Gorbatova Natalya Evgenevna,Горбатова Наталья Евгеньевна,Dorofeev Aleksandr Genrikhovich,Дорофеев Александр Генрихович,Zolotov Sergej Aleksandrovich,Золотов Сергей Александрович,Sirotkin Anatolij Andr
申请号：
RU2016110843
公开号：
RU0002629802C1
申请日:
2016.03.24
申请国别(地区):
RU
年份:
2017
代理人:
摘要：
FIELD: medicine.SUBSTANCE: ultrasound is performed with colour Doppler mapping with determination of hemangioma size and blood filling to determine the required depth of puncture manipulator insertion and the presence of regional vessels. The vascular tumour tissue is simultaneously exposed to laser radiation of two wavelengths of 0.97 mcm and 1.56 mcm, with a total power of 4 W to 10 W, at a ratio of the powers of the wavelengths used of 2 to 1, respectively. First, laser radiation with predetermined parameters is used for skin or mucosa local photodegradation on the formation surface at several point zones, 3-5 mm in diameter. Through the zones processed on the vascular formation surface, the end part of the fiber holder is inserted into the vascular formation tissue - a puncture manipulator with a graduated scale applied to determine the depth of its interstitial injection. Interstitial selective laser photodestruction of hemangioma tissues is performed. At a thickness of formation up to 5.0 mm, laser radiation with power of 4.0 W to 6.0 W is applied. At a thickness of formation from 5,0 mm to 10.0 mm , laser radiation with power of 6.0 W to 8.0 W is applied. At a thickness of formation of more 10.0 mm, laser radiation of 8.0 W to 10.0 W is applied.EFFECT: method provides a radical controlled destructive effect on pathological vascular tissue, including a deeply located zone of the greatest proliferative activity, while maintaining the viability of the surrounding tissue structures.2 cl, 9 dwg, 2 exИзобретение относится к медицине и может быть использовано для лечения патологических сосудистых образований - гемангиом. Проводят ультразвуковое исследование с цветным допплеровским картированием с определением размеров гемангиомы и ее кровенаполнения для установления необходимой глубины введения пункционного манипулятора и наличия региональных сосудов. На ткань сосудистой опухоли одновременно осуществляют воздействие лазерным излучением двух длин волн 0,97 мкм и 1,56
