ʻO ka ultrasound interventional e pili ana i nā hana diagnostic a i ʻole therapeutic i hana ʻia ma lalo o ke alakaʻi a me ka nānā ʻana o ka ultrasound. Me ka hoʻomohala ʻana o ka ʻenehana imaging ultrasound manawa maoli, ua pua ka noi ʻana o ka maʻi ultrasound interventional minimally invasive a me ka ʻenehana lapaʻau i nā wahi āpau, e pili ana i nā kula he nui e like me ka biopsy puncture alakaʻi ultrasound, hoʻokahe wai, hoʻokele lāʻau, lapaʻau ablation tumor, radiation particle. implantation a me nā mea ʻē aʻe he nui. I ka manawa like, ke hoʻonui mau nei ke ʻano o ka uhi ʻana o ka ultrasound interventional, mai ke kiʻi ultrasound maʻalahi i alakaʻi ʻia i ka hui ʻana o nā kiʻi multimodal a hiki i ka robotic intraoperative ultrasound-alakaʻi.
I kēia manawa, pehea e hōʻoiaʻiʻo ai i ka pololei a me ka palekana o ka ultrasound-guided tumor ablation therapy ka palena noiʻi a me ka hotspot noi o ka ultrasound interventional, i waena o ka hoʻonui ʻana i ka noi o ka ultrasound interventional (CEUS) i ka ultrasound interventional he waiwai nui. ʻO ka hoʻomau mau ʻana a me ka hoʻomaikaʻi ʻana i ka ʻenehana ablation kahi ʻano hou o ka hoʻomohala ʻana i ka wā e hiki mai ana, a he kākoʻo nui ia e hoʻomaikaʻi ai i ka pono a me ka palekana.
Hoʻomaʻamaʻa ʻo CEUS i ka pololei o ka interventional therapy:
Hiki i ka loiloi CEUS ke uhi i ka maʻi ma mua o ka hana, ka nānā ʻana a me ka loiloi intraoperative, a me ka hahai ʻana o ka maʻi ablation tumor ma hope o ke kaʻina holoʻokoʻa. Hiki i ka preoperative CEUS hoʻokolokolo ke hāʻawi i nā loli pathological e pili ana i ka nui maoli, ka palena a me ka vascularization kūloko o ka lesion i hoʻopaʻa ʻia, hoʻomaikaʻi i ka helu ʻike ʻana o nā lesions a me ka hiki ke hoʻokaʻawale i nā maʻi benign a me ka malignant, a hoʻemi i nā biopsies pono ʻole. I loko o ka lāʻau ablation tumor, hiki i ka CEUS ke ʻike i ka wahi o ke koena o ke ola ʻana o ka maʻi ma hope koke o ka wehe ʻana, no laila hiki ke hoʻihoʻi wikiwiki a hōʻemi i ka nui o nā kaʻina hana ablation. Ma hope o ka ablation, hiki i ke ana a me ka helu ʻana i ka nui o ka lesion a me ka hoʻēmi ʻana i ka necrosis tumo a me ka hoʻololi nui o ka wahi lesion ma hope o ka wehe ʻana, ʻike i ka piʻi ʻana o ka tumora kūloko a hoʻoholo i ka hopena. Ua hōʻike ʻia ka noiʻi ʻana i ka hoʻomaʻamaʻa ʻana o ka thyroid ʻo ka helu hoʻokahi ala piha o nā nodules thyroid benign o nā nui like ʻole i ka wā CEUS ablation he 61.1% (> 3 knm), 70.3% (2~3 knm), a me 93.4% (<2 knm), pakahi; ʻoi aku ka nui o ka nui ablation i ana ʻia e ka ultrasound maʻamau ma mua o ka manawa hahai ma hope o ka hoʻopau ʻana (23.17 ± 12.70), a ʻo CEUS kahi ala kūpono no ka loiloi efficacy.
Ka palekana a me ka hana hou o ka ultrasound-guided ablation:
Ma ke kahua o ka ablation thermal ablation, ua hana nā kauka ultrasound interventional i kahi ʻano o ka hoʻomaikaʻi ʻana i ka ʻenehana a me nā mea hou, me ka hoʻomaikaʻi ʻana i ke kahua wela ablation, ka hoʻomaikaʻi ʻana i ka hoʻolālā nilala lole ablation, multi-needle i hui pū ʻia, hoʻokaʻawale wai hana a me nā ʻano ʻenehana ʻē aʻe e hoʻomaikaʻi ai. ka maikaʻi a hoʻemi i ka hiki ʻana o nā pilikia. Ma ke kahua o ka thyroid cancer ablation, ua paʻi ʻo Professor Yu Mingʻan a me kāna hui mai Kina-Iapana Friendship Hospital i kahi noiʻi lehulehu o 847 mau maʻi me ka maʻi maʻi thyroid papillary, a ua hōʻike nā hopena i ka holomua o ka ʻenehana ablation hiki ke hiki i 100 %, a ʻo ka piʻi ʻana o ka maʻi ma hope o ka wehe ʻana he 1.1% wale nō. Ma ke kahua o ka renal cancer ablation, ua hōʻike ka hui o Professor Yu Jie mai ka Halemai Nui o ka Chinese People's Liberation Army no 10 mau makahiki he palekana a maikaʻi ka microwave ablation i ka mālama ʻana i ka T1 renal cancer, a hiki ke pale i ka hana renal o nā maʻi ʻoiai nā maʻi ʻaʻa ʻole.
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Ka manawa hoʻouna: Feb-15-2023
