Interventional ultrasound inoreva kuongororwa kana kurapwa kunoitwa pasi pekutungamira kwechokwadi-nguva uye kutariswa kweiyo ultrasound. Nekuvandudzwa kweyemazuva ano chaiyo-nguva yekufungidzira tekinoroji, kushandiswa kweiyo ishoma invasive inopindira ultrasound kuongororwa uye tekinoroji yekurapa yakatumbuka kwese kwese, inosanganisira mundima dzakawanda senge ultrasound-inotungamirwa puncture biopsy, drainage, jekiseni rezvinodhaka, kurapa bundu ablation, radiation particle. implantation nemimwe minda yakawanda. Panguva imwecheteyo, nzira dzekupindira ultrasound yekuvhara inogara ichiwedzera, kubva nyore ultrasound mufananidzo-inotungamirirwa kune multimodal mufananidzo fusion kune robotic intraoperative ultrasound-inotungamirirwa.
Parizvino, maitiro ekuona kurongeka uye kuchengetedzeka kweiyo ultrasound-inotungamirwa tumor ablation therapy ndiyo muganhu wekutsvagisa uye application hotspot ye interventional ultrasound, pakati payo kuwedzera kwekushandisa kwekusiyanisa-enhanced ultrasound (CEUS) mukupindira ultrasound yakakosha kukosha. Iko kuenderera mberi kwekuvandudza uye kuvandudzwa kweablation maitiro zvakare maitiro matsva ekuvandudza mune ramangwana, uye itsigiro yakakosha yekuvandudza kushanda nekuchengetedza.
CEUS inofambisa iyo chaiyo yekupindira kurapa:
CEUS ongororo inogona kuvhara preoperative yekuongororwa, intraoperative yekutarisa uye kuongororwa, uye postoperative yekutevera ye tumor ablation therapy mukutenderera kwese. Preoperative CEUS kuongorora inogona kupa pathological shanduko nezvehukuru hwechokwadi, muganhu uye yemukati vascularization yechinangwa chironda, kuvandudza mwero wekuona maronda uye kugona kusiyanisa maronda akashata uye akashata, uye kuderedza zvisingakoshi biopsies. Mune tumor ablation therapy, CEUS inogona kuona nzvimbo yekusara kwebundu kupona nekukurumidza mushure mekubvisa, nekudaro ichigonesa kudzoka nekukurumidza uye kuderedza huwandu hweanozotevera ablation maitiro. Mushure mekubvisa, kuyerwa uye kuverenga kwehuwandu hwekukuvadza uye chiyero chekudzikisa chinogona kuongorora bundu necrosis uye saizi shanduko yenzvimbo yekukuvadza mushure mekubvisa, kuona kufambira mberi kwebundu renzvimbo uye kuona mhedzisiro. Thyroid interventional therapy study yakaratidza kuti nzira imwe chete yakakwana yekubvisa chiyero chebenign thyroid nodules ehukuru hwakasiyana panguva yeCEUS ablation yaiva 61.1% (> 3 cm), 70.3% (2 ~ 3 cm), uye 93.4% (<2 cm), zvakateerana; vhoriyamu yekubvisa yakayerwa neyakajairwa ultrasound yaive yakakura kupfuura yekutevera nguva mushure mekubvisa (23.17 ± 12.70), uye CEUS yaive nzira inoshanda yekuongorora kushanda.
Kuchengeteka uye kuvandudzwa kweiyo ultrasound-inotungamirwa ablation:
Mumunda we tumor thermal ablation, vanopindira ultrasound vanachiremba vakaita nhevedzano yekuvandudza tekinoroji uye hutsva, kusanganisira kuvandudza iyo ablation yekupisa munda, kuvandudza ablation jira tsono zano, akawanda-tsono akasanganiswa application, yekugadzira mvura yekuzviparadzanisa nevamwe uye dzimwe nzira dzehunyanzvi dzekuvandudza. kushanda zvakanaka uye kuderedza kuitika kwematambudziko. Muchikamu chechirwere chegomarara regomarara, Muzvinafundo Yu Ming'an nechikwata chake kubva kuChina-Japan Friendship Hospital vakaburitsa ongororo yakaitwa yevarwere mazana masere nemakumi mana nevanomwe vane gomarara regomarara repapillary, uye zvakabuda zvakaratidza kuti budiriro yehunyanzvi hwekubvisa inogona kusvika zana. %, uye chiyero chekufambira mberi kwechirwere mushure mekubviswa kwaingova 1.1%. Mumunda wekubviswa kwegomarara retsvo, timu yaProfessor Yu Jie kubva kuGeneral Hospital yeChinese People's Liberation Army yakaratidza kwemakore gumi kuti microwave ablation yakachengeteka uye inoshanda mukurapa T1 cancer yerenal, uye inogona kudzivirira kushanda kweitsvo kwevarwere panguva. inactivating tumors.
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Nguva yekutumira: Feb-15-2023
