"Needle" Kung Fu, really precise!A needle allows the heart to move from the heart to the lung metastlasma tumor "ash and smoke extinguish"

At the age of 62, Mr. Kun, he checked the liver mass, and then diagnosed with liver cancer. After multiple comprehensive treatment, the primary tumor of the liver was cured, and the tumor was satisfied.

However, in the regular follow -up review, a new nodule appeared in the left lungs and gradually increased. Considering the metastases of the lungs, it became the heart of Mr. Kun and doctors. After multiple disciplines, doctors and patients decided to use a very small traumatic surgical method such as microwave ablation to solve this heart.

不用切除正常肺组织，也不会影响肺功能，CT 介入消融术是真正的“微创” 手术，可达成肿瘤的精准爆破，手术是使用一根特制的消融针刺入病变，发射微波，像The "microwave oven" "bake" the lesion tissue to cause it to lose; in order to ensure the ablation effect, the scope of ablation needs to be expanded at least 1cm outside the lesion.

However, the CT evaluation before surgery showed that the metastases were close to the heart. There was no gap between them, and a problem was given to the surgical team.

In order to ensure the safety of the patient, the surgery was not arranged in the conventional CT interventional operating room. Instead, he chose a composite operating room. Here is equipped with high -end vascular radospeers. , Display suspension tower, digital control equipment and other advanced equipment; a team of multidisciplinary surgeons with a strong and standby multidisciplinary surgeon can not only realize the security induction of systemic anesthesia in the 100 -level streaming environment, and more accurate surgery. In the case, teams composed of doctors such as chest and heart surgery and intervention section participate in escort.

After the preparation, after the patient is in place, the surgical team has completed the patient's resettlement, anesthesia, and pre -surgery positioning. In the middle of the position, the sliding rail CT scan of the operating room confirms that the point of the needle is satisfied, and then Professor Zhu Bailin innovatively pierced into the patient's left pleura of the patient through the thoracic penetration. Safety distance is left to the extension.

With a number of doctors in the surgery team, the patient's lung transfer tumor was successfully concluded without suspense, and then the artificial pneumothorax gas was pulled out when the needle was pulled out to restore the original state of the lung tissue. The CT review shows that the scope of ablation covers lung metastases and is safely expanded by 1cm. The patient wakes up and has no complications. The surgery only leaves two small needles that can be healed within one or two days on the chest wall. You can get out of bed.

When he left the recovery room, Mr. Yan removed the pressure when he found that the lung metastases gradually increased in recent months, showing a relaxed expression.

On the seventh floor of the Surgical Building of the First People's Hospital of Luzhou City, two "carrier" composite operating rooms covering an area of ​​about 200 square meters have been completed. The two composite operating rooms "compound" MRI, CT, and DSA equipment together through intelligent digital refinement CT tracks together can not only integrate multiple images, provide rapid diagnosis before surgery. Real -time imaging, image guidance, and precise positioning, can also provide comprehensive support for one -stop real -time review after surgery.

"The opening of the composite operating room is not only the fusion of the equipment, but also the fusion of data, the fusion of images, the integration of technology, and the integration of the team."

Patients and clinical needs are the direction of our struggle. The intervention group of the Image Medical Center has a composite image intervention operating room constructed in accordance with the standard construction of IV surgery, and is equipped with 64 rows of spiral CT, Doller Doppler ultrasound and interventional probe, Siemens DSA-CT all-in-one machine, prostate particles implantation Complete image intervention equipment such as systems, advanced radiotherapy TPS planning systems;

At present, there are 14 formal physicians, including 5 senior titles and 8 CT interventional experience for more than five years. They have carried out various video guidance and intervention surgery. Technical projects, in recent years, have published more than ten papers in the CT intervention direction SCI and core journal papers. In order to adapt to the development of the hospital's group, the intervention group of the Image Medical Center has always provided services in various hospitals of the First People's Hospital of Luzhou City. The projects carried out include:

l String biopsy in all parts of the whole body;

l: The diversion of the cysts, abscesses, and effusion in all parts of the whole body;

l The implantation of radioactive particles (internal radiation therapy) of malignant tumors;

l The microwave discharge of physical tumors in all parts of the whole body;

l through skin gastric fistula;

l Positioning for lung nodular gel, bone forming for fracture and bone tumor.

(Edit ZS.)

Hunan Medical Chat Special Author: Qianglu, First People's Hospital of Luzhou City

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