HIFU(楂樺己搴﹁仛鐒﹁秴澹版尝锛夋妧鏈師鐞?/span>
HIFU鏄?/span>“楂樺己搴﹁仛鐒﹁秴澹版尝&dquo;锛?/span>high-intensityfocusedultasound)鐨勭畝绉帮紝鍏跺師鐞嗕笌鍑归?闀滅殑鍏夋尝鑱氱劍鍘熺悊绫讳技锛屽皢澹版尝鑱氱劍浜庢煇鍥哄畾鐒︾偣锛屽湪鐒︾偣澶勪骇鐢熼珮娓╃儹鑳姐?鑳界敤鏉ユ秷闄ょ敓鐗╀綋鍐呯梾鍙樼粍缁囷紝鏃╂湡鐢ㄤ簬鑲跨槫娌荤枟浣撶郴锛屽悗鏉ュ彂鐜板鐨偆鏀瑰杽鍜屾秷闄よ剛鑲湁鍗撹秺鍔熸晥锛岃繘鑰屽紩鍏ョ編瀹归鍩熴?
HIFU缇庡鍘熺悊
鍒╃敤HIFU鐨勫0娉㈣仛鐒﹀師鐞嗭紝閫氳繃浠櫒绮惧噯鎺у埗鑳介噺鑱氱劍鍦ㄧ毊涓嬬粍缁?/span>3mm澶勭殑鑳跺師铔嬬櫧灞傚拰4.5mm鐨勭瓔鑶滃眰锛?/span>SMAS)涓婏紝褰撴俯搴︿笂鍗囪嚦65鈩?/span>锛岃仛鐒﹀鐨?/span>SMAS浜х敓铔嬬櫧鍑濆浐鍙嶅簲锛屼粠鑰屼互鍑濆浐鐐逛负涓績鍚戝洓鍛ㄤ骇鐢熸媺鍔涳紝鍚屾椂鍒烘縺鑳跺師铔嬬櫧閲嶇粍琛ュ厖锛屾柊鐢熸垚鐨勮兌鍘熻泲鐧藉彲浠ユ笎娓愪粠鍐呯揣鑷村拰鎻愬崌鐨偆锛屽洖澶嶅脊鎬э紝杈惧埌娑堥櫎鐨辩汗鏁堟灉銆?/span>
鐨偆琛拌?鐨勫師鍥?/span>
涓?埇浜轰綋鐨勭毊鑲や粠25-30宀佷互鍚庡嵆闅忕潃骞撮緞鐨勫闀胯?閫愭笎琛拌?銆備汉浣撳悇閮ㄥ垎鍙楅仐浼犲熀鍥犵殑鎺у埗鑰屽嚭鐜扮殑涓?郴鍒楄“鑰佺幇璞℃槸涓嶅彲閬垮厤鐨勩?浣嗘槸鐢变簬浜轰滑鐨勭敓娲荤幆澧冦?鐢熸椿鏂瑰紡銆佺毊鑲ゆ姢鐞嗘柟娉曘?閬椾紶绛夎澶氬洜绱犵殑涓嶅悓锛屼娇寰楁瘡涓汉琛拌?鐨勭▼搴︺?閫熷害鍏锋湁寰堝ぇ鐨勫樊寮傦紝瀹冧笉浠呭拰骞撮緞鏈夊叧锛岃繕鍙椾竴浜涘叾瀹冨洜绱犵殑褰卞搷銆?/span>
鍔犻?鐨偆琛拌?鐨勫唴鍥狅細
1銆佺毊鑲ら檮灞炲櫒瀹樺姛鑳界殑鑷劧鍑忛?鐢变簬鐨偆鐨勬睏鑵恒?鐨剛鑵哄姛鑳介檷浣庯紝鍒嗘硨鐗╁噺灏戯紝浣跨毊鑲ょ敱浜庣己涔忔粙娑﹁?骞茬嚗锛岄?鎴愮毐绾?/span>
2銆佺敱浜庣毊鑲ょ殑鏂伴檲浠h阿鍑忔參锛屼娇寰楃湡鐨唴寮瑰姏绾ょ淮鍜岃兌鍘熺氦缁村姛鑳藉噺閫?紝閫犳垚鐨偆寮犲姏涓庡脊鍔涚殑璋冭妭浣滅敤鍑忓急锛岄?鎴愭澗寮?/span>
鐨偆琛拌?鐨勪簲澶у鍥狅細
1銆侀潰閮ㄨ〃鎯呭彉鍖栬繃澶氾紝鍦ㄧ毊鑲ょ殑寮规?鍜屽紶鍔涗笉浣崇殑鐘舵?涓嬶紝浼氬姞閫熺毐绾瑰澶?/span>2銆侀暱鏈熺潯鐪犱笉瓒冲彲浣跨毊鑲よ皟鑺傚姛鑳介檷浣庯紝鍑虹幇鐨辩汗锛屽姞閫熻“鑰併?3銆佷笉褰撶殑杩呴?鍑忚偉锛屾槗浣跨毊鑲ゆ澗寮涜?褰㈡垚鐨辩汗銆?/span>4銆佺毊鑲ゆ按鍒嗚ˉ鍏呬笉瓒筹紝缂轰箯婊嬫鼎锛屽競鍖哄脊鎬у嚭鐜扮毐绾广?5銆佸寲濡嗗搧浣跨敤涓嶅綋锛屾垨杩囧鐨勬墤绮夊惛鍘讳簡鐨偆琛ㄥ眰鐨勬按鍒嗭紝閮芥瀬鏄撲娇鐨偆绮楃硻銆佽?鍖栥?鐨辩汗銆?/span>
HIFU瓒呭0鍒?笁澶у姛鏁?/span>
绱э細寮曡繘缇庡浗鎶?湳锛屽己鏁堟敹绱ф澗寮涜倢鑲わ紝浜х敓鏄捐憲绱у疄鏁堟灉
鏀讹細濉ˉ鏀剁缉鍜屾祦澶辩殑鑳跺師铔嬬櫧绌虹己锛屼粠鑰屼娇闈㈤儴涓扮泩
鎷夛細涓?鎿嶄綔锛屽叏闈㈤儴缁煎悎鎷夊崌锛屽疄鐜版暣浣撹疆寤撲笂鎻愭敹绱?/span>
棰嗗厛锛氱編鍥藉紩杩?/span>HIFU瓒呭0鑱氱劍绮剧‘瀹氫綅
瀹夊叏锛氶潪渚靛叆寮忔不鐤椾笉鎹熶激琛ㄧ毊
蹇嵎锛氭柦鏈椂闂寸煭锛岃劯閮ㄥ拰棰堥儴浠呴渶20~30鍒嗛挓
鑸掗?锛氫笉闇?楹婚唹鎴栬〃楹伙紝鏃犵柤鐥涳紝鏃犲壇浣滅敤
绮剧‘锛氬娌荤枟鎺㈠ご锛屼綔鐢ㄤ笉鍚岄儴浣?/span>
鎶?湳浼樺娍锛?/span>
1.缇庡浗寮曡繘HIFU瓒呭0鎶?湳锛岃仛鐒︾簿纭畾浣?/span>
2.缁忚繃瓒呰繃锛屾?鑳界ǔ瀹氾紝瀹夊叏淇濋殰
3.涓?鎿嶄綔锛屽叏闈㈤儴缁煎悎鎻愬崌锛屽疄鐜版暣浣撹疆寤撲笂鎻愭敹绱?/span>
椤圭洰
HIFU瓒呭0鍒?/span>
鐢垫尝鎷夌毊
鎷夌毊鎵嬫湳
鏍稿績鎶?湳
HIFU楂樺己搴﹁仛鐒﹁秴澹版妧鏈?/span>
楂橀鐢垫尝鎶?湳
鐨偆缁勭粐鍒嗗壊鍒囧壊
浣滅敤鍖哄煙
绮剧‘鑱氱劍浜?/span>3mm&4.5mm绛嬭啘灞?/span>
杈愬皠鐨偆鐪熺毊灞傚拰鐨笅缁勭粐琛ㄥ眰
3mm&4.5mm绛嬭啘灞?/span>
鑳介噺璧板娍
鏁e皠楂樿兘鑱氱劍浜庣劍鐐?/span>
鑳介噺鏈夎〃灞傚強閲岄?娓愯“鍑?/span>
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鐥涙劅
鏃犵棝
鐤肩棝闅惧繊
鏈悗鐤肩棝
娌荤枟鏃堕棿
20--30鍒嗛挓
45—60鍒嗛挓
1—4涓皬鏃?/span>
瀹夊叏鎬?/span>
楂?/span>
涓紙鍙兘鐏间激鐨偆锛?/span>
鏈夊绉戞墜鏈闄?/span>
鎴愭湰鎶曞叆
浣?/span>
楂?/span>
寰堥珮
HIFU瓒呭0鍒?柦鏈晥鏋?/span>
鏃堕棿
鍋氬畬鍚?/span>
涓?釜鏈堝悗
涓変釜鏈堝悗
鏁堟灉
灞?儴缁嗗井鎻愭媺
鏁翠綋缁嗗井鎻愭媺
鏁翠綋鏄庢樉鐨勬彁鎷?/span>
鑲よ川缇庣櫧鍙婃敼鍠?/span>
鑲よ川鏀瑰杽鍙婄揣瀹炴劅
鑴搁儴绱ц嚧鎰熸槑鏄?/span>
鎰熻鐣ュ井绱у疄
鐨偆鍙樺緱骞虫粦
鐪奸儴鐨偆鏈夊悜涓婃彁鎰熻
1.鏀剁揣鍓嶉鐨勭毊鑲ょ粍缁囷紝鎻愬崌鐪肩湁绾挎潯
2.娑堥櫎鐪肩潧銆侀澶村懆鍥寸殑鐨辩汗
3.鏀剁缉姣涘瓟鍜岀矇鍒虹枻鐥?/span>
4.鍘婚櫎鍙屼笅宸达紝鏀瑰杽涓嬪反绾挎潯
5.鍘婚櫎棰堥儴鐨辩汗锛岄槻姝㈤閮ㄧ毊鑲よ?鍖?/span>
6.鏀瑰杽榧诲攪瑜剁毐锛屽幓闄ゅ叓瀛楃汗
7.鏀剁揣鍜屾彁鍗囬潰棰婄毊鑲わ紝鍥炲鐨偆寮规?
鏂芥湳閮ㄤ綅鍙婃晥鏋?/span>
1.闈㈤銆佷笅棰?/span>
2.鎻愬崌鏉炬噲鐨勯潰棰婅剛鑲紝鏀瑰杽鐨偆绾圭悊
1.鐪煎懆銆侀潰棰?/span>
2.娑堥櫎鍜屾敼鍠勭溂鍛ㄧ毐绾癸紝鏀瑰杽鐨偆绾圭悊
1.闈㈤銆佺溂鐪朵笅閮?/span>
2.鎻愬崌鏉炬噲鐨勯潰棰婅剛鑲紝鏀瑰杽鐨偆绾圭悊
1.鍏ㄨ劯
2.鎻愬崌鏉炬噲鐨勯潰棰婅剛鑲?鏀瑰杽娉曚护绾癸紝鏀瑰杽鐨偆绾圭悊
1.鐨偆寰孩銆佺孩鐐广?杞诲井姘存场鎴栨按鑲匡紝杩囦竴銆佷袱澶╀細鏁i?銆?/span>
2.褰撳ぉ涓嶇敤鐑按娌愭荡銆佷袱鏄熸湡涓嶅彲鐒楁鎷挎垨闈㈤儴鎸夋懇銆?/span>4鏄熸湡鍚庢柟鍙仛灏勯銆佸僵鍏夊強婵?厜鎶ょ悊銆?/span>
3.娌荤枟鍚庡彧闇?敤鍐版暦闈紝鎴栫敤CRYO闄嶆俯鍗冲彲
4.娌荤枟鍚庢湡鍦ㄦ不鐤楅儴浣嶄細鍑虹幇涓?簺鍑稿嚭鐨偆锛屼竴鏉℃潯鐧借壊鐨勭嚎鏉★紝杩欐槸鐨笅鐨勮仛鐒︾偣锛屾槸鑳介噺鏈夌偣杩囬珮鐨勭紭鏁咃紝娌荤枟鏃舵媺寮?病鐐硅窛绂伙紝鏈夋鎯呭喌鐢ㄦ暦鍐伴檷娓╁鐞嗭紝涓?袱涓槦鏈熷悗閫?幓
5.鍦ㄦ帴鍙楁不鐤楀悗鍑虹幇鐨勭櫧鑹茬嚎鏉¢儴浣嶏紝绗簩澶╁嚭鐜扮粏寰殑鐥傜毊鐜拌薄锛屾槸鐨偆鍗囨俯鍚庡啀鏀剁缉鐨勭幇璞★紝鍍忔按娉¢?鍘诲悗涓?牱锛屼細鑷劧鐥婃剤鐨勩?
涓夈?娉ㄦ剰浜嬮」
1.鍦ㄦ彃鍏ュご鏃讹紝涓嶈鎸夋墜鏌勪笂鐨勬搷浣滄寜閽?
2.姣忔鎿嶄綔瀹屾垚鍚庯紝閮借鎸変笅鍋滄閿?/span>“PAUSE&dquo;鍚庯紝鎵嶈兘鍏虫満銆傝鏇存崲鎺㈠ご涔熸槸鍏虫満鍚庯紝鐒跺悗閲嶅浠ヤ笂鎿嶄綔娴佺▼銆?/span>
3.鎿嶄綔鏃朵弗绂佹帰澶村浐瀹氬仠鐣欏湪鑴镐笂涓嶇Щ鍔紝鍚﹀垯浼氳繃鐑?鐏间激瀹㈡埛鐨偆娣卞眰銆?/span>
4.涓?埇寤鸿鐢ㄦ墜鏌?/span>“涓?/span>&dquo;鎸夐挳鏉ヨ嚜鐢辨帶鍒舵搷浣滄椂闂达紝浣嗘寜鍑讳竴娆′笉瀹滄寔缁秴杩?/span>2鍒嗛挓锛岄櫎闈炵儹搴︿笉澶熷彲浠ラ?褰撳欢闀夸竴涓嬫寜鍑绘椂闂达紝浣嗗鎴锋劅瑙夐潪甯稿埡鐥涜鍗虫椂鏉惧紑鎸夐挳鍋滄杈撳嚭銆?/span>
5.鎿嶄綔鏃堕棿鍦?/span>40鍒嗛挓宸﹀彸涓哄疁锛屽钩鍧囦竴杈硅劯鍋?/span>20鍒嗛挓宸﹀彸銆傛椂闂翠笉瀹滆繃闀裤?
6.鍋氬畬鑴搁儴绋嶆湁绾㈣偪锛岃交寰孩鐐癸紝杩囦竴涓ゅぉ浼氭秷閫??
7.娌荤枟鍚庡彧闇?敤鍐版暦闈紝鎴栫敤CRYO闄嶆俯鍗冲彲
8.褰撳ぉ涓嶇敤鐑按娌愭荡銆佷袱鏄熸湡涓嶅彲鐒楁鎷挎垨闈㈤儴鎸夋懇銆?/span>4鏄熸湡鍚庢柟鍙仛灏勯銆佸僵鍏夊強婵?厜鎶ょ悊銆?/span>
鍥涖?涓嶉?鐢ㄤ汉缇?/span>
1.鑴戞孩琛?偅鑰咃細闈炵ǔ瀹氭湡锛屽悗閬楃棁鑰呯鐢?/span>
2.瀛曟湡濡囧コ锛氱鐢?/span>
3.缁忔湡濡囧コ锛氭厧鐢?/span>
4.寮?斁鎬т激鍙f垨鐥呭彉
5.涓ラ噸鍥婅偪鍨嬮潚鏄ョ棙
6.甯﹀績鑴忚捣鎼忓櫒銆佹湁澶у嚭琛??鍚戣?绂佺敤銆?/span>
7.绂佹鐢ㄨ秴澹版尝鐩存帴浣滅敤浜庢毚闇茬殑鑴戠粍缁囥?
8.鎭舵?鑲跨槫锛屼弗閲嶈剳姘磋偪銆?/span>
9.棰呭唴楂樺帇銆?/span>
10.鍖栬創鎬х値鐥?/span>
11.鐨偆婧冪儌澶勫簲閬垮厤涓庢不鐤楀ご鐩存帴鎺ヨЕ銆?/span>
12.蹇冭剰鍖哄煙銆佺溂閮ㄣ?鑴戦儴鍜屾?鑵洪儴浣嶇鐢ㄣ?
13.鏈夎繘琛岀幓灏块吀濉厖绛夋敞灏勭編瀹归」鐩殑銆?/span>
14.娌荤枟鑳介噺涓嶈兘杩囧ぇ
15.鍚屼竴娌荤枟鍖哄煙涓嶈兘閲嶅鎵撲袱閬嶄互涓娿?
16.閬垮紑闈㈤儴绁炵粡
涓嶉?鐢ㄤ汉缇?/span>
1.鑴戞孩琛?偅鑰咃細闈炵ǔ瀹氭湡锛屽悗閬楃棁鑰呯鐢?/span>
2.瀛曟湡濡囧コ锛氱鐢?/span>
3.缁忔湡濡囧コ锛氭厧鐢?/span>
4.寮?斁鎬т激鍙f垨鐥呭彉
5.涓ラ噸鍥婅偪鍨嬮潚鏄ョ棙
6.甯﹀績鑴忚捣鎼忓櫒銆佹湁澶у嚭琛??鍚戣?绂佺敤銆?/span>
7.绂佹鐢ㄨ秴澹版尝鐩存帴浣滅敤浜庢毚闇茬殑鑴戠粍缁囥?
8.鎭舵?鑲跨槫锛屼弗閲嶈剳姘磋偪銆?/span>
9.棰呭唴楂樺帇銆?/span>
10.鍖栬創鎬х値鐥?/span>
11.鐨偆婧冪儌澶勫簲閬垮厤涓庢不鐤楀ご鐩存帴鎺ヨЕ銆?/span>
12.蹇冭剰鍖哄煙銆佺溂閮ㄣ?鑴戦儴鍜屾?鑵洪儴浣嶇鐢ㄣ?
13.鏈夎繘琛岀幓灏块吀濉厖绛夋敞灏勭編瀹归」鐩殑銆?/span>
14.娌荤枟鑳介噺涓嶈兘杩囧ぇ
15.鍚屼竴娌荤枟鍖哄煙涓嶈兘閲嶅鎵撲袱閬嶄互涓娿?
16.閬垮紑闈㈤儴绁炵粡