基于磁示踪技术标记定位结直肠肿瘤 实验研究
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1.西安交通大学第一附属医院肝胆外科;2.西安交通大学第一附属医院精准外科与再生医学国家地方联合工程研究中心;3.西安交通大学启德书院;4.陕西省人民医院肿瘤外科;5.西安交通大学宗濂书院

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国家自然科学基金(81700545);陕西省自然科学基础研究计划(2017JQ8021);中央高校基本科研业务费专项资金(xjj2018jchz14)


Study of colorectal neoplasms localization based on magnetic tracer technique in an animal model
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Colorectal neoplasms;Colonoscopy;Laparoscopy;Magnetic tracer technique

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    摘要:

    目的 设计基于磁示踪技术、用于结直肠肿瘤标记定位的磁体,通过动物实验验证其可行性和安全性。方法 用于结直肠肿瘤标记定位的磁体包括示踪磁体和寻踪磁体两部分,均为圆环状钕铁硼磁体。以8只健康Beagle犬为动物模型,结肠镜下在结直肠不同部位假定肿瘤位置,利用内镜下软组织夹将示踪磁体送至假定的肿瘤附近,并钳夹固定于肿瘤附近的肠壁。24 h后行腹腔镜手术,经主操作孔置入寻踪磁体于待切除的结直肠附近,寻踪磁体与示踪磁体相吸,从而完成腹腔镜下手术时对肿瘤位置的定位和识别。结果 成功设计并加工了示踪磁体与寻踪磁体,均采用N45烧结钕铁硼加工而成,表面镍镀层,示踪磁体与寻踪磁体在零距离时的吸力为16 N。8只Beagle犬均顺利接受结肠镜下示踪磁体的留置,24 h后均未出现示踪磁体脱落、移位等。腹腔镜下置入寻踪磁体后,两个磁体迅速精准相吸,顺利完成对肿瘤所在部位的定位,术中未出现任何副损伤。结论 基于磁示踪技术的结肠镜联合腹腔镜结直肠肿瘤定位操作简单、定位准确、安全可行。

    Abstract:

    ObjectiveTo design magnets to locate colorectal neoplasms based on magnetic tracer technology, and to test its feasibility and safety by animal experiments. MethodsThe magnets used for endoscopic localization of colorectal tumors consist of a tracer magnet and a pursuit magnet, both of which are ring-shaped Nd-Fe-B magnets. Eight healthy Beagle dogs were used as animal models. Tumor locations were assumed in the different parts of the colon and rectum under colonoscopy. The tracer magnet was sent to the hypothetical tumors by endoscopic soft tissue clamp and fixed near the tumors. After 24 hours, laparoscopic surgery was performed under general anesthesia. The pursuit magnet was inserted near the resected colon or rectum through the main operating hole. The tracer magnet was absorbed to the pursuit magnet to identify the location of tumors. ResultsThe tracer magnet and pursuit magnet were successfully designed and processed. The suction force between the tracer magnet and the pursuit magnet at zero distance was 16 N. All the 8 Beagle dogs successfully received indwelling of magnets under colonoscopy, and no magnets fell off after 24 hours. After the placement of pursuit magnet under laparoscopy, the two magnets attracted each other rapidly and accurately, and successfully completed localization of tumor site without any damage during the operation. ConclusionColonoscopy combined with laparoscopy for colorectal neoplasms localization based on magnetic tracer technique is simple, accurate, safe and feasible.

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吝怡,樊茜,马佳,等.基于磁示踪技术标记定位结直肠肿瘤 实验研究[J].中华消化内镜杂志,2020,37(7):499-502.

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  • 收稿日期:2019-05-28
  • 最后修改日期:2020-04-16
  • 录用日期:2019-07-23
  • 在线发布日期: 2020-07-29
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