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传统手术刀与二氧化碳激光在实验性肿瘤手术中的对比研究。

Comparative study of conventional scalpel and CO2-laser in experimental tumor surgery.

作者信息

Tuchmann A, Bauer P, Plenk H, Dinstl K

出版信息

Res Exp Med (Berl). 1986;186(5):375-86. doi: 10.1007/BF01852103.

DOI:10.1007/BF01852103
PMID:3099352
Abstract

The study hereby submitted has been designed to show whether there are any differences between using a conventional knife or a CO2-laser when excising and grafting tumors in animal experiments. The animals were C57B1/6 mice, the tumor was the Lewis lung carcinoma. Eight days after tumor inoculation into the s.c. layer of the back, 213 mice were treated by tumor excision either with a conventional knife or a CO2-laser. Eighty-six excised tumors were cut, and the tumor surface was swabbed into the s.c. layer on the nape of 86 tumor-free mice. Survival times of the laser-operated animals were insignificantly longer. However, small tumors showed markedly longer survival times. The interval without recurrence was longer for all tumor sizes when the laser was used (P less than 0.005). The laser method yielded lower growth rates when the tumor surface was swabbed into tumor-free mice (P less than 0.0001). Histological and cytologic tests of the laser-excised and- swabbed specimen demonstrated a high rate of cell destruction. Therefore, the CO2-laser seems to have some significance in cases where the incision is made close to the tumor or where tumor surfaces may be lesioned.

摘要

本研究旨在表明在动物实验中切除并移植肿瘤时,使用传统手术刀或二氧化碳激光是否存在差异。实验动物为C57B1/6小鼠,肿瘤为Lewis肺癌。在将肿瘤接种到背部皮下层八天后,对213只小鼠用传统手术刀或二氧化碳激光进行肿瘤切除治疗。将86个切除的肿瘤切开,把肿瘤表面擦拭物接种到86只无肿瘤小鼠的颈部皮下层。接受激光手术的动物存活时间略长。然而,小肿瘤的存活时间明显更长。使用激光时,所有肿瘤大小的无复发间隔时间都更长(P小于0.005)。当将肿瘤表面擦拭物接种到无肿瘤小鼠体内时,激光法产生的生长率更低(P小于0.0001)。对激光切除并接种的标本进行组织学和细胞学检测显示细胞破坏率很高。因此,在切口靠近肿瘤或肿瘤表面可能受损的情况下,二氧化碳激光似乎具有一定意义。

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1
Comparative study of conventional scalpel and CO2-laser in experimental tumor surgery.传统手术刀与二氧化碳激光在实验性肿瘤手术中的对比研究。
Res Exp Med (Berl). 1986;186(5):375-86. doi: 10.1007/BF01852103.
2
[Scalpel and CO2 laser in the animal experiment. A comparative study of inoculation tumors of the mouse].[手术刀与二氧化碳激光在动物实验中的应用。小鼠接种肿瘤的比较研究]
Langenbecks Arch Chir. 1986;368(2):125-36. doi: 10.1007/BF01273851.
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[Animal experiment comparison of the therapeutic efficacy of tumor excision with a scalpel or with a CO2 laser in subcutaneously implanted Lewis lung cancer].[皮下植入Lewis肺癌后使用手术刀或二氧化碳激光进行肿瘤切除治疗效果的动物实验比较]
Z Exp Chir. 1982 Feb;15(1):38-47.
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Excision of epithelial tumors: CO2 laser versus conventional methods.上皮性肿瘤切除术:二氧化碳激光与传统方法对比
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Laser surgery in gynecological oncology. Part I: Experimental results. Relapse and metastatic behaviour of the Lewis lung carcinoma subsequent to CO2 laser surgery of the primary tumor. An experimental model to compare the effectiveness of various CO2 laser application techniques.妇科肿瘤学中的激光手术。第一部分:实验结果。原发性肿瘤经二氧化碳激光手术后Lewis肺癌的复发和转移行为。一种比较各种二氧化碳激光应用技术有效性的实验模型。
Eur J Gynaecol Oncol. 1990;11(5):331-41.
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Quantitative evaluation of intact peripheral nerve structures after utilization of CO2 laser, electrocautery, and scalpel.二氧化碳激光、电灼术和手术刀使用后完整周围神经结构的定量评估。
J Clin Laser Med Surg. 2001 Jun;19(3):121-6. doi: 10.1089/10445470152927946.

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