首页|期刊导航|中国医疗设备|纳秒脉冲电场乳腺肿瘤组织消融安全性的临床前动物实验研究

纳秒脉冲电场乳腺肿瘤组织消融安全性的临床前动物实验研究OACSTPCD

Pre-Clinical Animal Study on the Safety of Breast Tumor Ablation with Nanosecond Pulsed Electric Field

中文摘要英文摘要

目的 通过将纳秒脉冲电场(Nanosecond Pulsed Electric Field,nsPEF)用于微创消融羊乳腺部位,探索脉冲电场消融对于乳腺组织的安全性.方法 取3只成年正常雌性山羊,局部麻醉后在超声引导下应用纳秒脉冲肿瘤消融系统连接的电极针经皮穿刺乳腺组织内进行消融.观察消融过程中实验羊的生命体征变化,检测术前、术后及随访期间的血液指标,采集乳腺消融部位超声影像,并进行病理取样,对比乳腺组织消融前后的病理变化.结果 nsPEF技术在局麻下对羊乳腺消融过程顺利,手术期间生命体征平稳,未出现不良反应,未观察到消融期间乳腺腺体周围肌肉的震颤与收缩.术后定期随访,超声检查发现消融效果明显,血液检查提示术前术后无显著性差异,组织病理学观察发现消融区域呈现凋亡坏死,非消融区域组织形态正常.结论 nsPEF技术对羊乳腺消融效果显著,安全性良好.在临床前大动物上进行微创消融操作是可行的.

Objective To use nanosecond pulsed electric nield(nsPEF)for minimally invasive ablation of goat breast tissue,to explore the safety of pulsed electric field ablation for breast tissue.Methods Three adult normal female goats were selected.After local anesthesia,the ultrasound-guided transcutaneous ablation of breast tissue was performed with the electrode needle connected with the nanosecond pulsed tumor ablation system.Changes in vital signs of experimental goat during ablation were observed,blood biochemistry were detected before,after and during follow-up,ultrasound images of mammary ablation sites were collected,and pathological samples were taken to compare the pathological changes of mammary tissue before and after ablation.Results The nsPEF technique was successful in the ablation of breast tissue in goats.No adverse reaction occurred during the operation and no muscle tremors or contractions were observed around the breast during ablation.Ultrasound examination found that the ablation effect was significant during the regular follow-up after the operation.There was no significant difference in blood examination before and after operation.The histopathology showed apoptosis and necrosis in the ablated region,and normal tissue morphology in the non-ablated region.Conclusion nsPEF technique is effective and safe for breast ablation in goats,and the minimally invasive ablation operation on large preclinical animals is feasible.

陈璐艳;洪良杰;王宝华;孔海莹;陈永刚;吴斌;陈新华;傅佩芬

浙江大学医学院附属第一医院乳腺外科,浙江 杭州 310003杭州睿笛生物科技有限公司,浙江 杭州 310012浙江大学医学院附属第一医院超声医学科,浙江 杭州 310003浙江大学医学院附属第一医院麻醉科,浙江 杭州 310003杭州睿笛生物科技有限公司,浙江 杭州 310012杭州睿笛生物科技有限公司,浙江 杭州 310012浙江大学医学院附属第一医院肝胆胰外科,浙江 杭州 310003||卫生部多器官联合移植重点实验室,浙江 杭州 310003浙江大学医学院附属第一医院乳腺外科,浙江 杭州 310003

医药卫生

纳秒脉冲电场乳腺消融乳腺肿瘤微创介入

nanosecond pulsed electric field(nsPEF)breastablationbreast tumorminimally invasive intervention

《中国医疗设备》 2025 (4)

13-18,6

国家自然科学基金重大仪器项目(82027803).

10.3969/j.issn.1674-1633.20241209

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