","keywords":"升结肠癌乙三B期咋治疗_洞医","title":"升结肠癌乙三B期咋治疗_洞医","channels":null},"identificate":{"id":"5e13ee2eec7311e6a61c00163e04584d","isDel":0,"createAt":1486389092508,"createBy":"6f08827db09911e6927f00163e04584d","createName":"海总剑客","updateAt":0,"updateBy":null,"updateName":null,"userId":"6f08827db09911e6927f00163e04584d","realName":"sdafsdf","certifiedStatus":2,"phone":"sadfasdfasdfsdf","email":"756954943@qq.com","hospitalId":"30cb97bf453011e69d4700163e005165","departmentId":"2000","illName":"","illId":"793a72a2bb5f11e6a61c00163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1486826616752.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"儿科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1678","isDel":0,"createAt":1483439338498,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"北京协和医院肛肠科","type":101,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":"110000","cityId":"110101","illId":null,"hospitalId":"15009","keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"description\":\"洞医为您提供:北协和肛肠科、协和肛肠科医院、北京协和医院肛肠科、京协和医院痔疮病友的治疗经验等相关信息，让您在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"北京协和医院痔疮_协和肛肠科_协和肛肠科医院_北京协和医院肛肠科_洞医\",\"title\":\"北京协和医院痔疮_协和肛肠科_协和肛肠科医院_北京协和医院肛肠科_洞医\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"2907","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"肛瘘病的预防工作如何做","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000; text-align: left;\">　　肛瘘的发病率很高，在平时的生活中也让患者非常痛苦，所以大家要做好预防工作，预防肛瘘的方法包括平时要注意饮食卫生，不吃变味发馊的饭菜。注意瓜果冷饮卫生，注意生冷熟食不在同一切菜板上切用，以防止肠炎的发生。做好肛瘘病的预防工作如何做?</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　对于从事久坐久站职业的人，要经常变换体位，抽空活动活动下肢、腰部，尽量抬高下肢，以促进血液回流。对于经常出差者，宜尽可能保证生活规律，定时进餐，定时大便，保证睡眠，保证多饮水，多食蔬菜水果，在家休息娱乐时，切忌通宵玩。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　肛瘘的预防要从以下几点着手：</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　1、饮食要干净，如果饮食不洁就会导致腹泻的发生，很容易造成造成肛门腺感染，诱发肛瘘。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　2、良好的排便习惯、防止大便干结，损伤肛管皮肤，造成感染。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　3、注意肛门卫生，在排便过后可用温水清洗，保持肛门清洁。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　4、及时治疗可能导致肛瘘的疾病，比如肛裂、肛周脓肿等。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　5、对于油腻饮食，不宜多吃，应多吃清淡含丰富维生素的食物。如绿豆、萝卜、冬瓜等新鲜蔬菜、水果。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　6、感到全身不适时，要及时去医院查清原因，及时治疗。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　7、排便时不要看书看报，这样会增加排便时间，导致肛瘘的发生。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　8、生活要有规律，做到早睡早起、劳逸结合、经常运动，不要长期熬夜。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　预防肛瘘的方法包括平时要注意饮食卫生，不吃变味发馊的饭菜。注意瓜果冷饮卫生，注意生冷熟食不在同一切菜板上切用，以防止肠炎的发生。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　另外，经常参加体育锻炼，经常进行体操、游泳、跑步、跳舞等运动，对全身的血液循环、肌肉的功能加强有明显的促进作用。体质加强了，机体的抗病能力提高了，就能有效地防止肛瘘的发生。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　做好肛瘘病的预防工作如何做?从饮食起居上来说，宜食清淡、富含纤维素之品，忌饮酒成性和嗜食辛温炙烤油炸之品，并注意饮食定时定量。养成良好的生活习惯，保持生活规律，养成晨起定时排便的习惯。</p>\n<p>&nbsp;</p>","barId":"1678","topicTypeId":null,"topicThemeId":"1023","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"2710","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"生活当中如何有效的护理肛瘘","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal; text-align: left;\">　　任何的疾病患者除了及时治疗外也不要忽略了平时的护理工作，肛瘘在我们在生活中是非常多见的，对患者带来的伤害也非常大，在我们身边有非常多的人会因为肛瘘这种疾病非常痛苦真，因为很多的患者不能坐着，而且还会面临很多的尴尬问题，会导致肛门潮湿肛门瘙痒，平时大家需要注意一些调理方法，有效地进行保健，避免造成瘙痒，那么专家告诉我们日常生活当中应该如何有效的护理肛瘘？</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　1、注意事项：如患者对一种卫生巾过敏，引起局部皮肤不适的应立即更换不同的产品使用，过敏严重者应立即停止使用，并作好局部皮肤的护理。卫生巾日间使用4小时需更换，夜间不能超过8小时，分泌物过多时应及时更换。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　2、操作方法：用温水进行会阴冲洗或坐浴，将会阴部擦干，使肛门部位干燥清洁。将卫生巾撕去中央贴纸后，正面向上粘贴于内裤上，以穿好内裤后卫生巾中央部分对准肛门为标准。此操作为清洁操作，更换卫生巾前后注意洗手。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　3、心理护理：成年女性患者由于生理上的特殊性，一般都使用过卫生巾，心理护理无需特别强调。主要针对于男性患者。应用心理护理学的方法与患者交流沟通，建立良好的护患关系。护理者要主动去满足患者的心理需求，帮助患者适应和建立对使用卫生巾的正常反应性，解决患者的心理困惑，让患者理解使用卫生巾的主要目的和优点，消除抵触情绪，提高护理质量。为了减少尴尬还可以请患者的女性家属或陪伴代替护理人员做具体指导。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　4、健康教育：向患者介绍此项操作的目的和优点，取得患者的理解和配合。指导患者选择合格的卫生巾产品，最好使用同一牌子的产品，选用棉质面的卫生巾，减少卫生巾与局部皮肤的摩擦，减少不适感。</p>\n<p>&nbsp;</p>","barId":"1678","topicTypeId":null,"topicThemeId":"1022","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"2538","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"结肠癌术后下一步治疗方法","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">结肠癌术后一个月内，现在调养期，吃东西没味，属于应戒样细胞，想咨询下一步治疗方法</span></p>","barId":"1678","topicTypeId":null,"topicThemeId":"1020","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"1744","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"两枚广基结肠息肉是不是结肠癌","content":"<p><span style=\"color: #333333; font-family: 'Hiragino Sans GB', Helvetica, 'microsoft yahei', simsun, arial; font-size: 14px; line-height: 32px; background-color: #fcfcfc;\">男,34岁。两枚广基结肠息肉。市医院要我去省医院照超声内镜，我这情况会是结肠癌不？</span><span style=\"color: #333333; font-family: 'Hiragino Sans GB', Helvetica, 'microsoft yahei', simsun, arial; font-size: 14px; line-height: 32px; background-color: #fcfcfc;\">判断一下结肠癌的机率，和怎样治疗！</span></p>","barId":"1678","topicTypeId":null,"topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":3},{"id":"3355","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"肛瘘的早期症状有哪些呢","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　肛瘘是一种较为常见的肛肠疾病，肛瘘可发生于任何一个年龄段，肛瘘主要是指肛管直肠收到侵犯所导致的一种疾病，所以被称作为肛瘘，所以肛瘘的发生对人们的伤害是非常大的，那么肛瘘的早期症状有哪些呢，下面我就给大家介绍一下这方面的内容：</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　大部分肛瘘由直肠肛管周围脓肿引起，因此内口多在齿状线上肛窦处，脓肿自行破溃或切开引流处形成外口，位于肛周皮肤上。由于外口生长较快，脓肿常假性愈合，导致脓肿反复发作破溃或切开，形成多个瘘管和外口，使单纯性肛瘘成为复杂性肛瘘。瘘管由反应性的致密纤维组织包绕，近管腔处为炎性肉芽组织，后期腔内可上皮化。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　肛瘘的早期症状有什么呢?肛瘘多为一般化脓性感染所致，少数为结核性感染。其他特异性感染如溃疡性结肠炎、Crohn病等特异性炎症、恶性肿瘤、肛管外伤感染也可引起肛瘘，但较为少见。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　1、疼痛：瘘管通畅无炎症时，一般无疼痛，只有肛门局部略有肿胀感，行走时可加重，若外口封闭，瘘管存积脓液，或粪便进入瘘管，则会疼痛加重或排粪时疼痛加重，而内盲瘘则常感直肠下部和肛门部灼热不适，排粪时疼痛加重。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　2、瘙痒：肛门部皮肤由于脓液及其他排出物刺激，常感觉皮肤瘙痒。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　3、排便不畅：多见于蹄铁形肛瘘，因瘘管围绕肛管，形成半环状纤维索环，因而影响肛门舒张，可出现排便不畅。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　4、排脓：排脓是其主要症状。一般来说，新生成的瘘管排脓较多，脓汁粘稠，黄色、味臭;瘘管日久的排脓相对较少，或时有时无，稀淡如水;若脓量增加，则表示新瘘管生成。瘘管有时会暂时封闭，不排脓液，从而出现局部肿痛，体温上升，以后封闭的瘘口破溃，又排出脓液，也可从瘘口排出气体或粪便。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　5、硬结或瘢痕：由于瘘管壁及瘘口的反复刺激，使纤维组织增生，在管壁和瘘口形成质韧的结缔组织，常表现为瘘管周围皮肤变色，表皮脱落，凹陷变形，触及条索状硬结通向肛门内。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　6、全身症状：多数无全身症状;当肛瘘侵犯范围较大较深或支管较多时，反复炎症感染，会导致消瘦、贫血、便秘、排便困难等全身症状。</p>\n<p>&nbsp;</p>","barId":"1678","topicTypeId":null,"topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"3535","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"肛瘘怎么回事 发病原因有哪些","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　肛瘘的全称叫做肛门直肠瘘，也就是说肛门外有瘘管和直肠是相通的，肛瘘现在可以说是我们生活当中很常见的一种肛肠疾病了，它给患者的日常生活和工作带来了不少的影响。很多朋友还不明白肛瘘怎么回事，下面我们就来介绍一下肛瘘形成的原因。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　肛瘘怎么回事</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　血行感染</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　现在有很多白血病、再生障碍性贫血以及糖尿病患者都会伴随着肛瘘这种疾病，而导致这种现象的原因就是因为疾病让患者的身体抵抗力出现了明显的下降，从而导致血行感染才引发了肛瘘。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　直肠损伤</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　肛门直肠受到损伤，或者是不下心吞下了金属或者是骨性异物等在排出的时候都是有可能会损伤直肠肛管的，这样一来就会导致细菌从损伤的伤口侵入到粘膜当中引起肛周脓肿，如果这时候没有及时的进行治疗就会进一步引发肛瘘。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　肛周脓肿</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　肛周脓肿是导致肛瘘最重要的原因，有些人平时不注意肛门卫生，致使粪便滞留在肛门隐窝部位，久而久之就会形成肛周脓肿，这时候患者如果没有加以重视，及时治疗的话，肛周脓肿就容易溃破，导致细菌感染，引发肛瘘。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　肛瘘怎么回事？通过上面的介绍，相信大家应该都了解了肛瘘的主要原因了吧。肛瘘对患者的正常生活来说影响是很大的，如果不能及时的治疗很有可能会引起一些并发症，所以大家在发现了疾病之后一定要及时的治疗，避免不良后果的发生。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 8px 0px; overflow: hidden; color: #000000;\">　　肛瘘不是什么特别严重的疾病，我们不要想象的那么恐怖，自己吓自己。在肛瘘早期我们要选择比较普通的治疗方法，要是效果不是很明显再去选择一些高科技一点的治疗方法。肛瘘是常见的肛肠疾病。在生活中，一旦出现相应的症状，要及早治疗，以免延误病情，增加痛苦。</p>\n<p>&nbsp;</p>","barId":"1678","topicTypeId":null,"topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"2814","isDel":0,"createAt":1486746485226,"createBy":"6f08827db09911e6927f00163e04584d","createName":"海总剑客","updateAt":0,"updateBy":null,"updateName":null,"userId":"6f08827db09911e6927f00163e04584d","title":"升结肠癌乙三B期咋治疗","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">男,55岁。升结肠溃疡型中分化腺癌（管状腺癌混合粘液腺癌，各占50%），侵及肠壁全层达浆膜及外膜纤维脂肪组织并累及回盲瓣，局部区可见癌深处癌细胞出芽形成（约3个/20X视眼），伴癌旁癌结（1个）形成，回盲部淋巴结（2/28个）有癌转移，结肠周淋巴结（2个）、回肠周淋巴结（1个）未见癌转移，回肠及结肠切缘及环周切缘未见癌组织，阑尾慢性炎。</span></p><p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">需不需要化疗？化疗作用大不大？</span></p>","barId":"1678","topicTypeId":"2","topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1445,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486746485227,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486746485226,"metaSearch":null,"rn":null},"userAllInfo":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":null,"password":null,"level":0,"nickName":null,"realName":null,"signName":null,"head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":0,"userType":0,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":0,"provinceId":null,"cityId":null,"userLevel":0,"modifyNameCount":0,"forumUser":{"id":"6f08827db09911e6927f00163e04584d","isDel":0,"createAt":1479808372065,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"海总剑客","password":"yiren2921","level":0,"nickName":"洞医客服微信2276635444","realName":null,"signName":"洞医网提醒您：请仔细阅读产品说明书或者在医务人员的指导下购买和使用，禁忌内容或者注意事项详见说明书","head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":"756954943@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"forumUserActiveInfo":{"id":"6f0acbc0b09911e6927f00163e04584d","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":1720104236338,"updateBy":"6f08827db09911e6927f00163e04584d","updateName":"海总剑客","userId":"6f08827db09911e6927f00163e04584d","topicCount":1389,"replayCount":1804,"favorteCount":0,"beFavorteCount":0,"creamCount":0,"focusCount":4,"fansCount":2,"integralCount":1596,"foodCouponCount":0,"lastLoginTime":0,"lastLoginIp":null,"downloadCount":0,"uploadCount":0},"newPass":null,"focusBar":null,"counter":null,"forumUserIdentificateDto":null},"theme":{"id":"1019","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"topicTypeId":"2","topicTypeName":"治疗","themeName":"病友交流","barType":"101","schemaName":2,"reward":0},"page":1,"favorties":true,"isSelf":false,"order":"asc"}