Ultrasound interventional na-ezo aka na nchọpụta nchọpụta ma ọ bụ ọrụ ọgwụgwọ a na-eme n'okpuru nduzi na nlekota oge nke ultrasound. Site na mmepe nke teknụzụ onyonyo nke oge a nke oge a, ntinye nke nyocha nyocha nke ultrasound na teknụzụ ọgwụgwọ etolitela ebe niile, gụnyere n'ọtụtụ mpaghara dị ka biopsy nke na-eduzi ultrasound, drainage, ọgwụ injection, ọgwụgwọ akpụ akpụ, urughuru radieshon. ntinye na ọtụtụ ubi ndị ọzọ. N'otu oge ahụ, ụzọ ntinye aka nke ultrasound mkpuchi na-agbasawanye mgbe niile, site na foto ultrasound dị mfe na-eduzi ruo n'ụdị ihe oyiyi multimodal ruo na-eduzi ultrasound intraoperative robotic.
Ka ọ dị ugbu a, otu esi achọpụta izi ezi na nchekwa nke usoro ọgwụgwọ tumor nke na-eduzi ultrasound bụ ókèala nyocha na ebe ngwa ngwa nke ultrasound ntinye aka, n'etiti nke mgbasawanye ngwa nke ultrasound-iche-enhanced ultrasound (CEUS) na ntinye aka ultrasound bara uru. Ihe ọhụrụ na-aga n'ihu na mmelite nke usoro ablation bụkwa usoro ọhụrụ nke mmepe n'ọdịnihu, ọ bụkwa ihe nkwado dị mkpa iji melite arụmọrụ na nchekwa.
CEUS na-akwado nkenke nke ọgwụgwọ ntinye aka:
Nyocha CEUS nwere ike kpuchie nchoputa tupu ịwa ahụ, nleba anya na nyocha intraoperative, yana nleba anya nke ọgwụgwọ ablation tumor na okirikiri dum. Nyocha CEUS na-aga n'ihu nwere ike inye mgbanwe mgbanwe gbasara ọrịa gbasara ezi nha, oke na ime vaskụla nke ọnya a na-eche ihu, melite ọnụọgụ nke ọnya na ikike ịmata ọdịiche dị njọ na nke na-adịghị mma, ma belata biopsies na-adịghị mkpa. Na ọgwụgwọ ablation tumor, CEUS nwere ike ịchọpụta ebe ị ga-adị ndụ ndụ nke tumor ozugbo ablation gasịrị, si otú a na-eme ka nlọghachi ngwa ngwa na ibelata ọnụ ọgụgụ nke usoro ablation na-esote. Mgbe ablation gasịrị, nha na ngụkọ nke olu ọnya na ọnụ ọgụgụ mbelata nwere ike nyochaa necrosis tumor na mgbanwe nha nke ebe ọnya ahụ mgbe ablation gasịrị, chọpụta ọganihu ụbụrụ mpaghara ma chọpụta ihe ga-esi na ya pụta. Ọmụmụ ihe gbasara ọgwụgwọ thyroid na-egosi na otu ụzọ zuru oke ọnụ ọgụgụ nke nodules thyroid benign nke dị iche iche n'oge CEUS ablation bụ 61.1% (> 3 cm), 70.3% (2 ~ 3 cm), na 93.4% (<2 cm). n'otu n'otu; Mpịakọta nke ablation nke a tụrụ site na ultrasound omenala dị nnọọ ukwuu karịa oge na-esote mgbe ablation gasịrị (23.17 ± 12.70), na CEUS bụ ụzọ dị irè maka ntule nrụpụta ọrụ.
Nchekwa na ihe ọhụrụ nke ablation na-eduzi ultrasound:
N'ebe a na-ahụ maka ọgwụgwọ tumor thermal ablation, ndị dọkịta na-eme ihe na-ahụ maka ultrasound emewo usoro nhazi nke teknụzụ na ihe ọhụrụ, gụnyere imeziwanye ogige thermal nke ablation, meziwanye atụmatụ agịga akwa ablation, ngwa jikọtara ọtụtụ agịga, ikewapụ mmiri artificial na ụzọ teknụzụ ndị ọzọ iji melite. ịdị irè ma belata ihe omume mgbagwoju anya. N'ihe gbasara thyroid cancer ablation, Prọfesọ Yu Ming'an na ndị otu ya si China-Japan Friendship Hospital bipụtara ọmụmụ ihe dị iche iche nke ndị ọrịa 847 nwere ọrịa cancer papillary thyroid, na nsonaazụ ya gosiri na ọganihu nke nkà na ụzụ ablation nwere ike iru 100. %, na ọganihu ọrịa ahụ mgbe ablation gasịrị bụ naanị 1.1%. N'ihe gbasara ọrịa cancer nke akụrụ, Prọfesọ Yu Jie's team si General Hospital of China People's Liberation Army gosiri maka afọ 10 na ablation microwave dị mma ma dị irè n'ịgwọ ọrịa cancer T1, ma nwee ike ichebe ọrụ akụrụ nke ndị ọrịa mgbe inactivating etuto ahụ.
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Oge nzipu: Feb-15-2023
