高能聚焦超声热治疗恶性肿瘤的初步探索——附78例治疗临床应用报告
北京医科大学北京人民医院,北京 100034
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摘要
目的 了解HIFU技术治疗癌瘤的临库效果和安全性。方法 应用FEP-BY01型高能聚焦超声肿瘤治疗机临床治疗78例中晚期腹腔、盆腔、多种脏器癌瘤,并将全部病例分为空腔脏器和实质脏器癌瘤两大类,按各自的标准进行疗效判断,并从疼痛、皮肤的灼伤、腔肠出血、穿孔及其它方面进行安全判断。结果 空腔脏器肿瘤32例,出院时65.6%肿瘤脱落消失,34.4%萎缩。实质脏器癌瘤46例;治疗后15.6%显著疗效,80.4%有效,无效4.3%(因肋骨阻挡),与放化疗合用可加速肿瘤脱落或萎缩。结论 HIFU技术对控制肿瘤有肯定疗效,并且安全可靠,值得推广应用;其相关医学基础研究须尽快开展。
参考文献
[ 1 ] 张天泽,徐光炜、肿瘤治疗学[M],天津:天津科学技术出版社,1996,841~871
[ 2 ] 林世宛,李瑞英、现代肿瘤热疗学[M],北京: 学苑出版社,1996
[ 3 ] Ter-Hear G R. Ultrasound beam surgery[J]. Ultnasound Med. Biol., 1995, 21 (9): 1085~1100
[ 4 ] Valancien G. Charter-Kastier E. Chopin D. et al. Focused extracorporeal pyrothrapy [J]. Experimental results, Eur. Urol. 1991, (20): 211~215
[ 5 ] Beate Rad. Peter Wust, Peter Hohen Berger MD, et al, Preoperative hyperthermia combined with radiochemothapy in locally advanced rectal cancer[J]. Annals of Surgery, 227(3): 380~389
[ 6 ] Vslancien G. Haroum M. Gaillonneaa B, et al. Ablation of bladder tumors with focus extracorporeal pymotherapy [J]. J-Urol 1996, 47(2): 204~207
[ 7 ] Stehan Madersbacher, Markus Pedexila, LorriVingerst, et al. Effect of high-intensity focused ultrasound on human prostate cancer in Vivo [J]. Cancer Research, 1995, 55, 3346~3351
[ 8 ] Bataile N, Valanden G. Antitamorl local effect & metsstic risk of focused extracorporeal pyrotherapy on danning r-3327 tumors [J]. Eur. Urol, 29 (1): 72~37