Volume 42 Issue 2
Mar.  2012
Turn off MathJax
Article Contents
CHEN Haibin, YANG Zhihuany, NING Xin, LI Xiaoyan. APPLICATIONS OF SHOCK WAVE TO MEDICAL THERAPY[J]. Advances in Mechanics, 2012, 42(2): 186-196. doi: 10.6052/1000-0992-2012-2-20120206
Citation: CHEN Haibin, YANG Zhihuany, NING Xin, LI Xiaoyan. APPLICATIONS OF SHOCK WAVE TO MEDICAL THERAPY[J]. Advances in Mechanics, 2012, 42(2): 186-196. doi: 10.6052/1000-0992-2012-2-20120206

APPLICATIONS OF SHOCK WAVE TO MEDICAL THERAPY

doi: 10.6052/1000-0992-2012-2-20120206
Funds:  The project was supported by the 11th Five-year Plan for Army Medicine and Health Research Fund (06Z035).
More Information
  • Corresponding author: YANG Zhihuany
  • Received Date: 2010-12-16
  • Rev Recd Date: 2011-04-19
  • Publish Date: 2012-03-25
  • Shock wave researches were traditionally developed as an element of high-speed gas dynamics supporting supersonic flights and atmospheric reentry of space vehicles. However, in the past thirty years shock waves have been successfully applied to medical therapy. This paper discusses firstly the operation principles of extracorporeal shock wave lithotripsy (ESWL) and its mechanisms (i.e. stress mechanism, and cavilation mechanism) of noninvasion removal of kidney and urthral stones. Then the effectiveness of ESWL treatment to nonunion bone fracture, false joint, tennis elbow etc. in orthopedic surgery are reviewed. The theories and methods of formation of microexplosionand laser-induced microwater jets are briefly discussed with special attention paid on their applications to cerebral thrombosis revascularization. Relevant experimental setups are also enumerated for introducing DNA/drug and high-speed particles into cells and related results summarized. Besides, the idea underlying the application of shock wave to treat tendons, ligaments and bones on horses or dogs in veterinary medicine is presented. This review proposes finally the key research fields to be further explored, such as the new generation technology of medical shock wave, novel devices for shock wave therapy, and medical applications of shock wave to the cerebral embolism revascularization and gene therapy.

     

  • loading
  • 1 Shrivastava S K. Shock wave treatment in medicine. J. Biosci, 2005, 30(2): 269-275
    2 韩见知, 吴开俊. 体外冲击波碎石技术. 北京: 人民卫生出 版社, 2004. 15-22, 247-248
    3 Toth-Kischkat A. Physical principles of shockwave. In: Proc. of the 3rd Congress of the International Society of Musculoskeletal Shockwave Therapy, Naples, Italy, June,2000
    4 Asgari M A, Safarinejad M R, Hosseini S Y, et al. Extracorporeal shock wave lithotripsy of renal calculi during early pregnancy. Br J Urol, 1999, 84(6): 615-618
    5 孙西钊. 冲击波碎石技术. 上海: 上海交通大学出版社, 2001
    6 Singh I. Impact of power index, hydroureteronephrosis, stone size, and composition on the efficacy of in situ boosted ESWL for primary proximal urethral calculi. Urol, 2001, 58(1): 16-22
    7 Takayama K, Saito T. Shock wave/geophysical and medical applications. Annu Rev Fluid Mech, 2004, 36: 347-379
    8 张泽, 李逊, 夏明义, 等. 复式脉冲低能量体外冲击碎石术治 疗上尿路结石(附717 例报告). 中华泌尿外科杂志, 2004,25(7): 448-449
    9 Valchanou V D, Michailov P. High energy shock waves in the treatment of delayed and nonunion of fractures. Int. Orthop, 1991, 15: 181-184
    10 邢更彦, 井茹芳, 刘树茂, 等. 体外冲击波对骨膜组织骨不连 及骨折延迟愈合的影响. 中华理疗杂志, 1998, 21(6): 331-333
    11 Loew M, Jurgowski W. Initial experiences with extracorporeal shockwave lithotripsy (ESWL) in treatment of tendinosis calcarea of the shoulder. Z Orthop, 1993, 131:470-473
    12 Rompe J D, Burger R, Hogf C, et al. Shoulder function after extracorporal shock wave therapy for calcific tendonitis. Journal of Shoulder and Elbow surgery, 1998,7(5): 505-509
    13 何梓铭. 体外冲击波碎石机临床应用的扩展. 中华泌尿外科 杂志, 1999, 20:127-128
    14 Kodama T, Takayama K, Nagayasu N, et al. Basic study of shock wave revascularization therapy for cerebral embolism. Neurosonology, 1997, 10: 79-83
    15 Kodama T, Takayama K, Uenohara H. A new technology for revascularization of cerebral embolism using liquid jet impact. Phys. Med. Biol, 1997, 42:2355-2367
    16 Hosseini S H R, HiranoT, Onodera O, et al. Study of laser driven underwater shock waves for medical application. In: Proc Jpn Shock Wave Symp. Ed. K Takayama,2000. 613-616
    17 Hirano T, Komatsu M, Saeki T, et al. Enhancement of fibrinolytics with a laser-induced liquid jets. Laser Surg Med, 2001, 29: 360-368
    18 Menezes V, Kanno A, Takayama K. Shock waves for ballistic delivery of DNA droplets into living cells. Int J of Aerospace Innovations, 2009, 1(3): 111-116
    19 Menezes V, Takayama K, Ohki T, et al. Laser-ablationassisted microparticle acceleration for drug delivery. Appl. Phy. Lett., 2005, 87: 163504
    20 Kendal M, Mitchell T J, Costigan G, et al. Downregulation of IgE antibody and allergic responses in the lung by epidermal biolistic microparticle delivery. J. Allergy Clin. Immunol., 2006, 117: 275-282
    21 Morishita R. Adventure of gene therapy into the brain: a New era for cardiovascular gene therapy. Circ. Res.,2000, 87: 719-721
    22 Quinlan N J, Kendall M A F, Bellhouse B J, et al. Investigations of gas and particle dynamics in first generation needle-free drug delivery devices. Shock Waves, 2001, 10:395-404
    23 Johnston S A. Biollstic transformation: microbes to mice. Nature, 1990, 346: 777-778
    24 Bellhouse B J, Quilan N J, Ainsworth R W. Needle-less delivery of drug in dry powder form, using shock waves and supersonic gas flow. In: Houwing A F P, Paul A, Boyce R R, et al. eds. Proc 21st Int Symp Shock Waves.1997. 51-56
    25 Kendall M A F. The delivery of particulate vaccines and drugs to human skin with a practical, hand-held shock tube-based system. Shock Wave J, 2002, 12: 23-33
    26 Jagadeesh G, Kawagishi J, Takayama K, et al. A new micro particle delivery system using laser ablation. In: Lu F. ed. Proc 23rd Int Symp Shock Waves. 2001. 859-866
    27 Pavlov A I. Needle-free drug delivery using shock wave techniques: [Master Thesis]. City-name(State-name): Massachusetts Institute of Technology, 2006
    28 McClure S R, Van Sickle D, White M R. Effects of extracorporeal shock wave therapy on bone. Vet Surg, 2004,33(1): 40-48
    29 Bosch G, de Mos M, van Binsbergen R, et al. The effect of focused extracorporeal shock wave therapy on collagen matrix and gene expression in normal tendons and ligaments. Equine Vet J, 2009, 41(4): 335-341
    30 Komatsu M. Study of applications of shockwaves to medicine: [PhD thesis]. Tohoku: Tohoku Univ, 2002
    31 Vogel A, Busch S. Shock wave emission and cavitation bubble generation by picosecond and nanosecond optical breakdown in water. J. Acoust. Soc. Am., 1996, 100:148-165
    32 Nakagawa A. Application of shockwaves as a treatment modality in the vicinity of brain and skull. J. Neurosurg,2003, 99:156-162
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (1756) PDF downloads(1460) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return