Nursal Tarik Zafer, Bal Nebil, Anarat Ruksan, Colakoglu Tamer, Noyan Turgut, Moray Gokhan, Haberal Mehmet
Department of General Surgery, Adana Teaching and Research Center, Baskent University, Dadaloglu Mah. 39. Sok. No. 6, 01250 Yuregir Adana, Turkey.
Am J Surg. 2006 Jul;192(1):76-81. doi: 10.1016/j.amjsurg.2006.01.024.
Research has shown that pulsed electromagnetic fields (EMFs) promote wound healing in experimental colonic anastomosis; however, the effects of static EMFs in this setting have not been investigated to date.
Fifty male Wistar rats were used. Ten served as controls for mechanical strength testing, and the other 40 underwent descending colon resection and anastomosis. Twenty of these 40 animals (M group) had NeFeB magnets placed in contact with the anastomosis site (magnetic field strength at the site 390 to 420 G). The other 20 animals (sham [S] group) had non-magnetized NeFeB bars of the same dimensions and weight implanted. Half of the animals in each group were killed and assessed for healing parameters on postoperative day 3 (M3 and S3 groups) and the other half on postoperative day 7 (M7 and S7 groups). Four types of assessment were done: gross healing, mechanical strength, hydroxyproline deposition, and histopathology.
There were no differences between the M and S animals with respect to gross healing parameters. The mechanical strength was also not different between groups (23.8 +/- 12.7 and 24.7 +/- 9.6 mm Hg for M3 and S3, respectively; P = .863 and 91.3 +/- 65.4 and 94.8 +/- 55.9 mm Hg for M7 and S7, respectively; P = .902). Similarly, hydroxyproline deposition was not different between groups on postoperative day 3 or day 7. On postoperative day 3, the M group had significantly higher scores than the S group for fibroblast infiltration (2.4 +/- 0.7 vs 1.4 +/- 0.7, respectively; P = .008) and capillary formation (2.5 +/- 0.7 vs 0.9 +/- 0.4, respectively; P <.001). However, these effects were reversed and did not endure by day 7.
The study results suggest that static EMF has no effect on experimental colonic wound healing in the rat.
研究表明,脉冲电磁场(EMF)可促进实验性结肠吻合口的伤口愈合;然而,迄今为止尚未研究静态EMF在此情况下的作用。
使用50只雄性Wistar大鼠。10只作为机械强度测试的对照,另外40只进行降结肠切除和吻合术。这40只动物中的20只(M组)将钕铁硼磁体放置在与吻合部位接触处(该部位的磁场强度为390至420高斯)。另外20只动物(假手术[S]组)植入相同尺寸和重量的未磁化钕铁硼棒。每组中的一半动物在术后第3天处死并评估愈合参数(M3和S3组),另一半在术后第7天处死(M7和S7组)。进行了四种类型的评估:大体愈合情况、机械强度、羟脯氨酸沉积和组织病理学。
M组和S组动物在大体愈合参数方面没有差异。各组之间的机械强度也没有差异(M3组和S3组分别为23.8±12.7和24.7±9.6毫米汞柱;P = 0.863;M7组和S7组分别为91.3±65.4和94.8±55.9毫米汞柱;P = 0.902)。同样,术后第3天或第7天各组之间的羟脯氨酸沉积没有差异。术后第3天,M组在成纤维细胞浸润方面的得分显著高于S组(分别为2.4±0.7和1.4±0.7;P = 0.008)以及毛细血管形成方面(分别为2.5±0.7和0.9±0.4;P <0.001)。然而,这些作用在第7天被逆转且未持续存在。
研究结果表明,静态EMF对大鼠实验性结肠伤口愈合没有影响。