Interventional Radiology

 

What is interventional radiology (IR)? 什麼是介入治療 (IR)？

Interventional radiology (IR) is a branch of medicine providing minimally invasive treatments under imaging guidance for a wide range of conditions. Most interventions can be performed through tiny wounds giving the name ‘pinhole surgery’ for our specialty.

Interventions are performed by radiologists - medically qualified doctors who have undergone at least 6 years of postgraduate training – sometimes in collaboration with physicians from other specialties.

The IR division of the Radiology Department of QMH comprises of 12 physicians, radiographers and nurses. We are a tertiary referral centre and accredited training centre in IR under the HK College of Radiology. We provide 24/7 coverage to inpatients in addition to running an outpatient clinic, performing more than 4000 procedure every year.

介入治療（ＩＲ）是一個醫學專科，以影像導航進行微創手術醫治各種疾病。大部分介入治療能以局部麻醉進行，傷口只有幾毫米大，所以又稱為‘針孔手術’。介入治療由放射科醫生主刀，有時會與其他專科醫生合作進行。

瑪麗醫院放射科介入團隊共有12名放射科醫生，以及放射師和護士。我們是醫管局的三級轉介中心和香港放射醫學院的高級專科訓練中心，團隊每年進行超過4000宗手術，提供門診服務和24/7的緊急服務。  

 

Conditions commonly treated by QMH IR: 什麼病能作介入治療？

 

Cancer/ Interventional Oncology 癌症：

 
  • 1. Image guided biopsy of tumours for diagnosis 抽組織確診
  • 2. Radiofrequency, microwave and cryo-blation of a variety of tumours, e.g. liver, kidney and thyroid.  腫瘤消融手術，例如射頻消融，微波消融，可以治肝癌，腎癌等。
  • 3. Transarterial chemotherapy and embolization of a variety of tumours, e.g. liver  動脈化療/堵塞手術（俗稱大髀針），可以治肝癌，腎癌等。
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    Gut and liver 腸胃肝病:

     
  • 1. Image guided abscess drainage  膿腫引流
  • 2. Biliary drainage  膽汁引流
  • 3. Treatment of transplantation complications, e.g. vascular stenosis, occlusion - 肝移植變症治療，例如血管駁口位收窄,栓塞
  • 4. Gastrostomies 胃造口術
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    Reproductive organs 婦科/泌尿科病：

     
  • 1. Uterine fibroids   子宮肌瘤動脈堵塞手術
  • 2. Pelvic congestion 骨盆充血
  • 3. Pregnancy complications eg. bleeding  分娩大出血
  • 4. Urinary obstruction and stones disease.  尿引流
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    Blood vessels 血管病：

     
  • 1. Creation of vascular access, e.g. central venous catheter insertion, dialysis access creation  靜脈導管，例如PICC, Hickman, Port-a-cath導管
  • 2. Thoracic aortic aneurysm repair  大動脈瘤治療
  • 3. Blockage of arteries  血管畸形  血管栓塞
  • 4. Bleeding from vessels.  動脈出血
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    Brain and spine 腦血管病：

     
  • 1. Acute ischaemic stroke  缺血性中風
  • 2. Brain aneurysms  腦血管瘤
  • 3. Brain arteriovenous malformations and fistulae  腦血管畸形，瘘管
  • 4. Cerebral venous thrombosis 腦靜脈血栓形成
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    Bones and joint 骨和關節病：

     
  • 1. Vertroplasty/ Kyphoplasty  椎体成形术
  • 2. Spinal injections  脊椎/關節注射
  • 3. Joint injections  脊椎/關節注射
  • 4. Ablation of bone and soft tissue tumours  骨腫瘤消融
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    How can I get treated by IR? 我怎樣能接受介入治療?

    We accept referrals to our IR clinic in H1, Main Block, Queen Mary Hospital from all medical professionals. Referral letters can be faxed to our department. Please discuss with your GP or specialist physician if you condition is treatable by IR. Further information can be obtained from the Hong Kong Society of Interventional Radiology (HKSIR) website.

    請與你的普通科和專科醫生查詢你的病症是否合適接受放射介入治療。 我們的在於瑪麗醫院主座H1的介入門診接受所有醫生的轉介信。 你亦可以在香港介入學會(HKSIR)網站找到更多的資訊。(http://www.hksir.org.hk/)