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单独及同时进行局部和全身热疗时犬实体瘤温度的比较。

A comparison of temperatures in canine solid tumours during local and whole-body hyperthermia administered alone and simultaneously.

作者信息

Thrall D E, Dewhirst M W, Page R L, Samulski T V, McLeod D A, Oleson J R

机构信息

College of Veterinary Medicine, North Carolina State University, Raleigh 27606.

出版信息

Int J Hyperthermia. 1990 Mar-Apr;6(2):305-17. doi: 10.3109/02656739009141140.

Abstract

Temperature measurements were made in canine solid tumours during whole-body hyperthermia (WBH) alone, local hyperthermia alone and local hyperthermia given simultaneously with WBH. During the plateau phase of WBH alone, mean intratumoral temperature ranged from 41.3 +/- 0.2 degrees C to 41.7 +/- 0.1 degrees C and was statistically lower (P = 0.0028) and more variable than rectal temperature, which ranged from 42.0 +/- 0.02 degrees C to 42.1 +/- 0.03 degrees C. The temperature distribution in solid tumours during WBH is more uniform than during local hyperthermia. The simultaneous administration of whole-body and local hyperthermia in five dogs resulted in increased tumour temperatures in comparison to WBH and in more uniformly increased tumour temperatures in comparison to local hyperthermia alone. Median intratumoral temperatures (+/- 95% confidence intervals) resulting from local hyperthermia alone and local hyperthermia given simultaneously with WBH were 39.9 degrees C (39.7-40.1) and 42.9 degrees C (42.6-43.1), respectively, and were statistically different (P = 0.0012). Local applied power requirements to meet predetermined intratumoral temperature limits were decreased by 50% (P = 0.011) in dogs undergoing combined local/whole-body hyperthermia versus local hyperthermia alone. Dogs tolerated the combination of local and WBH without complication.

摘要

分别在单独进行全身热疗(WBH)、单独进行局部热疗以及局部热疗与WBH同时进行的情况下,对犬实体瘤进行了温度测量。在单独进行WBH的平台期,瘤内平均温度范围为41.3±0.2℃至41.7±0.1℃,与直肠温度相比,在统计学上较低(P = 0.0028)且变化更大,直肠温度范围为42.0±0.02℃至42.1±0.03℃。与局部热疗期间相比,WBH期间实体瘤内的温度分布更均匀。对五只犬同时进行全身和局部热疗,与WBH相比,肿瘤温度升高,与单独进行局部热疗相比,肿瘤温度升高更均匀。单独进行局部热疗以及局部热疗与WBH同时进行时,瘤内温度中位数(±95%置信区间)分别为39.9℃(39.7 - 40.1)和42.9℃(42.6 - 43.1),在统计学上存在差异(P = 0.0012)。与单独进行局部热疗相比,接受局部/全身联合热疗的犬达到预定瘤内温度限值所需的局部施加功率降低了50%(P = 0.011)。犬对局部和WBH联合治疗耐受良好,未出现并发症。

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