Yuav Ua Li Cas Bard Needle Tau Zoo Li Radiation Therapy Landscape Rau tsib hom mob qog noj ntshav loj

Subtitle: Hauv -Kev tsom xam qhov tob ntawm kev xaiv koob thiab siv cov tswv yim hauv kev kho mob qog noj ntshav sib txawv

Hauv kev kho mob qog noj ntshav,"Ib tug yuav tsum xub muab nws tus kheej nrog cov cuab yeej zoo yog tias ib tus xav ua txoj haujlwm zoo."Lub Bard kaw -ntaus hluav taws xob tkoob tshuaj kho mobyog precisely tias"lub zog muaj zog"haum rau ntau hom mob qog noj ntshav. Nws muaj nyob ua rau siab - koob tshuaj hluav taws xob hluav taws xob los hla lub cev ib txwm muaj thiab ncav cuag lub hauv paus ntawm cov qog ncaj qha. Tom ntej no, peb yuav txheeb xyuas daim ntawv thov logic ntawm Bard koob hauv kev kho mob tsib hom mob qog noj ntshav ib los ntawm ib qho.

I. Prostate Cancer: Template-coj "Chessboard" Kev Npaj

Mob qog noj ntshav prostate yog ib qho kev qhia paub txog kev kho mob brachytherapy. Bard tshwj xeeb tsim ib rab koob nrog lub kaw lus ceev ceev, uas zoo kawg nkaus phim rau daim phiaj qauv. Thaum kho, tus kws kho mob, raws li txoj kev npaj ua ntej, tso ib qho tom qab lwm koob Bard ntim nrog iodine-125 hais los ntawm daim tawv nqaij perineal, ntawm lub sijhawm preset (feem ntau yog 5mm lossis 10mm) nyob rau hauv parallel rau prostate. Vim yog qhov nyuaj siab heev thiab qhov tob tob ntawm rab koob Bard, txawm tias cov qog fibrotic uas tau dhau los ua ntau yam punctures tuaj yeem nkag tau yooj yim. Nws qhov tshwj xeeb"rotational tso"mechanism xyuas kom meej tias txhua qhov tuaj yeem raug thawb mus rau lub hom phiaj taw tes, tsim cov koob tshuaj network zoo li Go board layout, zoo kawg nkaus npog tag nrho cov prostate thaum tsis txhob tso zis thiab qhov quav.

II. Cervical Cancer: "Kev Hnia Tuag" ntawm Adjacent Gland Implantation

Rau kev mob qog noj ntshav hauv tsev kho mob hauv zos, cov tshuaj tua kab mob hauv lub cev tuaj yeem tsuas yog kho cov kab mob hauv nruab nrab xwb, tab sis cov qog uas tau kis mus rau lub peritoneum yog dhau mus. Lub sijhawm no, cov koob txhaj tshuaj peritoneal tshwj xeeb tsim los ntawm Bard tuaj rau hauv kev ua si. Cov koob no feem ntau ntev dua (15-20 cm) thiab muaj qhov ntsuas qhov tob uas hloov tau. Hauv qab tshuaj loog, tus kws kho mob ntxig 3-6 koob rau hauv cov ntaub so ntswg peritoneal ntawm ob sab los ntawm cov qauv tsim tshwj xeeb hauv qhov chaw mos. Lub blunt thiab rounded tip tsim ntawm Bard koob tuaj yeem thawb cov hlab ntsha tseem ceeb thiab cov ureters thaum lub sij hawm puncture, txo qhov kev pheej hmoo ntawm los ntshav thiab raug mob. Tom qab ntawd, los ntawm lub tshuab tom qab thauj khoom, cov koob tshuaj iridium-192 tau ua tiav zoo rau hauv cov koob no, ua rau thaj chaw siab hauv thaj tsam peritoneal, xa qhov kev puas tsuaj loj rau cov kab mob qog noj ntshav infiltrating.

III. Mob cancer ntawm lub mis: "Kev kho kom meej" Tom qab lub mis-tso tseg kev phais

Accelerated Partial Breast Irradiation (APBI) yog ib qho kev siv hluav taws xob zoo rau kev kho mob thaum ntxov - mob qog noj ntshav mis tom qab lub mis - txuag kev phais. Qhov tshwj xeeb multi-channel balloon catheter lossis implant koob tsim los ntawm Bard yog lub hauv paus ntawm txoj kev kho no. Tom qab cov qog raug tshem tawm, tus kws kho mob muab lub hollow Bard koob (feem ntau yog 14G-16G) raws phab ntsa ntawm qhov phais kab noj hniav nyob rau hauv ib tug kiv cua-zoo li tus txheej txheem. Qhov kawg ntawm cov koob no raug kaw, tab sis sab phab ntsa ze ntawm qhov kawg muaj ntau qhov sib txawv ntawm cov lus qhia. Thaum qhov chaw tom qab irradiation nkag mus rau hauv rab koob thiab nyob ntawm qhov chaw sib txawv, lub zog hluav taws xob yuav raug tso tawm los ntawm cov qhov no, tsim ib qho"dose plhaub"ua tib zoo adhering rau saum npoo ntawm qhov phais kab noj hniav. Qhov kev tsim no zoo kawg nkaus daws qhov teeb meem ntawm ntau dhau irradiation ntau yam hauv kev siv hluav taws xob sab nraud, uas muaj feem cuam tshuam rau lub plawv thiab lub ntsws. Cov chav kho mob luv luv los ntawm 6 lub lis piam mus rau 5 hnub.

IV. Daim tawv nqaij Cancer: "Lub hom phiaj tshem tawm" Los ntawm Nto irradiation

Rau basal cell carcinoma lossis squamous cell carcinoma uas tsis tsim nyog rau kev phais, Bard muaj ntau cov koob thiab cov ntawv thov rau kev kho qhov chaw. Cov koob no nyias nyias (21G) thiab muaj qhov hloov tau zoo, thiab tuaj yeem ua tau zoo li qub. Cov kws kho mob yuav npaj lawv kom zoo nyob rau hauv ib qho kev cai - ua silicone pwm, thiab tom qab ntawd muab cov pwm rau saum npoo ntawm daim tawv nqaij. Los ntawm tom qab- lub tshuab thauj khoom, cov hluav taws xob hluav taws xob txav rov qab mus rau hauv lub koob, muab cov irradiation zoo ib yam rau cov qog nqaij hlav. Txoj kab uas hla tsis tshua muaj siab ntawm Bard koob ua kom muaj kev nplij siab thiab haum ntawm cov pwm, thiab txawm tias cov qog nqaij hlav nyob rau ntawm qhov tsis sib xws xws li lub qhov ntswg los yog cov ces kaum ntawm lub qhov muag tuaj yeem kho tau zoo, zam kev phais mob.

V. Lub taub hau thiab caj dab hlav: "Kev taw qhia meej" rau cov pos hniav thiab hauv pem teb ntawm lub qhov ncauj

Lub taub hau thiab caj dab cheeb tsam muaj ib tug complex anatomical qauv nrog ntau yam tseem ceeb hauv nruab nrog cev. Daim ntawv thov ntawm Bard koob ntawm no tuaj yeem piav qhia raws li"Ib tug seev cev ntawm lub ntsis riam."Thaum kho tus nplaig hauv paus mob qog noj ntshav, tus kws kho mob yuav ua cov txheej txheem raws li kev siv tshuaj loog, siv cov ntiv tes los coj tus pre- bent Bard koob kom hla mus rau thaj tsam submandibular thiab ncav cuag lub hauv paus ntawm cov qog. Cov cim qhov tob ntawm rab koob pab tus kws kho mob txiav txim siab seb nws puas tau mus txog qib siab. Vim nws zoo heev rigidity thiab ntse txiav lub zog, txawm tias thaum dhau los ntawm cov nqaij ntshiv tuab, nws yuav tsis deviate los ntawm cov kev taw qhia. Tom qab implantation tiav lawm, txoj hauj lwm raug lees paub los ntawm CT scans, thiab tom qab ntawd xa tawm -implantation radiotherapy yog ua. Txoj kev no tuaj yeem txwv tsis pub muaj hluav taws xob ntau heev rau cov qog nqaij hlav, thaum ua kom cov neeg mob cov lus thiab kev nqos tau zoo tshaj plaws.

Hauv kev xaus, qhov ze - cov koob tshuaj tiv thaiv kab mob ntawm Bard yog qhov tsis sib xws. Lawv ua raws nraim li cov yam ntxwv ntawm cov qog nqaij hlav thiab cov qog nqaij hlav sib txawv los ntawm cov khoom sib txawv, qhov ntau thiab tsawg, cov qauv tsim, thiab cov txheej txheem tso tawm, ua tiav tiag tiag."ib koob rau ib tug mob cancer"kev kho tus kheej kom meej.