Radiate the particle to plant into: Management reflects " Catch and enlarge small "

Radiate the particle to plant into: Management reflects " Catch and enlarge small "
Staff reporter Li TianShuPlant the radioactive source into tumour, let it release the ray in order to destroy tumour continuously. This kind is called " The radioactive particle is planted into treating " New technology,yes our country clinical practice already nearly 9 years.Plant into the miniature radioactive source in patient's body, let this technology have high risk. This technology becomes Ministry of Public Health " Strict control " Clinical technological one of. The clinic which Ministry of Public Health allowed to launch in the first batch should be used in the third kind of medical technology not long ago, the radioactive particle is planted into the treatment technology and included in it, and issued>(hereafter referred to as " norm ") ,Define that has stipulated what hospitals, what doctors can launch the skill of this proficiency.As to this, the third hospital Professor Wang JunJie in Peking University points out: "To put it briefly, just encourage the big expert of large hospital to launch this technology, and restrict small hospital doctor at the basic level. "Can't want to plant and plant"The regulation of Ministry of Public Health, the thinking of management mainly reflected ' catches small and enlarges '. " Wang JunJie tells reporters." norm " has put forward the clear requirement for the medical organization planting into the treatment technology the radioactive particle, stipulate it must be the tertiary hospital or tumour section hospital, have surgery, oncology department, get involved or achieve and treat discipline a little at the same time, have images lead the technical equipment ' For instance CT, nuclear magnetic resonance imaging, supersound, inner mirror,etc.) With treating the planning system. Moreover, its level of department of implementing this technology specifically should reach the key department's technical standard of the tertiary hospital relevant speciality, in leading position in this tertiary hospital of province, autonomous region and municipality directly under the Central Government.Regulation at the same time of " norm ", launch doctor of technology this want more than tumour to get involved department, radiotherapy, nuclear medicine dept., internal medicine - oncology, the intersection of clinic diagnosis and experience, tumour of surgery for 10 years, have associate professor of treatment and the above professional title for technical personnel.The expert points out, the entry to personnel and organizations is so strict, because this technology lacks corresponding norm and guide in initial stage of launching, lacking the supervision means even more, doctors do not have strict training on duty, technology appears to abuse the phenomenon for a time, especially the enlargement and planting and entering the particle dosage to hold uncompletely of indication, lead to the fact complication appears.It is reported, nearly nearly 500 hospitals, thousands of doctors know and launch this technology in the whole country at present. After Ministry of Public Health " norm " issues, many hospitals and young doctors at the basic level will be blocked on " door " Outside.Come according to the procedure strictly"The particle is planted into technology can't wade across the stream by feeling the way, come according to the procedure strictly. " Professor of Zhongshan University tumour hospital Zhang FuJun introduces, " norm " is very detailed to the technological regulation, require, make radioactive particle, treat plan strictly in front of the skill, treat and plan to prove and assess according to the operation regulation requirement while being postoperative, set up tumour and radioactive particle to plant into treating, following up a case by regular visits to the system at the same time, and follow up a case by regular visits to, record according to the regulation.FuJun Zhang say, launch radioactive particle plant doctor of treatment technology into, need, strictly observe tumour, make a diagnosis technological operation regulation and guide of making a diagnosis, according to patient's condition, are under the charge of patient a doctor, radioactive particle treat a doctor, treats and plans to make personnel to make the healing solution, grasp the radioactive particle and treat indication and taboo disease strictly. In addition, medical organization and doctor will accept regularly the radioactive particle will be planted into the clinical practice ability of the treatment technology and assessed, including the case is chosen, success rate of surgery, serious complication, medicine complication, the quality of surviving the situation, postoperative patient management, patient happens in the malpractice, follow up a case by regular visits to situation and case history quality etc..Wang JunJie points out, it is the important supplement means with regular and therapeutic tumour that the radioactive particle is planted into the treatment technology, "has already shifted the patient recuring as to some, surgery or radiotherapy operation meaning is not big, it is the technology that is worth adopting that the particle is planted into. The reason that this technology is worth popularizing still lies in, have achieving a little, operate easily, such characteristics as patient's tolerance is good. "It is reported, besides prostate cancer at present, rectal cancer, pancreas cancer, early breast cancer and lung cancer unable to perform the operation to excise because of internal medicine department and taboo disease that can't be excised in some later period recuring, also can choose the radioactive particle to plant into the technological treatment.But the expert emphasizes, when there are good choicesing, the radioactive particle is planted into the treatment technology and does not recommend first choosing to use.In 2007, Chinese Anti-Cancer Association establishes tumour to be created and treated the professional committee particle and treated the branch a little. Wang JunJie introduces, one of the important missions of the branch, just let the radioactive particle plant into the treatment technology to march toward the standardized orbit.Control the radioactive source strictlyThe particle is planted into the treatment technology to involve the radioactive source, its core is to radiate the particle. It was a material known as iodine 125 that used clinically now. The small sun of particle only portrait of each iodine 125, its ray near centre is the strongest, can reduce to the damage organized normally to the greatest extent.Zhang FuJun introduces, because of involve radioactive source, " the norm " require medical organization must have food pharmaceuticals administration class II and the above radiates medicines and uses the licence in whom department authorize, and implement the safeguard procedures according to the standard formulation of national relevant radioactive protection.In addition, the medical organizations of all development, this technology, will all set up purchase, storage, use, relevant system retrieved of the radioactive particle, set up radioactive particle and use and register the file, set up the radioactive particle putting in storage, resignation system of stock, delivery of cargo from storage, guarantee the source whereabouts of radioactive particle can be traced back to. Set up the emergency preplan that radioactive particle offers as a gift the situation of falling, losing, leaking etc. at the same time. The doctor who launches this technology needs to accept training of radioactive shelter, environment assessment regularly according to the regulation too. After implementing the operation, the patient wants to stay and preserve the penetrating relevant qualified documentary evidence of particle in the case history in hospital.FuJun Zhang emphasize because of draft, so some concrete regulation may have fine setting, but will not change technical management and thinking of the entry.ChainingRadioactive particle plant treatment technology into, rely on the stereoscopic directional system plant the radioactive particle into tumour in the body accurately mainly, sends out the radioactive rays of sustaining, short distance, make tumour organize being wounded to the greatest extent through the miniature radioactive source, the normal organization does not damage or only small and damage. The expert thinks, compare other tumour treatment technologies, the radioactive particle is planted into the high, difficulty and big of technological content of the treatment technology. But because plant into the human body directly, and the radioactive source, should hold indication strictly.In fact, the particle is planted into can trace back to the beginning of last century to treat. In 1909 for a long time, radium of Paris of France radiated the biology laboratory and utilized the conduit, shelly radium of bags will be put into the prostate, treat prostate cancer at short range after finishing the first. But early technology grasps improperly because of the dosage, will cause patient's rectum to damage seriously, so it is not extensive to use. Until 1931, Swedish researchers put forward the concept of close quarter treatment, and invented the dosage form computing technology, have just lowered the complication risk. In the seventies of last century, New York of U.S.A. commemorated the hospital opened to organize a iodine particle to be planted and treated the beginning of prostate cancer behind the pubic bone, have formed the therapeutic foundation of close quarter of prostate cancer of today. At present, radioactive particle plant into, treat early the intersection of prostate and cancer, already become standard treatment means in U.S.A. country, its therapeutic idea has been approved gradually too at home.In November of 2001, professor of Peking University third hospital Wang JunJie planted into the skill the first prostate cancer and radioactive particle in our country.With the enhancement of health consciousness, people pay more and more attention to with the life closely bound up health problem, such as the food security, medical treatment is ensured, medical information,etc., healthy life should be from understanding information begins!More excellent health information please enter:News channel
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