HIFU 鑱氱劍瓒呭0鍒?/span>
缇庡浗鍒涘厛绉?/span>楂樿兘鑱氱劍瓒呭0鍞ら啋闈掓槬鐨勫瘑鐮?/span>
HIFU(楂樺己搴﹁仛鐒﹁秴澹版尝锛夋妧鏈師鐞?/span>
HIFU鏄?ldquo;楂樺己搴﹁仛鐒﹁秴澹版尝&dquo;锛坔igh-intensity focused ultasound)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?鍖诲涓婅兘鐢ㄦ潵娑堥櫎鐢熺墿浣撳唴鐥呭彉缁勭粐锛屾棭鏈熺敤浜庤偪鐦ゆ不鐤椾綋绯伙紝鍚庢潵鍙戠幇瀵圭毊鑲ゆ敼鍠勫拰娑堥櫎鑴傝偑鏈夊崜瓒婂姛鏁堬紝杩涜?寮曞叆鍖荤枟缇庡棰嗗煙銆?/span>
HIFU鍖荤枟鍘熺悊
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鈩冿紝鑱氱劍澶勭殑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
鐨偆闄勫睘鍣ㄥ畼鍔熻兘鐨勮嚜鐒跺噺閫?敱浜庣毊鑲ょ殑姹楄吅銆佺毊鑴傝吅鍔熻兘闄嶄綆锛屽垎娉岀墿鍑忓皯锛屼娇鐨偆鐢变簬缂轰箯婊嬫鼎鑰屽共鐕ワ紝閫犳垚鐨辩汗
鐢变簬鐨偆鐨勬柊闄堜唬璋㈠噺鎱紝浣垮緱鐪熺毊鍐呭脊鍔涚氦缁村拰鑳跺師绾ょ淮鍔熻兘鍑忛?锛岄?鎴愮毊鑲ゅ紶鍔涗笌寮瑰姏鐨勮皟鑺備綔鐢ㄥ噺寮憋紝閫犳垚鏉惧紱
鐨偆琛拌?鐨勪簲澶у鍥狅細
闈㈤儴琛ㄦ儏鍙樺寲杩囧锛屽湪鐨偆鐨勫脊鎬у拰寮犲姏涓嶄匠鐨勭姸鎬佷笅锛屼細鍔犻?鐨辩汗澧炲
闀挎湡鐫$湢涓嶈冻鍙娇鐨偆璋冭妭鍔熻兘闄嶄綆锛屽嚭鐜扮毐绾癸紝鍔犻?琛拌?銆?/span>
涓嶅綋鐨勮繀閫熷噺鑲ワ紝鏄撲娇鐨偆鏉惧紱鑰屽舰鎴愮毐绾广?
鐨偆姘村垎琛ュ厖涓嶈冻锛岀己涔忔粙娑︼紝甯傚尯寮规?鍑虹幇鐨辩汗銆?/span>
鍖栧鍝佷娇鐢ㄤ笉褰擄紝鎴栬繃澶氱殑鎵戠矇鍚稿幓浜嗙毊鑲よ〃灞傜殑姘村垎锛岄兘鏋佹槗浣跨毊鑲ょ矖绯欍?鑰佸寲銆佺毐绾广?
HIFU瓒呭0鍒?笁澶у姛
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>
HIFU瓒呭0鍒?妧鏈紭鍔匡細
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>
HIFU瓒呭0鍒?柦鏈晥鏋?/span>
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?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
1.娣卞眰鎻愭媺绉戞妧浣挎不鐤椾腑鍙珛鍗宠娴嬫繁杈?mm鐨勭粍缁?/span>
2.鐙垱“瀹氫綅鎸囨爣绾?dquo;绮惧噯钀界偣鑳介噺浣嶇疆锛屾竻鏅版槑纭?/span>
Uthe apy涓昏娌荤枟鑴搁儴鍙婇閮紝瀵逛簬鑲岃偆鏉惧紱銆佺粏绾圭毐绾广?闅句互娌荤枟鐨勯绾圭瓑锛岄兘鏈変护浜烘鍠滅殑娌荤枟鏁堟灉锛屽寘鎷彲鏈夋晥鎷夋彁涓︽敹绱т袱棰婄毊鑲わ紝鍚屾檪鏀瑰杽涓嬪反绾挎潯锛屼护鑴搁儴杞粨绾挎潯鏇村姞绱ц嚧缇庝附锛岃?鎭间汉鐨勬姮澶寸汗銆佹硶浠ょ汗銆侀瓪灏剧汗绛夛紝涔熼兘鍥犱负Utheapy鍚姩鐨勮倢鑲ゅ啀鐢熸満鍒讹紝鐢卞収鍒板寰楀埌鏀瑰杽!Ultheapy鐨勭儹鏁堝簲鍙偤鑲岃偆甯︽潵浜岄噸鏁堝簲锛岀涓?噸鏄毊鑲よ兌鍘熻泲鐧藉強SMAS绔嬪嵆鎬х殑鏀剁缉, 鎵?互鍦ㄦ不鐤楀悗鐨勫綋涓嬪嵆鍙湅鍒版晥鏋?绗簩閲嶆槸缁勭粐鍙楃儹浣滅敤鍚庤兌鍘熻泲鐧介暱鏈熺殑鏂扮敓閲嶇粍锛岃繖灏变細渚濈収涓汉浣撹川鍙婂弽搴旀湁鏃堕棿涓婄殑宸紓锛屽洜鐐烘柊鐢熻兌鍘熻泲鐧介渶瑕佹椂闂磋鑲岃倝杩涜淇缓锛岀粷澶у鏁扮殑浜哄湪娌荤枟鍚?~6涓湀鏁堟灉杈冧负鏄庢樉銆?/span>
Ultheapy浼樺娍鍦ㄤ簬鍙渶瑕佽繘琛屼竴娆$枟绋嬩究鍙互鍚姩鐨偆鍐嶇敓绋嬪簭锛屼釜浜虹嫭浜笓灞炴帰澶达紝鏇村叿閽堝鎬э紝鍙互閽堝涓汉鑲岃偆鎯呭喌锛岃褰曟不鐤楁暟鍊硷紝鏇村叏闈㈢殑杩涜娌荤枟锛屽埡婵?兌鍘熻泲鐧藉ぇ閲忓鐢燂紝涓鸿倢鑲ゅ甫鏉ユ寔缁?鏄庢樉鐨勬敼鍠勶紝涓旀晥鏋滃彲缁存寔涓?勾鍗婅嚦涓ゅ勾銆?/span>