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低频超声辐照微泡对前列腺癌移植瘤血供的阻断作用及恢复过程
  • ISSN号:1004-4477
  • 期刊名称:《中华超声影像学杂志》
  • 时间:0
  • 分类:R737.31[医药卫生—肿瘤;医药卫生—临床医学]
  • 作者机构:上海交通大学附属第六人民医院超声医学科上海超声医学研究所,200233
  • 相关基金:国家自然科学基金(81271597,81401421)
中文摘要:

目的探讨低频超声辐照微泡(USMB)阻断裸鼠人前列腺癌PC3皮下移植瘤血流的时间及观察血流恢复的过程。方法采用USMB治疗裸鼠皮下PC3移植瘤,比较治疗前及治疗后各时间点移植瘤的造影平均峰值强度(API)、达峰时间(TP)及组织学改变。结果治疗后即刻,移植瘤的API从68.63±5.25降至18.01±2.73,与治疗前相比差异有统计学意义(P〈0.001);TP从(32.28±6.18)s增至(72.63±7.47)S,与治疗前相比差异有统计学意义(P〈0.001);治疗后3h,血流灌注逐渐恢复;治疗后4h,恢复至治疗前水平。组织学检查显示,治疗后即刻移植瘤微血管扩张、破裂和血管内外血栓形成;治疗后30min、1h和2h,血管外血肿和血栓逐渐消失;治疗后3h,血管内血栓显著缩小;治疗后4h后,血管内血栓进一步逐渐缩小,血管扩张程度逐渐减轻;治疗后12h,瘤组织基本恢复至治疗前。结论USMB阻断裸鼠PC3皮下移植瘤血供的最佳时间是治疗后2h内,血流再通可能主要由于肿瘤微血管内血栓溶解所致。

英文摘要:

Objective To explore the duration of blood blocking effect and recovery process induced by low-frequency ultrasound combining microbubbles (USMB) on prostate cancer xenografts. Methods A total of 88 nude mice undergoing USMB was studied. Contrast enhanced ultrasound, Hemotoxylin and eosin staining, and modified Martius-Sarlet-Blue staining were used to compared the average peak intensity(API), time to peak intensity(TP) and histological alteration before and after treatment. Results Immediately after the treatment, the tumor contrast perfusion completely disappeared, API dropped from 68.63 ± 5.25 to 18.01± 2.73 ( P 〈0.001,vs pre-treatment) and TP increased from (32.28 ± 6.18)s to (72.63 ± 7.47)s (P〈0.001,vs pre-treatment). At 30 minutes and 1 hour after treatment, the tumor perfusion remained defect. At 2 hours after treatment, rarely dotted enhancement was showed. The differences among the three groups in API and TP at 30 minutes, 1 hour and 2 hours after treatment were not significant (all P〉0.05). From post-3 hours after treatment ,the tumor perfusion began a process of perfusion recovery, and showed nodular or large patch of heterogeneous enhancement. API at 3 hours after treatment was 51.99 ±6.20 (P〈0. 001, vs post treatment immediately), and TP decreased to (50.41 ±6.51 )s ( P 〈0. 001, vs post treatment immediately). At 4 hours, 5 hours, 6 hours, 12 hours and 24 hours after treatment , CEUS showed homogeneous and rich enhancement,and there was no significant difference in both API and TP, compared with those pre-treatment (all P 〉 0.05, vs pre-treatment). Histological examinations showed that, immediately after treatment, microvessels severely dilated, ruptured and intravascular and extravascular thrombi formed. At 30 minutes, 1-hour and 2-hour after treatment,extravascular thrombi and hematomas gradually disappeared. From 3-hour after treatment, vessel dilation was lessened,and intravascular thrombi gradually shrank. At 12-hour after treatme

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期刊信息
  • 《中华超声影像学杂志》
  • 中国科技核心期刊
  • 主管单位:中国科学技术协会
  • 主办单位:中华医学会
  • 主编:
  • 地址:河北省石家庄市中山东路361号
  • 邮编:050017
  • 邮箱:cs@hebmu.edu.cn;zhcy@chinajournal.net.cn
  • 电话:0311-86266994
  • 国际标准刊号:ISSN:1004-4477
  • 国内统一刊号:ISSN:13-1148/R
  • 邮发代号:18-136
  • 获奖情况:
  • 国内外数据库收录:
  • 中国中国科技核心期刊,中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版)
  • 被引量:27313