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体外冲击波碎石焦点区域的时域有限差分法数值仿真

Finite Difference Time Domain Numerical Simulation in Extracorporeal shock wave lithotropisy Focal Region

中文摘要英文摘要

体外冲击波碎石(Extracorporeal shock wave lithotropisy,ESWL)法是应用人体外发射的高强度脉冲超声波或冲击波,在人体内的焦点区域形成的冲击波破碎人体泌尿系统结石,被破碎的结石碎片随尿液排出体外的泌尿外科结石症疗法。这种疗法被广泛地应用于泌尿外科结石症治疗之中。但是,ESWL治疗过程中有时会引发尿血、肾血肿、肾破裂等并发症。ESWL形成的焦点区域形状、大小、位置和声压分布等是影响其治疗效果的主要因素之一。本论文利用笔者等以前提出的FDTD(Finite Difference Time Domain)超声波非线性传播的仿真法,以实际Reichenberger的ESWL实验为例建立仿真模型,数值仿真了ESWL超声波非线性传播过程,研究ESWL焦点附近的声压分布、焦点区域的大小、形状、位置及人体组织对焦点区域的影响。

In extracorporeal shock wave lithotripsy (ESWL), high intensity ultrasonic pulse or shock wave is generated outside the human body, and focused via water to human body. Kidney and ureter stones are crushed by shock wave in focus, and discharged out of human body by urine. ESWL has come into wide use. However, when crushing stone in human body by ESWL, it often happens to complications, such as bloody urine hematoma and kidney explosion, one of the main factors is size, form, position of focal region and the sound pressure distribution in ESWL. This study analyzes ultrasonic pulse nonlinear propagation using ultrasonic nonlinear propagation simulation FDTD (Finite Difference Time Domain) method proposed before the author, according with the calculation model for Reichenberger’s practical ESWL, and simulates the process of ultrasound nonlinear propagation and sound pressure distribution of focus neighborhood, size, form, position of focal region and the influence by human tissues is studied.

菅喜岐、谭中、史启铎、刘东顺、王建民

医学研究方法基础医学声学工程

体外冲击波碎石FDTD脉冲超声波的非线性传播

Extracorporeal shock wave lithotripsyFDTDUltrasonic pulse nonlinear propagation

菅喜岐,谭中,史启铎,刘东顺,王建民.体外冲击波碎石焦点区域的时域有限差分法数值仿真[EB/OL].(2006-10-09)[2025-08-16].http://www.paper.edu.cn/releasepaper/content/200610-63.点此复制

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