摘要目前我国原发性肝癌的早期诊断率仍较低,符合米兰标准的早期诊断率仅为20％ ～ 30％.这影响了肝癌治疗后患者生存率的提高.分析原因除了对肝癌高危人群的定期普查力度不够,肝炎携带者对肝炎与肝癌相关性知晓率低以外,还与医务人员对肝脏占位性病变检查诊断不规范有关.国内外均已发布及定期更新原发性肝癌的诊断规范及详细流程,但临床实践未严格按照诊断流程实施的情况仍常见,导致延误诊断及治疗.笔者结合国内外有关原发性肝癌的诊断与治疗指南,分析肝癌早期诊断率低的原因,重点系统阐述原发性肝癌规范化诊断流程中应注意的问题,以及提高原发性肝癌早期诊断率的措施.

abstractsAt present,the early diagnosis rate of primary liver cancer is still low in China.The early diagnosis rate according with Milan standard is only 20％-30％,which affects the survival rate of liver cancer after treatment.This phenomenon has some reasons.The first,regular screening of high risk population of liver cancer is not enough;the second,Hepatitis carriers have low awareness of the correlation between hepatitis and liver cancer;the third,diagnosis of liver occupying lesions by medical staff is nonstandard.The diagnostic specification and detailed process of primary liver cancer have been released and regularly updated at home and abroad.However,the implementation of the diagnostic process is still not very strict,which leads to delayed diagnosis and treatment.Based on the direction of primary liver cancer and the analysis for the causes of early diagnosis rate of primary liver cancer at home and abroad,this paper focused on the problems that should be paid attention to in the standardized diagnosis process of primary liver cancer,and systematically elaborated the way to improving early diagnosis rate of primary liver cancer.