Interventional therapy is the third major treatment method alongside medical treatment and surgical treatment. The reporter learned that because of its advantages of small trauma, safety, high efficiency, wide indications and few complications, it has become the preferred treatment method for many diseases.
"There are still relatively few hospitals in Shantou that can carry out interventional technology, and the development of this technology at the grassroots level is relatively slow." Zhu Guolian, deputy director and deputy chief physician of the Minimally Invasive Tumor Rehabilitation Center of The People's Hospital of Chenghai District, Shantou City, introduced that the center is currently characterized by "minimally invasive intervention", so that the treatment technology of minimally invasive intervention can benefit the grass-roots level.
In addition, the center has achieved full coverage of tumor treatment projects, and filled the regional medical gap by carrying out the diagnosis and standardized and diversified treatment of various tumor diseases, bringing good news to cancer patients in the region.
After the launch of the Minimally Invasive Cancer Rehabilitation Center, it has brought more diagnosis and treatment services to the grass-roots people in Chenghai District through free clinics and other activities. Courtesy of respondents
Interventional therapy is precise and minimally invasive
"Surgical treatment depends on surgery, internal medicine treatment relies on drugs, and interventional medicine is in between, which means intervention from the name." Zhu Guolian told reporters that intervention refers to the natural seed path of the human body such as the digestive tract and trachea without surgery, or the opening of a tiny wound of about 1-3 mm on the skin, through the blood vessel or without the guidance of the imaging monitoring equipment (DSA, CT, magnetic resonance and ultrasound, etc.), directly to the lesions with problems or suspected problems, and carry out missile-like "precision strikes".
Compared with traditional surgical procedures that produce large incisions such as open abdomen and open chest, the outstanding advantages of interventional treatment are one in precision and the other is minimally invasive. Zhu Guolian said that the interventional treatment "mission will be achieved, the whole body is free of mail", and can better avoid the key points, the treatment process does not require surgery and general anesthesia.
In terms of specific applications, interventional therapy can be divided into vascular intervention and non-vascular intervention. Zhu Guolian said that interventional treatment is "hemostasis". Rupture of blood vessels is one of the common problems of blood vessels, which can cause hematemesis, blood in the stool, hemoptysis, blood in the urine, nosebleeds, uterine bleeding, traumatic bleeding, iatrogenic bleeding and other symptoms. If not treated in a timely and effective manner, it can often lead to hemorrhagic shock or even death. Interventional physicians use DSA devices to accurately locate bleeding blood vessels and block them through interventional embolism, which can effectively stop bleeding, thereby saving countless patients with bleeding diseases.
For common female diseases such as uterine fibroids and adenomyosis, conservative medical treatment can only alleviate symptoms, while radical treatment has previously required gynecological surgical resection, both of which are difficult choices for women with fertility needs. The gynecological interventional treatment supplies blood arteries by embolizing fibroids and adenomyosis foci, so that it ischemic atrophy, the effect is exact, the trauma is small and fast, and it has long been included in the guidelines at home and abroad.
Postpartum haemorrhage is a serious complication during childbirth and the leading cause of maternal mortality on the mainland. When conservative medical treatment is ineffective, it is necessary to save lives at the expense of removal of the uterus, but minimally invasive interventional therapy not only succeeds in saving the patient's life, but also preserves the uterus and preserves fertility.
For abdominal aortic aneurysms and dissected aneurysms, traditional open surgery is traumatic, has many complications and has high mortality. Interventional endovascular repair can also effectively isolate aneurysms, without the need for large surgery, using double sutures, leaving only 8 mm incisions, and has become the preferred treatment for aneurysms.
Add equipment and attract talents to improve the level of treatment
It is understood that at present, the interventional department of the hospital is equipped with 1 DSA equipment, and the hospital is equipped with a number of advanced specialty treatment equipment such as multi-row spiral CT equipment, particle implantation system, tumor microwave and radio frequency ablation system, body cavity thermal perfusion system, and in vitro high-frequency hyperthermia machine; most of the peripheral vascular interventional surgery and tumor interventional surgery have been carried out.
Zhu Guolian introduced that in recent years, the hospital has strengthened the strength of interventional treatment through the introduction of equipment and personnel construction, and while sending doctors to study and study, it has cooperated with provincial hospitals such as Sun Yat-sen University Cancer Hospital to continuously improve the level of tumor treatment.
At the end of November 2019, the hospital's Minimally Invasive Tumor Center was launched, and the development of minimally invasive interventional surgery was also promoted. On April 28, 2021, the hospital's interventional operating room officially ushered in the "era of intervention". On November 14 of the same year, the hospital undertook the third session of the Guangdong Eastbound Journey of Minimally Invasive Interventional Tumors - walked into Shantou and the Comprehensive Interventional Training Course for Minimally Invasive Interventional Oncology, and divided into two special sessions of Minimally Invasive Interventional Oncology and Colorectal Cancer Treatment to discuss and exchange experience in tumor treatment. On December 17 of the same year, under the leadership and guidance of the Health Committee of the Guangdong Chao federation, the minimally invasive cancer rehabilitation center of the hospital conducted the first trial operation of multidisciplinary telemedicine consultation for difficult cases, which provided a useful attempt to assist hospitals in Chaoshan area to deal with difficult cases, improve the diagnosis and treatment capacity of difficult and serious diseases, and build a referral channel for difficult cases.
Zhu Guolian said that in the past two years or so, the tumor minimally invasive rehabilitation treatment center has received all-round expert assistance through two-way referral and expert remote consultation, and a number of new technologies have blossomed, and the comprehensive service capability has been rapidly improved. "We want to make it possible for patients to run to only one hospital." He believes that minimally invasive intervention has more room to play in the comprehensive treatment of tumors in primary medical units, and hopes that through the continuous construction of the center, local people can easily enjoy high-end specialized medical services at the "doorstep".
[Reporter] Wang Hanqi
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【Author】 Wang Hanqi
【Source】 Southern Press Media Group South + client