超声内镜引导下钬激光对裸鼠胰腺原位种植瘤消融效果的实验研究
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1.东方肝胆外科医院内镜科;2.上海长海医院消化内科;3.福建福州军区总医院消化内科

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EUS-guided holmium laser ablation of pancreatic primary implantation carcinoma in nude mice: An in vivo study
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eastern hepatobiliary hospital

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    摘要:

    目的:本研究的主要目的是探索超声内镜引导下钬激光对裸鼠胰腺原位种植瘤消融治疗的有效性,为超声内镜引导下钬激光对肿瘤的消融治疗应用于临床提供实验基础。方法:选取4-6周龄的雄性balb/c裸鼠20只,将胰腺癌细胞株SW1990接种至裸鼠胰腺,构建裸鼠原位种植瘤模型,随机分配裸鼠成2组,每组10只,实验组给予超声内镜引导下钬激光的消融治疗,对照组不给予任何治疗。于治疗后第7天,第14天和第28天予超声内镜下测量实验组及对照组裸鼠肿瘤的大小,观察裸鼠活动、食欲等变化。解剖裸鼠,取出肿瘤,行HE染色显微镜下观察胰腺肿瘤组织的病理变化。结果:所有裸鼠均可耐受超声内镜引导下钬激光的消融治疗,实验组裸鼠术后无明显不适反应,精神状态、活动量及食欲较好,对照组裸鼠精神状态逐渐恶化,身材极度消瘦,消融后28天实验组裸鼠肿瘤体积缩小,对照组裸鼠肿瘤增大,两组肿瘤体积的变化差异具有统计学意义,钬激光的治疗疗效大约持续28天左右。HE染色可见消融部位呈凝固性坏死。结论:超声内镜引导下钬激光对裸鼠原位种植瘤的消融治疗是有效的,治疗疗效大约持续28天,主要引起肿瘤组织的凝固性坏死。

    Abstract:

    Aim: The purpose of this study is to explore the use of holmium laser in gastroenterology: the effectiveness of EUS-guided holmium laser ablation to pancreatic primary implantation tumor in nude mouse, in order to provide the experiment evidences of clinical practice of holmium laser. Methods: Twenty 4-6-week male nude mice were chosen and the pancreatic cancer cell line SW1990 was vaccinated into the pancreas of nude mice. Then the vaccinated nude mice were evenly divided into two groups randomly: the treatment group and the control group. The treatment group mice were underwent the EUS-guided holmium laser ablation to the pancreatic tumor. And no preventions were given to the control group. The volume of the tumors of the two groups were measured under EUS at below time points: 7d, 14d and 28d after ablation. The activities, appetites and psychosis of all nude mice were evaluated in the meantime. At 28d after ablation, all the nude mice were dissected and the lesion of pancreas was complete sliced for H&E staining. Result: All the nude mice could tolerate the procedure. There were no complications in the treatment group mice. The figures of the control groups mice were extremely emaciate. There was obviously different in the changes of the tumor volume. HE staining showed the coagulation necrosis in the ablation area. Conclusion: EUS-guided holmium laser of the pancreatic primary implantation carcinoma in nude mice was effective. It mainly produced coagulative necrosis in the ablation area.

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邢铃,朱建伟,王东,等.超声内镜引导下钬激光对裸鼠胰腺原位种植瘤消融效果的实验研究[J].中华消化内镜杂志,2019,36(5):350-354.

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  • 收稿日期:2017-09-07
  • 最后修改日期:2018-12-16
  • 录用日期:2017-11-14
  • 在线发布日期: 2019-05-28
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