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微波肿瘤消融:作用机制、临床结果和设备。

Microwave tumor ablation: mechanism of action, clinical results, and devices.

机构信息

Department of Radiology, University of Wisconsin, E3/311 Clinical Sciences Center, 600 Highland Ave, Madison, WI 53792-3252, USA.

出版信息

J Vasc Interv Radiol. 2010 Aug;21(8 Suppl):S192-203. doi: 10.1016/j.jvir.2010.04.007.

DOI:10.1016/j.jvir.2010.04.007
PMID:20656229
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3065977/
Abstract

Microwave ablation uses dielectric hysteresis to produce direct volume heating of tissue. Microwaves are capable of propagating through many tissue types, even those with high impedance such as lung or bone, with less susceptibility to "heat-sink" effects along vessels. Microwaves are highly conducive to the use of multiple applicators, showing the synergy seen with other energies, but also the potential capability for phasing of the electromagnetic field. As a result, larger, more customizable ablation zones may be created in less time. Although multiple microwave ablation systems are currently available, further study and continued development are needed.

摘要

微波消融利用介电滞后产生组织的直接体积加热。微波能够穿透多种组织类型,即使是肺或骨等阻抗较高的组织也能穿透,并且对血管周围的“热沉”效应的敏感性较低。微波非常适合使用多个施源器,显示出与其他能量一样的协同作用,但也有可能对电磁场进行分相。因此,可以在更短的时间内创建更大、更可定制的消融区。尽管目前有多种微波消融系统,但仍需要进一步研究和持续开发。

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本文引用的文献

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Safety and efficacy of microwave ablation of hepatic tumors: a prospective review of a 5-year experience.微波消融治疗肝肿瘤的安全性和有效性:5 年经验的前瞻性回顾。
Ann Surg Oncol. 2010 Jan;17(1):171-8. doi: 10.1245/s10434-009-0686-z. Epub 2009 Aug 26.
2
Microwave ablation versus radiofrequency ablation in the kidney: high-power triaxial antennas create larger ablation zones than similarly sized internally cooled electrodes.肾脏微波消融与射频消融对比:高功率三轴天线比尺寸类似的内部冷却电极产生更大的消融区。
J Vasc Interv Radiol. 2009 Sep;20(9):1224-9. doi: 10.1016/j.jvir.2009.05.029. Epub 2009 Jul 18.
3
The efficacy and safety of percutaneous microwave coagulation by a new microwave delivery system in large hepatocellular carcinomas: four case studies.一种新型微波传输系统在大型肝细胞癌经皮微波凝固治疗中的疗效与安全性:四例病例研究
Int J Hyperthermia. 2009 Aug;25(5):392-8. doi: 10.1080/02656730902976815.
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Percutaneous imaging-guided ablation therapies in the treatment of symptomatic bone metastases: preliminary experience.经皮影像引导消融治疗有症状骨转移瘤:初步经验
Radiol Med. 2009 Jun;114(4):608-25. doi: 10.1007/s11547-009-0395-5. Epub 2009 May 14.
5
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Radiology. 2009 Jun;251(3):705-11. doi: 10.1148/radiol.2513081564. Epub 2009 Mar 31.
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