Weekly Established in January 1997   Total No.278 Vol.11 No.22 June 3,2007

自制冷热刀医疗设备靶向治疗肿瘤的性能实验**☆

闫井夫,周一欣,邓中山,项士海,刘 静


Performance of self-made cryosurgical and hyperthermia equipment for
targeted tumor treatment

Abstract

AIM:To evaluate the working performance of the newly constructed system capable of performing both cryosurgical and hyperthermia treatment, which is produced by Institute of Physics and Chemistry, Chinese Academy of Science, and provide a highly advanced modality for tumor treatment and a preliminary valuable references for future clinical application.

METHODS: A series of experiments including in vitro test such as in air, gel, fresh pork and in vivo measurement on rabbit were performed by fast local targeted freezing (-196 ℃)/heating (88 ℃) so as to detect the temperature responses at the interior and outside of the probe (outside diameter 5 mm), as well as within surrounding samples. Iceball formation was also observed in real time. Meanwhile infrared camera and digital camera were selected to evaluate the effectiveness of experiments by image.

RESULT:The temperature of the sample close to probe tip generally decreased to -160 ℃ within only about 4 minutes after freezing started, and then kept the stable and lowest temperature. While heating proceed, the target temperature increased to 80 ℃ within 2 minutes and iceball near the probe would melt immediately.

CONCLUSION:Working performance of this clinical-test-purpose equipment is superior to the currently existing system due to its outstanding combined fast freezing/heating feature. The new system is expected to find significant applications in minimally invasive treatment of cancer in high performance.

Yan JF, Zhou YX, Deng ZS, Xiang SH, Liu J.Performance of self?鄄made cryosurgical and hyperthermia equipment for targeted tumor treatment.Zhongguo Zuzhi Gongcheng Yanjiu yu Linchuang Kangfu 2007;11(22):4325-4328(China)
[www.zglckf.com/zglckf/ejournal/upfiles/07-22/22k-4325(ps).pdf]



Institute of Physics and Chemistry, Chinese Academy of Science, Beijing 100080, China

Yan Jing-fu☆, Studying for doctorate, Institute of Physics and Chemistry, Chinese Academy of Science, Beijing 100080, China
jfyan@cl.cryo.ac.cn

Correspondence to: Liu Jing, Researcher, Tutor of doctor, Institute of Physics and Chemistry, Chinese Academy of Science, Beijing 100080, China
jliu@cl.cryo.ac.cn

Supported by: the National Natural Science Foundation of China, No. 50325622*, 50436030*

Received: 2007-01-29
Accepted: 2007-03-23

摘要
目的:考察新研制的真正集深低温冷冻治疗与高温热疗功能于一体的先进肿瘤治疗临床试验设备(冷热聚能刀, 中国科学院理化技术研究所自主研制开发)的实际工作性能,为后期的临床实验提供初步而又有价值的参考依据。
方法:将冷热刀探针(外径5 mm)置于空气、明胶、猪肉以及活体兔子组织中实施局部靶向的快速冷冻(-196 ℃)及升温(88 ℃)试验,以检测探针外壁、针尖内部以及周边测温点的温度响应特性,并观察冰球的生长过程;同时,还基于红外热像仪及数码相机,对相应的冷冻及升温效果进行影像评估。
结果:冷热刀工作时,探针刀头外壁总体上能在大约4 min以内下降到极低温度(约-160 ℃),并维持稳定;而当冷热刀处于升温阶段时,刀头外壁温度可迅速上升,在大约2 min左右即达到80 ℃,冰球紧贴刀杆部分随即熔化。
结论:冷热刀临床试验设备具有优异的快速冷冻和高强度加热功能,可望在肿瘤的高效微创治疗上发挥关键作用。
关键词:冷热刀;红外监测;低温外科;高温热疗;微创医学;复合治疗

闫井夫,周一欣,邓中山,项士海,刘静.自制冷热刀医疗设备靶向治疗肿瘤的性能实验[J].中国组织工程研究与临床康复,2007,11(22):4325-4328 [www.zglckf.com/zglckf/ejournal/upfiles/07-22/22k-4325(ps).pdf]

 


中国科学院理化技术研究所,北京市 100080

闫井夫☆,男,1978年生,山西省人,汉族,中国科学院理化技术研究所在读博士,主要从事低温生物医学研究。
jfyan@cl.cryo.ac.cn

通讯作者:刘 静,研究员,博士生导师,中国科学院理化技术研究所,北京市 100080
jliu@cl.cryo.ac.cn

国家自然科学基金资助项目
(50325622,50436030)**

中图分类号:R318 文献标识码:A
文章编号:1673-8225
(2007)22-04325-04

收稿日期:2007-01-29
修回日期:2007-03-23
(07-50-1-581/N·Y)

课题背景:高/低温外科手术是极有前景的微创性物理治疗方法,但现有设备大多仅具备单一的降温或升温功能,治疗效果有限。针对这一现状,实验室研制出具有独立自主知识产权的肿瘤治疗用冷热刀医疗设备,目前已通过型式检验,即将进入临床试验,同时亦进行了从原理到样机直至技术标准的制定。

创新要点:①国内外首次实现肿瘤治疗用冷热刀医疗设备,真正集深低温冷冻治疗与高温热疗功能于一体,其最高温度可达75~85 ℃,最低温度则至-170~ 180 ℃。②新型设备研制的特点在于产生了是对单一治疗技术概念性的创新,为肿瘤物理治疗提供了更多的选择模式。

相关链接:目前应用于肿瘤物理治疗的临床新技术有:氩氦刀靶向治疗、激光治疗、射频热凝治疗、电穿孔治疗、高强度聚焦超声治疗、立体适形放疗、放射性粒子立体种植治疗、赛博刀治疗、立体定向伽马射线治疗、质子治疗、中子治疗、电化学治疗、全身热疗等,并已经取得了一定的疗效。

 

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