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氩激光光凝对犬胃黏膜诱导的组织学变化的性质和程度。

Nature and extent of histological changes induced by argon laser photocoagulation in canine gastric mucosa.

作者信息

Kelly D F, Bown S G, Salmon P R, Calder B M, Pearson H, Weaver B M

出版信息

Gut. 1980 Dec;21(12):1047-55. doi: 10.1136/gut.21.12.1047.

Abstract

The tissue changes in canine gastric mucosa caused by exposure to an argon laser beam vary from mild mucosal oedema to complete cell destruction. Intermediate degrees of damage cause an inflammatory cell response with the formation of granulation tissue, particularly in the submucosa. The rate of healing is similar to that after other forms of injury to the gastric mucosa. Cell destruction at the surface of the mucosa starts with energies greater than 8 Joules on any one spot, and occurs at greater depths as the energy is increased but, unless cells are actually destroyed, the extent of histological damage is limited to a zone 1 mm lateral to, or below, the area exposed to the laser beam. Haemostasis is achieved by thermal contraction of bleeding vessels and of the surrounding tissue, thrombosis only occurring as a secondary effect.

摘要

暴露于氩激光束下引起的犬胃黏膜组织变化从轻度黏膜水肿到完全细胞破坏不等。中度损伤会引发炎症细胞反应并形成肉芽组织,尤其是在黏膜下层。愈合速度与胃黏膜遭受其他形式损伤后的愈合速度相似。黏膜表面的细胞破坏始于任何一个部位能量大于8焦耳时,且随着能量增加,破坏会发生在更深的层面,但除非细胞实际被破坏,组织学损伤范围仅限于暴露于激光束区域外侧或下方1毫米的区域。止血是通过出血血管及周围组织的热收缩实现的,血栓形成只是次要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b89/1419410/1728a98fc12e/gut00445-0042-a.jpg

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