New Approach to Tumor Treatment:Technical Management Specification for Radiofrequency Ablation of Tumors (I)(Reprint)

Zheng Zhaomin, Department of Minimally Invasive Oncology, Shandong Qianfo Mountain Hospital In order to standardize the clinical application of tumor radiofrequency ablation therapy technology, improve the service level, ensure medical quality and medical safety, and reduce various complications, this specification is formulated. This specification is the basic requirement for medical institutions and their physicians to carry out tumor radiofrequency ablation treatment technology. The tumor radiofrequency ablation treatment technology referred to in this specification refers to the local treatment technology that uses physical methods to directly destroy tumors, excluding other ablation treatment technologies such as microwave, laser, ultrasound, high-frequency electrocautery and freezing. A, the basic requirements of medical institutions (a) medical institutions to carry out tumor radiofrequency ablation therapy technology, should be compatible with its function and task. 1. this technology is limited to the second class A and above hospitals, and has the health administrative department approved the registration of the relevant diagnosis and treatment subjects. 2. the application unit must have independent gastrointestinal surgery, hepatobiliary surgery, thoracic surgery, general thoracic surgery, CT or B ultrasound, etc. Medical imaging-guided liver puncture biopsy, lung puncture biopsy and other technical capabilities. (Medical institutions are required to have tumor radiofrequency ablation equipment system approved by the State Food and Drug Administration for clinical treatment, which mainly includes Cool-tip RF System, Rita System, Radio Therapeutics System, etc. The main electrodes are: ① hollow cooling electrode; ② unfolded multi-hook electrode; ③ perfusion electrode; ④ pulse electrode, etc. 2.There are special rooms for storing tumor RF ablation equipment and storage cabinets for RF treatment needles and accessories. 3. Have image guided technical equipment, such as ultrasound, CT or MRI and medical image management system. Equipped with multi-functional monitors to monitor ECG, respiration, blood pressure, pulse rate and oxygen saturation during the ablation process; capable of performing cardiac, pulmonary and cerebral resuscitation, with oxygen channels, anesthesia machines, defibrillators, suction devices and other necessary emergency equipment and drugs. 5. To carry out laparoscopic tumor radiofrequency ablation treatment technology, it is necessary to have laparoscopic examination and treatment equipment, medical image graphic management system; special storage cabinet for laparoscope and accessories, and a person responsible for registration and storage. 7. Have the facilities and conditions such as operating room rooms corresponding to the development of the technology, and the sterilization and aseptic conditions should meet the corresponding management standards. There are at least two physicians with clinical application ability of tumor radiofrequency ablation therapy technology and other professional and technical personnel who have been trained in tumor radiofrequency ablation therapy related knowledge and technology. (1) Tumor radiofrequency ablation physician 1. obtain “Physician’s Practice Certificate”, the scope of practice for the hospital registered physicians to carry out the application of this technology related to the profession. 2. after the tumor radiofrequency ablation technology training base identified by the Zhejiang Provincial Department of Health system training and assessment qualified. 3. apply for independent B ultrasound-guided tumor radiofrequency ablation technology operation personnel must have attending physician and above professional and technical positions. They must be trained in B-ultrasound-guided tumor radiofrequency ablation technology and have completed 15 cases of B-ultrasound-guided tumor radiofrequency ablation technology operations under the guidance of superior physicians without serious postoperative complications, and only after passing the assessment can they independently carry out B-ultrasound-guided tumor radiofrequency ablation technology. 4. The personnel who apply for independent CT-guided tumor radiofrequency ablation technology must be qualified for professional and technical positions of associate chief physician or above and have more than 5 years of clinical work experience in tumor diagnosis and treatment, and must be trained in CT-guided tumor radiofrequency ablation technology and have the basic concept of tumor-free operation and aseptic operation and its basic technology. He must also complete 15 cases of CT-guided tumor radiofrequency ablation technology operations under the guidance of superior physicians and without serious postoperative complications, and only after passing the evaluation can he independently carry out CT super-guided tumor radiofrequency ablation technology. (2) Other health professionals and technicians (including image guidance, anesthesia, nurses) involved in tumor RF ablation therapy need to undergo systematic training on knowledge and technology related to tumor RF ablation therapy.