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中国肿瘤整合诊治技术指南:HIFU治疗
$36.91
高强度聚焦超声是国内首先通过CFDA试产注册,在国际上完成了HIFU设备的产业化,由此掀起了HIFU技术研发转化的风潮,同时也奠定了我国在HIFU技术研发和产业化领域的领先地位。HIFU在我国属于第三类医疗技术,本指南依据近年来临床研究进行证据整理,结合我国国情,征求专家意见,向临床医师提供相应的指导性建议和决策参考,进行规范化诊断和治疗。
樊代明,中国工程院院士、美国医学科学院外籍院士、法国医学科学院外籍院士,肿瘤生物学国家重点实验室主任、国家消化疾病临床医学研究中心主任、国家新药临床试验机构主任;赵洪,复旦大学附属华东医院肿瘤科主任医师
第一章 高强度聚焦超声(HIFU)的概述一、HIFU的历史沿革二、HIFU的技术原理(一)高强度聚焦超声(HIFU)原理(二)HIFU系统组成(三)HIFU局部生物学效应原理三、适应证与禁忌证(一)技术适应证(二)禁忌证第二章 肿瘤的HIFU治疗一、肝脏肿瘤(一)HIFU治疗肝癌临床适应证(二)HIFU治疗肝癌临床禁忌证二、胰腺肿瘤(一)HIFU治疗胰腺癌临床适应证(二)HIFU治疗胰腺癌临床禁忌证三、乳腺肿瘤(一)HIFU治疗乳腺癌临床适应证(二)HIFU治疗乳腺癌临床禁忌证(三)乳腺纤维腺瘤及乳腺癌具以下情形者不宜HIFU治疗四、子宫肌瘤(一)HIFU治疗适应证(二)子宫肌瘤具有以下情形者不适宜HIFU治疗五、前列腺癌(一)经直肠HIFU治疗适应证(二)前列腺癌及前列腺良性增生具以下情形者不宜HIFU治疗(三)前列腺良性增生具以下情形者慎行HIFU治疗六、骨肿瘤(一)HIFU治疗骨肿瘤适应证(二)HIFU治疗骨肿瘤禁忌证七、腹膜后占位(一)HFU治疗腹膜后占位适应证(二)HIFU治疗腹膜后占位的临床禁忌证八、肾脏肿瘤和肾上腺肿瘤九、软组织肿瘤,包括软组织肉瘤、侵袭性纤维瘤等实体瘤十、子宫腺肌病(一)HIFU治疗子宫腺肌病的临床适应证(二)HIFU治疗子宫腺肌病的临床禁忌证十一、其他第三章 肿瘤HFU治疗的操作流程一、确定HIFU治疗的条件(一)病史采集(二)明确诊断(三)影像学检查(四)HIFU治疗前讨论(术前讨论)(五)知情同意二、HIFU治疗术前准备(一)制定治疗方案(二)治疗前的专项准备三、HIFU治疗术中操作(一)超声引导下的HIFU(二)MRI引导HIFU消融(以子宫肌瘤为例)(三)体内(经自然腔道)HIFU消融(四)HFU治疗中的其他制约因素四、HIFU治疗术后处理(一)术后常规处理(二)并发症防治第四章 肿瘤HIFU治疗的疗效评估一、影像学评估(一)早期影像学评估(二)后期影像学评估二、临床综合评价三、生存期评价第五章 肿瘤HFU治疗的随访和展望一、随访二、HIFU技术不足与展望(一)超声引导:图像受干扰,不够清晰(二)MRI引导的不足(三)靶点的测温(四)HIFU能量的衰减和流失(五)数字化远程会诊及手术参考文献
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