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局部微波热疗后恶性肿瘤的氧合作用。

Oxygenation of malignant tumors after localized microwave hyperthermia.

作者信息

Vaupel P W, Otte J, Manz R

出版信息

Radiat Environ Biophys. 1982;20(4):289-300. doi: 10.1007/BF01323754.

DOI:10.1007/BF01323754
PMID:7146320
Abstract

The oxyhemoglobin saturation (HbO2) of single red blood cells within tumor microvessels (diameter: 3-12 micrometers) of DS-Carcinosarcoma was studied using a cryophotometric micromethod. In untreated control tumors (mean tissue temperature approx. 35 degrees C) the measured values scattered over the whole saturation range from zero to 100 sat. %, the mean being 51 sat. %. Upon heating at 40 degrees C for 30 min, the oxygenation of the tumor tissue significantly improved as compared with control conditions. After 40 degrees C-hyperthermia a mean oxyhemoglobin saturation of 66 sat. % was obtained. In contradistinction to this, after 43 degrees C-hyperthermia the tumor oxygenation was significantly lower and reached a mean HbO2 saturation value of 47 sat. %. A further temperature rise to 45 degrees C caused the oxygenation to drop drastically (mean oxyhemoglobin saturation value: 24 sat. %). This is due to a severe restriction of nutritive blood flow. The changes in tumor oxygenation after hyperthermia seem to be predominantly mediated through changes in tumor blood flow, including tumor microcirculation, which showed a similar temperature dependence. Metabolic effects probably play a minor role in the oxyhemoglobin saturation distribution within tumor microvessels.

摘要

采用低温光度显微法研究了DS-癌肉瘤肿瘤微血管(直径:3 - 12微米)内单个红细胞的氧合血红蛋白饱和度(HbO2)。在未经治疗的对照肿瘤(平均组织温度约35℃)中,测量值在从零到100饱和%的整个饱和度范围内分散,平均值为51饱和%。在40℃加热30分钟后,与对照条件相比,肿瘤组织的氧合显著改善。40℃热疗后,平均氧合血红蛋白饱和度为66饱和%。与此相反,43℃热疗后肿瘤氧合显著降低,平均HbO2饱和度值达到47饱和%。进一步升温至45℃导致氧合急剧下降(平均氧合血红蛋白饱和度值:24饱和%)。这是由于营养性血流的严重受限。热疗后肿瘤氧合的变化似乎主要通过肿瘤血流的变化介导,包括肿瘤微循环,其显示出类似的温度依赖性。代谢效应可能在肿瘤微血管内氧合血红蛋白饱和度分布中起次要作用。

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1
Oxygenation of malignant tumors after localized microwave hyperthermia.局部微波热疗后恶性肿瘤的氧合作用。
Radiat Environ Biophys. 1982;20(4):289-300. doi: 10.1007/BF01323754.
2
Impact of localized microwave hyperthermia on the oxygenation status of malignant tumors.局部微波热疗对恶性肿瘤氧合状态的影响。
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Changes in tumor oxygenation after localized microwave heating.局部微波加热后肿瘤氧合的变化。
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Integrating Hyperthermia into Modern Radiation Oncology: What Evidence Is Necessary?将热疗纳入现代放射肿瘤学:需要哪些证据?
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Tumour thermotolerance, a physiological phenomenon involving vessel normalisation.肿瘤耐热性,一种涉及血管正常化的生理现象。

本文引用的文献

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10
Acute changes of systemic parameters in tumour-bearing rats, and of tumour glucose, lactate, and ATP levels upon local hyperthermia and/or hyperglycaemia.荷瘤大鼠全身参数的急性变化,以及局部热疗和/或高血糖时肿瘤的葡萄糖、乳酸和ATP水平的变化。
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Circulatory and metabolic responses of malignant tumors during localized hyperthermia.局部热疗期间恶性肿瘤的循环和代谢反应
J Cancer Res Clin Oncol. 1980;98(1):15-29. doi: 10.1007/BF00413173.
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Physiological effects of hyperthermia: response of capillary blood flow and structure to local tumor heating.热疗的生理效应:毛细血管血流及结构对局部肿瘤加热的反应。
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The effect of hyperthermia on vascular function, pH, and cell survival.热疗对血管功能、pH值和细胞存活的影响。
Radiology. 1980 Dec;137(3):795-803. doi: 10.1148/radiology.137.3.7444064.
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Alterations in tumor microvasculature during hyperthermia.热疗期间肿瘤微血管的改变。
Radiology. 1980 Nov;137(2):515-21. doi: 10.1148/radiology.137.2.7433685.
9
Intracapillary oxyhemoglobin saturation in malignant tumours with central or peripheral blood supply.具有中央或外周血供的恶性肿瘤内毛细血管氧合血红蛋白饱和度
Eur J Cancer (1965). 1980 Feb;16(2):195-201. doi: 10.1016/0014-2964(80)90151-6.
10
Intracapillary oxyhemoglobin saturation of malignant tumors in humans.人体恶性肿瘤的毛细血管内氧合血红蛋白饱和度
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