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使用二氧化碳冷冻手术探头对子宫肌瘤和子宫内膜进行体外冷冻手术的敏感性。

Susceptibility of uterine myomas and endometrium to cryosurgery using a carbon dioxide cryosurgical probe in vitro.

作者信息

Bodle Julia F, Duffy Sean R G, Binney David M

机构信息

Academic Department of Obstetrics and Gynecology, Saint James's University Hospital, Leeds University, Leeds, UK.

出版信息

J Minim Invasive Gynecol. 2006 Nov-Dec;13(6):500-4. doi: 10.1016/j.jmig.2006.06.012.

DOI:10.1016/j.jmig.2006.06.012
PMID:17097569
Abstract

STUDY OBJECTIVE

To determine the effect of a 9-mm diameter carbon dioxide cryoprobe, the Endocryo, on myomas and endometrial/myometrial tissue in vitro.

DESIGN

Comparative laboratory study (Canadian Task Force classification II-2).

SETTING

University laboratory.

PATIENTS

Women with and without myomas, undergoing hysterectomy.

INTERVENTION

A single 5-minute freeze followed by an active thaw was applied to uterine myomas and endometrial/myometrial tissue in vitro.

MEASUREMENTS AND MAIN RESULTS

Endometrial/myometrial and uterine myoma temperature change was measured continuously during the cryosurgical procedure. Depth of cell death was measured using nicotinamide adenine dinucleotide diaphorase enzyme assay. There was no significant difference in temperature change and depth of cell death between myomas and endometrial/myometrial tissue in vitro.

CONCLUSIONS

The Endocryo produces the same cryosurgical effect on both uterine myomas and endometrial/myometrial tissue in vitro, an important principal for future development of a clinically effective cryosurgical device for the treatment of menorrhagia in the presence of submucous myomas.

摘要

研究目的

确定直径9毫米的二氧化碳冷冻探头Endocryo对体外肌瘤及子宫内膜/子宫肌层组织的作用。

设计

对比实验室研究(加拿大工作组分类II-2)。

地点

大学实验室。

患者

行子宫切除术的有肌瘤和无肌瘤女性。

干预措施

对体外子宫肌瘤及子宫内膜/子宫肌层组织进行单次5分钟冷冻,随后主动解冻。

测量指标及主要结果

在冷冻手术过程中持续测量子宫内膜/子宫肌层及子宫肌瘤的温度变化。使用烟酰胺腺嘌呤二核苷酸黄递酶酶测定法测量细胞死亡深度。体外肌瘤与子宫内膜/子宫肌层组织之间的温度变化及细胞死亡深度无显著差异。

结论

Endocryo对体外子宫肌瘤及子宫内膜/子宫肌层组织产生相同的冷冻手术效果,这是未来开发用于治疗黏膜下肌瘤所致月经过多的临床有效冷冻手术设备的一项重要原则。

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