I-ultrasound yokungenelela ibhekisela kwimisebenzi yokuxilonga okanye yonyango eyenziwa phantsi kwesikhokelo sexesha langempela kunye nokubeka iliso kwi-ultrasound.Ngophuhliso lwetekhnoloji ye-ultrasound yexesha lokwenyani, ukusetyenziswa kwe-ultrasound engenelelayo encinci yokuxilongwa kunye nonyango lwetekhnoloji luye lwatyatyamba kuyo yonke indawo, lubandakanya imimandla emininzi efana ne-ultrasound-guided puncture biopsy, idrainage, inaliti yeziyobisi, unyango lwe-tumor ablation, isuntswana lemitha. ukufakelwa kunye neminye imimandla emininzi.Kwangaxeshanye, iindlela zokungenelela kwi-ultrasound coverage zihlala zisanda, ukusuka kumfanekiso olula we-ultrasound okhokelwayo ukuya kwi-multimodal image fusion ukuya kwi-robotic intraoperative ultrasound-guided.
Okwangoku, indlela yokuqinisekisa ukuchaneka kunye nokhuseleko lwe-ultrasound ekhokelwa yi-tumor ablation therapy yi-frontier yophando kunye ne-hotspot yesicelo se-ultrasound ye-interventional, phakathi kwayo ukwandiswa kwesicelo se-ultrasound ephuculweyo (CEUS) kwi-ultrasound yokungenelela kubaluleke kakhulu.Ukwenziwa kwezinto ezintsha okuqhubekayo kunye nokuphuculwa kobuchule bokukhupha imali kukwayindlela entsha yophuhliso lwexesha elizayo, kwaye yinkxaso ebalulekileyo yokuphucula ukusebenza kakuhle nokhuseleko.
I-CEUS iququzelela ukuchaneka konyango lokungenelela:
Uvavanyo lwe-CEUS lunokubandakanya ukuxilongwa kwangaphambili, ukujongwa kunye novavanyo lwangaphakathi, kunye nokulandelelwa emva konyango lokukhutshwa kwethumba kumjikelo wonke.Ukuhlolwa kwangaphambili kwe-CEUS kunokubonelela ngeenguqu ze-pathological malunga nobukhulu bokwenyani, umda kunye ne-vascularization yangaphakathi yesilonda esijoliswe kuyo, ukuphucula izinga lokubona izilonda kunye nokukwazi ukwahlula izilonda ezinobungozi kunye nezibi, kunye nokunciphisa i-biopsies engadingekile.Kunyango lwe-tumor ablation, i-CEUS inokubona indawo yokusinda kwe-tumor eshiyekileyo kwangoko emva kokukhutshwa, ngaloo ndlela ivumela ukunyangwa ngokukhawuleza kunye nokunciphisa inani leenkqubo ezilandelayo zokukhupha.Emva kokukhutshwa, ukulinganisa kunye nokubalwa komthamo we-lesion kunye nesantya sokunciphisa kunokuvavanya i-tumor necrosis kunye nokutshintsha kobungakanani bendawo ye-lesion emva kokukhutshwa, ukufumanisa ukuqhubela phambili kwe-tumor yendawo kwaye unqume umphumo.Uphononongo lwe-Thyroid lwe-interventional therapy lubonise ukuba indlela enye yokukhupha i-ablation ye-benign thyroid nodules yobukhulu obuhlukeneyo ngexesha le-CEUS ablation yi-61.1% (> 3 cm), i-70.3% (2 ~ 3 cm), kunye ne-93.4% (<2 cm), ngokulandelelanayo;umthamo we-ablation ulinganiswe yi-ultrasound yesiqhelo yayinkulu kakhulu kunexesha lokulandelela emva kokuchithwa (23.17 ± 12.70), kwaye i-CEUS yayiyindlela esebenzayo yokuhlola ukusebenza.
Ukhuseleko kunye nokwenziwa ngokutsha kwe-ultrasound-guided ablation:
Kwintsimi ye-tumor ablation thermal ablation, i-interventional ultrasound oogqirha baye benza uthotho lophuculo lobugcisa kunye nezinto ezintsha, kubandakanywa nokuphucula intsimi ye-thermal ablation, ukuphucula iqhinga lenaliti yelaphu, i-multi-inaliti edibeneyo yesicelo, ukuhlukaniswa kwamanzi okuzenzela kunye nezinye iindlela zobugcisa zokuphucula. ukusebenza ngempumelelo kunye nokunciphisa ukwenzeka kweengxaki.Kwintsimi ye-thyroid ablation, uNjingalwazi uYu Ming'an kunye neqela lakhe elivela kwiSibhedlele sase-China-Japan sobuhlobo bapapasha uphando olubanzi lwezigulane ze-847 ezinomhlaza we-thyroid gland, kwaye iziphumo zibonise ukuba izinga lokuphumelela kweteknoloji yokukhupha i-ablation inokufikelela kwi-100. %, kunye nezinga lokuqhubela phambili kwesifo emva kokuchithwa kwe-1.1% kuphela.Kwintsimi yomhlaza wezintso, iqela likaNjingalwazi uYu Jie ovela kwiSibhedlele esiPhakathi soMkhosi weNkululeko yabantu baseTshayina ubonise iminyaka eyi-10 ukuba i-microwave ablation ikhuselekile kwaye iyasebenza kunyango lomhlaza wezintso we-T1, kwaye inokukhusela ukusebenza kwezintso ngelixa izigulane ziqhubeka. amathumba angasebenziyo.
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Ixesha lokuposa: Feb-15-2023