Filingeri V, Gravante G, Cassisa D
Department of Surgery, University of Rome Tor Vergata, Rome, Italy.
Eur Rev Med Pharmacol Sci. 2005 Nov-Dec;9(6):349-54.
Radiosurgery is a new technique that utilizes an instrument, the radiofrequency bistoury, which is able to simultaneously cut and coagulate tissues with the emission of radiofrequencies. The first experiments about the utilization of radiofrequency currents on man were conducted between the end of the 19th century and the beginning of the 20th century. The first medical field of application was in oncology leading to the development of hyperthermia as an anticancer treatment. During the 80's the radiofrequencies have been introduced in cardiology to thermally ablate stable arrhythmic foci. Actually ear, nose, and throat surgery, dermatology, plastic surgery, vascular surgery, orthopaedics, neurosurgery and minimally invasive surgery use this new tool in their practice. The authors show the classification of radio fre quencies in the electromagnetic field, describe their historic development, their physics and their initial clinical applications by making a systematic review of the literature.
放射外科是一种新技术,它使用一种仪器——射频双极电刀,该仪器能够通过发射射频同时切割和凝固组织。关于在人体上使用射频电流的首次实验是在19世纪末至20世纪初进行的。第一个医学应用领域是肿瘤学,导致了热疗作为一种抗癌治疗方法的发展。在20世纪80年代,射频被引入心脏病学,用于热消融稳定的心律失常病灶。实际上,耳鼻喉科手术、皮肤科、整形手术、血管外科、骨科、神经外科和微创手术在其实践中都使用了这一新工具。作者通过对文献进行系统综述,展示了射频在电磁场中的分类,描述了它们的历史发展、物理原理及其最初的临床应用。