Klatte Tobias, Marberger Michael
Department of Urology, Medical University of Vienna, Vienna, Austria.
Curr Opin Urol. 2009 Mar;19(2):188-91. doi: 10.1097/MOU.0b013e328323f641.
To outline the current status of high-intensity focused ultrasound (HIFU) for the treatment of renal tumors.
Application of extracorporeal HIFU for renal tumors is well tolerated with no serious perioperative complications. However, the techniques available do not permit sufficient tumor destruction that can be considered as an alternative to surgical extirpation. Laparoscopic HIFU avoids problems with respiratory movement and interphases and may achieve a greater rate of tumor destruction.
At the current time, HIFU of renal tumors has to be considered an experimental treatment approach. Prospective evaluation of laparoscopic HIFU is necessary to evaluate its oncologic efficacy.
概述高强度聚焦超声(HIFU)治疗肾肿瘤的现状。
体外HIFU治疗肾肿瘤耐受性良好,无严重围手术期并发症。然而,现有的技术无法实现足够的肿瘤破坏,因此不能被视为手术切除的替代方法。腹腔镜HIFU避免了呼吸运动和界面问题,可能实现更高的肿瘤破坏率。
目前,肾肿瘤的HIFU治疗仍应被视为一种实验性治疗方法。有必要对腹腔镜HIFU进行前瞻性评估,以评估其肿瘤学疗效。