缇庡浗鍒涘厛绉戦珮鑳借仛鐒﹁秴澹板敜閱掗潚鏄ョ殑瀵嗙爜
瓒呭０鍒?槸鐑帥鍚?鍊?鐖辩殑瓒呭０鍒?缇庡浗杩涘彛闊虫尝鎷夌毊 绱ц嚧鎻愭媺 鎶楄“
鍖荤枟鐗堢編鍥借秴澹板垁 涓?骞磋交6宀?骞虫粦鑲よ川 绁涢櫎娉曚护绾?鐪肩汗 鐦﹁劯
銆愮編鍥借秴澹板垁銆戞渶鏂版杩涘彛瓒呭０鍒?HIFU鑱氱劍瓒呭０鍒?棰?绁涚毐鎻愬崌
闈㈤儴闄ょ毐/闈㈤儴杞粨/鍏ㄨ韩绱ц嚧濉戝舰/鍏ㄨ韩鎶楄“鑰?HIFU鑱氱劍瓒呭０鍒?nbsp;
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?mm澶勭殑鑳跺師铔嬬櫧灞傚拰4.5mm鐨勭瓔鑶滃眰锛圫MAS)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汬IFU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>
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?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
鎻愭媺绱ц嚧鏂扮鎶?/span>
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>
浠?箞鏄疷lthea&tade;?Ulthea&tade;鏄竴椤圭獊鐮存?鐨勯潪鎵嬫湳娌荤枟锛岄?杩囪秴澹版尝鍒烘縺娣卞眰鑲岃偆閲岀殑鑳跺師铔嬬櫧锛屼互杈捐嚧娣卞眰涓庢湁鏁堢殑鎷夌毊鏁堟灉鏉ュ鎶楀湴蹇冨紩鍔涗笌宀佹湀瀵规垜浠倢鑲ょ殑鎽ф畫銆?鐪奸儴鍛ㄥ洿鐨勬敼鍠勫寘鎷簡鐪夌嚎鐨勬彁鍗囷紝鍑忓皯涓婄溂鐫戜笅鍨傦紝鎶氬钩楸煎熬绾癸紝璁╃溂鐫涙洿鍔犵偗鐐湁绁炪?鑴搁涓嬪瀭鐨勮倢鑲ゅ彲浠ヨ鎻愬崌鍜屾媺绱э紝浠庤?鏀瑰杽榧荤考鍒板槾瑙掋?鍢磋鍒颁笅棰岀殑鐨ざ浠ュ強鍢磋寰?笅鐨勮?鍖栬抗璞°?涓?埇涓婏紝瀹冭繕鏈夊叾浠栫殑濂藉锛屽鏇村垎鏄庣殑涓嬮杞粨锛岃偆璐ㄧ殑鏀瑰杽浠ュ強鑲よ壊鏇村潎鍖??Ulthea&tade;鑾峰緱FDA鐨勮璇侊紝鏄敤浜庢不鐤椾笂鑴歌?鍖栫殑鑹柟銆?/span>
Utheapy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>
瀹冪殑鎿嶄綔鍘熺悊鏄?鏍风殑鍛紵灏辫窡鍏朵粬鐨勮秴澹版尝浠櫒涓?牱锛屼竴涓钩婊戠殑鎶婃墜浼氳鏀惧湪鎮ㄧ殑鐨偆涓婏紝鐒跺悗鎶婃槧鍍忔姇鏀惧湪鑽у厜骞曚笂銆傚悓涓?釜鎶婃墜浼氶噴鏀惧嚭闆嗕腑鐨勪綆鑳介噺鐩磋揪閫傚害鐨勭毊鑲ゅ唴灞傦紝涓嶄細瀵硅〃灞傜毊鑲ら?鎴愪激瀹炽? 鎮ㄧ殑鐨偆瀵硅繖浜涜兘閲忕殑鍙嶅簲鏄鍔犳柊鐨勮兌鍘熻泲鐧界殑鐢熸垚銆傝繖浼氭參鎱㈢殑绱ц嚧鑲岃偆锛屾渶缁堣揪鑷磋嚜鐒剁殑鎷夋彁鍜屽钩琛¤倢鑲ょ殑鏁堟灉銆?nbsp;姝ょ枟娉曚笌鍏朵粬闈炴墜鏈媺鐨不鐤楁湁浣曚笉鍚屼箣澶勶紵Ulthea&tade;鏄敮涓?竴椤逛娇鐢ㄨ秴澹版尝娌荤枟鐨偆鐨勯┗棰滅枟娉曘?杩愮敤鎴愮啛鐨勭鎶?锛嶅悓鏃朵娇鐢ㄨ秴澹版尝鏉ヨ瀵熺毊鑲ゅ簳灞傚拰绮剧‘鐨勬不鐤楀畠锛嶇‘淇濆畨鍏ㄥ張浠や汉婊℃剰鐨勬晥鏋溿?
娌荤枟鐨勮繃绋嬫槸鎬庢牱鐨勫憿锛?nbsp;Ulthea&tade; 鏄竴椤硅垝閫傜殑鐤楁硶锛屾棤闇?墦閽堥夯閱夈?褰撹秴澹版尝娓楅?鍏ョ毊涓嬬粍缁囨椂锛岀梾鎮ｄ細鎰熷埌涓?樀娓╂殩鍜岃交寰拡鎵庣殑鎰熻銆俇lthea 灏辨槸閫忚繃姝ゆ柟寮忔繁灞傜殑绱ц嚧鍜屾媺鎻愯倢鑲わ紝鏈夌潃鏄庢樉涓庢寔涔呯殑鐤楁晥銆?鏁翠釜杩囩▼闇?澶х害60鍒嗛挓鐨勬椂闂淬?娌荤枟鍚庢偍鍙互椹笂鐨勫洖鍒版墍鏈夌殑鏃ュ父娲诲姩锛屽鏈夐渶瑕佸彲浠ュ寲濡嗐?鎮ㄧ殑鐨偆浼氭殏鏃跺嚭鐜版硾绾紝浣嗚繃浜嗘暟涓皬鏃跺悗灏变細娑堥?銆?nbsp;
鎴戦渶瑕佸嚑娆＄殑娌荤枟鍛紵澶ч儴鍒嗙殑鐥呮偅缁忚繃1鑷?娆＄殑娌荤枟鍚庡氨鑳界湅寰楀埌鏁堟灉銆傛偍鐨勫尰鐢熶細鍐冲畾娌荤枟鐨勬鏁般?闄ゆ涔嬪锛孴he Sloane Clinic 鐨勫尰鐢熶細瀹夋帓澶嶈瘖鏃堕棿锛屼负鎮ㄦ媿涓嬫不鐤楀悗鐨勭収鐗囧苟浜嗚В鎮ㄧ殑杩涘睍銆?nbsp;鑴镐笂鐨勫摢涓?儴浣嶈兘琚不鐤楋紵鑴镐笂鐨勪换浣曢儴浣嶅棰濆ご銆佸お闃崇┐銆佷腑鎴栦笅鍗婇儴鑴稿拰涓嬮閮借兘浠lthea 鏉ユ不鐤椼?鏈変簺鎯呭喌涓嬶紝棰堥」涔熷彲浠ヨ娌荤枟銆傚悓鏃惰繘琛屽叏鑴稿拰棰堥」鐨勬不鐤楁槸鏈?彈娆㈣繋鐨勶紝鍥犱负杩欒兘缁欑梾鎮ｅ甫鏉ユ渶浣充笌鏈?槑鏄剧殑鏁堟灉銆傚湪鍜ㄨ鏈熼棿锛孴he Sloane Clinic 鐨勫尰鐢熶細涓烘偍瀹氬埗涓?閫傚悎浣犵殑鐤楃▼銆?nbsp;
