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[针加热的效果:对正常犬肝脏的研究]

[Effects of needle heating: studies in normal canine liver].

作者信息

Harihara Y

机构信息

Second Department of Surgery, Faculty of Medicine, University of Tokyo, Japan.

出版信息

Nihon Geka Gakkai Zasshi. 1988 Mar;89(3):317-24.

PMID:2839759
Abstract

Hyperthermia has great potential as an anti-hepatic tumor agent because it has not only direct anti-tumor effect by itself but also synergistic effect in combination with radiotherapy or chemotherapy. Focal hyperthermia can be produced by needle-type heater implanted directly into the tumor. Hyperthermic effect of this needle heating and the influence of tissue blood flow on it were studied in normal canine liver. Fifty V heating for 10 minutes (5208 joule) by needle-type heater produced the effective thermal field, 27mm in diameter, above 42 degrees C. Tissue temperature dropped rapidly with the increase of distance from the heater, which reveals that hepatic tumor can be heated selectively by this method. The relation between the tissue blood flow and hyperthermic effect was investigated in the conditions that hepatic perfusion was controlled by clamping either hepatic artery or portal vein, or both of them. The effective thermal volume, 24.4cc, in normal liver tissue with no perfusion was compared with 10.3cc in normal liver tissue with normal perfusion (88.1ml/min/100g), which means that heat delivered in tissue by needle heater is rapidly dissipated by the flowing blood. The microscopical findings one week after heating revealed that normal liver tissue was irreversibly damaged by heating above 46 degrees C for more than 5 minutes.

摘要

热疗作为一种抗肝肿瘤药物具有巨大潜力,因为它不仅本身具有直接的抗肿瘤作用,而且与放疗或化疗联合使用时还具有协同作用。局部热疗可通过直接植入肿瘤的针型加热器产生。在正常犬肝中研究了这种针加热的热效应及其对组织血流的影响。针型加热器在50V下加热10分钟(5208焦耳)产生了直径为27mm、温度高于42℃的有效热场。组织温度随着与加热器距离的增加而迅速下降,这表明通过这种方法可以选择性地加热肝肿瘤。在通过夹闭肝动脉或门静脉或两者来控制肝灌注的条件下,研究了组织血流与热效应之间的关系。无灌注的正常肝组织中的有效热体积为24.4cc,与正常灌注(88.1ml/min/100g)的正常肝组织中的10.3cc进行了比较,这意味着针加热器在组织中传递的热量被流动的血液迅速消散。加热一周后的显微镜检查结果显示,正常肝组织在46℃以上加热超过5分钟会受到不可逆的损伤。

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