高强度聚焦超声治疗麻醉方式的分析

Anesthesia management of the high intensity focused ultrasound therapy

目的:小结高强度聚焦超声(High intensity focused ultrasound,HIFU)治疗麻醉方式的进展及其特点。方法:就我院1999～2006年1248例不同部位实体肿瘤高强度聚焦超声治疗麻醉方式进行回顾性分析。结果:各部位治疗麻醉均采取传统手术方式:上肢、胸部、肝脏、胆囊、胰腺肿瘤多采用气管插管全身麻醉,肾脏、子宫卵巢、下肢肿瘤多采用连续硬膜外麻醉方式。结论:该治疗采用气管插管全身麻醉,是目前更为安全有效的方式,不仅有助于维持血流动力学稳定,充分氧供和完善的镇痛、镇静、肌松,而且还可确保病人舒适、安全。

Objective：To summarize the development and characteristic of the anesthesia management of the High Intensity Focused Ultrasound therapy. Methods：1 248 cases from 1999 to 2006 were analyzed retrospectively about the anesthesia management of the High Intensity Focused Ultrasound therapy. Results：Traditional anesthesia management were taken in the most cases：About the tumors at the upper limb,chest,epigastric zone,general anesthesia with tracheal intubation was taken in the most cases,at the kidney,uterus,ovaries and lower limbs,continuous epidural anesthesia was taken. Conclusion：General anesthesia with tracheal intubation is a safe and effective style for the therapy,which makes for the stabilization of the hemodynamics,sufficient oxygen supply,consummate analgesia,sedation and musle relaxation,and ensures the comfortable and security of the patients.