HIFU - Qhov Kev Xaiv Tshiab rau cov neeg mob uas muaj cov qog nqaij nruab nrab mus rau theem siab

HIFU Taw Qhia

HIFU, uas stands rauHigh Intensity Focused Ultrasound, yog ib yam tshiab uas tsis yog-invasive kho mob cov cuab yeej tsim los kho cov qog nqaij hlav.Nws tau tsim los ntawm cov kws tshawb fawb los ntawm NationalKev Tshawb Fawb EngineeringCenterntawm Ultrasound MedicineHauv kev koom tes nrog Chongqing Medical University thiab Chongqing Haifu Medical Technology Co., Ltd. Nrog ze li ob xyoo lawm ntawm kev siv zog tsis tu ncua, HIFU tau txais kev pom zoo hauv 33 lub teb chaws thiab cheeb tsam thoob ntiaj teb thiab tau xa tawm mus rau ntau dua 20 lub teb chaws.Nws yog tam sim no tau siv nyob rau hauv kev kho mob daim ntawv thov nyob rau hauvntau tshaj 2,000 lub tsev kho mob thoob ntiaj teb.Raws li lub Kaum Ob Hlis 2021, HIFU tau siv los khotshaj 200,000 kisntawm ob qho tib si benign thiab malignant qog, nrog rau ntau tshaj 2 lab tus neeg mob ntawm cov kab mob uas tsis yog qog.Cov thev naus laus zis no tau lees paub los ntawm ntau tus kws tshaj lij nyob hauv tsev thiab txawv teb chaws raws li tus qauvkev kho mob uas tsis yog invasive mus rau hauv cov tshuaj niaj hnub.

Txoj Cai Kho Mob
Lub hauv paus ntsiab lus ua haujlwm ntawm HIFU (High-Intensity Focused Ultrasound) zoo ib yam li lub hnub ci tsom los ntawm lub lens convex.Ib yam li lub hnub ci,Ultrasound tsis tuaj yeem tsom mus rau tib neeg lub cev.HIFU yog ibkev kho mob uas tsis yog invasivekev xaiv uas siv lub zog sab nraud ultrasound los tsom rau cov hom phiaj tshwj xeeb hauv lub cev.Lub zog yog concentrated rau siab txaus siv ntawm qhov chaw qhov txhab, ncav cuag qhov kub siab tshaj 60 degrees Celsius.ib pliag.Qhov no ua rau coagulative necrosis, ua rau maj mam nqus los yog caws pliav ntawm cov ntaub so ntswg necrotic.Ib qho tseem ceeb, cov ntaub so ntswg nyob ib puag ncig thiab kev tso suab ntawm lub suab tsis raug puas tsuaj hauv cov txheej txheem.

Daim ntawv thov

HIFU yog qhia rau ntau yammalignant qog, suav nrog mob qog noj ntshav pancreatic, mob qog noj ntshav, mob raum, mob qog noj ntshav mis, qog nqaij hlav hauv plab, cov nqaij mos sarcomas, cov qog nqaij hlav malignant, thiab cov qog retroperitoneal.Nws kuj yog siv los khogynecological tej yam kev mobxws li uterine fibroids, adenomyosis, mis fibroids, thiab caws pliav cev xeeb tub.

Nyob rau hauv ntau qhov chaw soj ntsuam kev tshawb fawb ntawm HIFU kev kho mob ntawm uterine fibroids sau npe los ntawm World Health Organization rau npe platform, Academician Lang Jinghe ntawm Peking Union Medical College Tsev Kho Mob tus kheej tau ua tus thawj kws tshawb fawb ntawm pab pawg tshawb fawb,20 lub tsev kho mob tau koom nrog, 2,400 tus neeg mob, ntau tshaj 12 lub hlis ntawm kev soj ntsuam.Cov kev tshawb pom, luam tawm nyob rau hauv lub ntiaj teb no influential BJOG Journal of Obstetrics thiab Gynecology nyob rau hauv Lub Xya hli ntuj 2017, qhia tau hais tias cov hauj lwm zoo ntawm ultrasonic ablation (HIFU) nyob rau hauv kev kho mob ntawm uterine fibroids yog zoo ib yam li cov tsoos phais, thaum muaj kev ruaj ntseg siab dua, tus neeg mob lub tsev kho mob nyob. luv dua, thiab rov qab mus rau lub neej qub yog sai dua.

Kev kho kom zoo

• Kev kho tsis-invasive:HIFU siv ultrasound nthwv dej, uas yog hom tsis-ionizing txhua yam yoj.Nws muaj kev nyab xeeb, vim nws tsis koom nrog ionizing hluav taws xob.Qhov no txhais tau hais tias tsis tas yuav muaj kev phais phais, txo cov nqaij ntshiv thiab qhov mob.Nws tseem tsis muaj hluav taws xob, uas tuaj yeem pab txhim kho kev tiv thaiv.
• Kev kho kom zoo: Cov neeg mob tau txais kev kho HIFU thaum tsaug zog,tsuas yog siv tshuaj loog hauv zos lossis sedation siv thaum lub sijhawm ua haujlwm.Qhov no yuav pab txo qis kev pheej hmoo cuam tshuam nrog kev siv tshuaj loog.
• Lub sijhawm ua haujlwm luv luv:Lub sijhawm ntawm cov txheej txheem sib txawv raws li tus neeg mob tus mob, txij li 30 feeb mus rau 3 teev.Kev sib tham ntau feem ntau tsis tsim nyog, thiab kev kho mob tuaj yeem ua tiav hauv ib zaug.
• Rov qab sai:Tom qab kev kho HIFU, cov neeg mob feem ntau tuaj yeem rov qab noj mov thiab tawm hauv txaj tsis pub dhau 2 teev.Cov neeg mob feem ntau tuaj yeem tso tawm hnub tom qab yog tias tsis muaj teeb meem.Rau cov neeg mob nruab nrab, so rau 2-3 hnub tso cai rau rov qab mus ua haujlwm li qub.
• Fertility preservation: Gynecological cov neeg mob uas muaj fertility yuav tsum tausim xeeb tub kom ntxov li 6 lub hlis tom qab kho.
• Kev kho ntsuab ntsuab:Kev kho HIFU yog suav tias yog ib puag ncig tus phooj ywg vim nws tsis muaj hluav taws xob puas tsuaj thiab zam cov tshuaj lom neeg cuam tshuam nrog kev siv tshuaj khomob.
• Scarless kho rau gynecological mob:HIFU kev kho mob rau cov kab mob gynecological tawm tsis pom qhov caws pliav, tso cai rau cov poj niam rov zoo nrog kev ntseeg siab.

Case

Case 1: Theem IV mob qog noj ntshav nrog cov kab mob metastasis (txiv neej, 54)

HIFU ablated qhov loj 15 cm pancreatic qog nyob rau hauv ib zaug

Case 2: Primary liver cancer (txiv neej, 52 xyoos)

Radiofrequency ablation qhia cov qog seem (cov qog ze rau qhov tsis zoo vena cava).Cov qog residual tau tshem tawm tag nrho tom qab HIFU thim rov qab, thiab qhov tsis zoo vena cava tau tiv thaiv zoo.