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新时代新作为新篇章|手握鼠标,上海医生“隔空烧掉”病灶

2019-10-16 陈斯斯 澎湃新闻

上海医生许永华手握鼠标,犹如握着一把无形的手术刀,眼睛盯着电脑屏幕前的超声影像,对准影像中出现的肿瘤组织,一个个实现“定向爆破”,消灭肿瘤。这是10月14日发生在上海国际医学中心的一幕。当日下午2时,世界首例5G海扶刀远程手术由许永华操刀进行。在他面前的,是被覆盖5G网络的远程操控平台。此时正在接受治疗的44岁子宫肌瘤患者,正躺在距离上海国际医学中心约30公里的徐汇区中心医院的手术台上。手术中,许

上海医生许永华手握鼠标,犹如握着一把无形的手术刀,眼睛盯着电脑屏幕前的超声影像,对准影像中出现的肿瘤组织,一个个实现“定向爆破”,消灭肿瘤。

这是10月14日发生在上海国际医学中心的一幕。

当日下午2时,世界首例5G海扶刀远程手术由许永华操刀进行。在他面前的,是被覆盖5G网络的远程操控平台。

此时正在接受治疗的44岁子宫肌瘤患者,正躺在距离上海国际医学中心约30公里的徐汇区中心医院的手术台上。

手术中,许永华通过鼠标远程操控治疗设备,向患者体内发射超声波,仅仅历经1小时,患者体内的5个子宫肌瘤就全部被消融。

值得一提的是,在此次手术中运用的海扶刀治疗设备,拥有中国自主知识产权,如今已经出口到法国、意大利、新加坡等30多个国家和地区。这套国产医疗设备,使得肿瘤患者的手术费用大大下降,而这项手术技术也是由中国首创。

在上海国际医学中心,主刀医生手握鼠标,远程操控海扶刀治疗设备,向远在30多公里外的患者体内发射超声波,开展子宫肌瘤消融治疗。  顾佳伟 图

“海扶刀”又称“超声聚焦刀”,它并不是一把刀,这是一种不需要切开皮肤、不需要穿刺,也不需要全身麻醉,就可以杀灭体内肿瘤的新技术,也有人称之为“无创手术”。

许永华告诉记者,海扶刀治疗的原理很简单,就像太阳光可以通过凸透镜聚焦,用瞬时的高温烧死被凸透镜照射的蚂蚁一样,“超声波也可以聚焦,还可以安全地穿透身体,聚焦的地方就犹如一把刀的‘刀尖’,可以形成65℃~100℃瞬间高温,同时发挥超声波的固有特性,最终会导致组织凝固性坏死,破坏治疗区的组织,坏死的组织可逐渐被吸收或变成瘢痕。”

超声影像图中的右图中,绿色小圆点可定位肿瘤,实现“定向爆破”。顾佳伟 图

这名接受治疗的患者为44岁女性,患有子宫肌瘤6年,肿瘤数量达到5个,最大肿瘤直径达4.8公分,耗时最久,大约需要20分钟。而总的手术时间历经1小时,术后2小时,她便能随意下床行走。

对于这一创新应用,许永华坦言,如果在4G网络下开展这一手术,可能因延时存在聚焦不精准的情况,而5G突破了时空限制,5G的低时延、高速度,会让医生有一种身临其境的感觉,有了5G,也让专家技术无限拓展,更多的患者无需奔波即可远程开展这一手术。

他进一步表示:“从目前来看,海扶刀这一无创手术的安全性也是很高的,是一种绿色治疗方式,但治疗的患者需要经过评估后才能开展,而这一技术目前也纳入医保。”

细细追究,这项技术和设备全部由中国人自主研发,是真正意义上的“中国创造”。

10月14日,世界首例5G海扶刀远程手术在上海国际医学中心顺利完成。 上海国际医学中心 供图

中国在这项治疗技术上领先全球,也经历了20多年的临床应用。

早在1997年,世界第一例海扶刀治疗骨肿瘤就在重庆完成,1998年这项技术还应用于乳腺肿瘤消融,在2001年,海扶刀治疗子宫肌瘤被应用于国内临床,而美国FDA于2004年也批准这一手术应用于子宫肌瘤。

上海国际医学中心副院长柴小军表示,海扶刀不仅仅可以治疗子宫肌瘤,其他诸如骨肿瘤、肝癌、胰腺癌、乳腺癌等均可治疗,在中国这项技术的适应证逐步在扩大。

“海扶刀扎根中国的同时,也走向了世界,产品出口英国、德国、韩国、日本、意大利、西班牙等多个国家及地区,获得了130余项国际发明专利。”柴小军表示。

此次5G远程手术的成功,也标志着5G远程手术商用项目即将诞生。未来,这一5G远程手术计划在全球范围内推广。

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    2019-10-16 飛歌

    学习了,很有用,厉害了

    0

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