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ASA-601 TS型温控热凝射频仪对免脑毁损灶形成的实验研究

Experimental study on Rabbit’s cerebral lesion by application of ASA-601 TS type radiofrequency

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【作者】 牛朝诗汪业汉凌至培姜晓峰凌士营丁敏傅先明

【Author】 Niu Chaoshi,Wang Yehan,Ling Zhipei,et al.Department of Neurosurgery,Anhui Provincial Hospital;Anhui Institute of Stereotactic Neurosurgery,Hefei 230001

【机构】 安徽省立体定向神经外科研究所安徽省立医院神经外科安徽省立体定向神经外科研究所 病理科230001合肥

【摘要】 目的 探讨ASA - 60 1TS型温控热凝射频仪对免脑组织毁损灶形成 ,以了解毁损灶的形成大小与时间、温度的关系以及温控热凝射频仪相关性能。方法 利用ASA - 60 1TS型温控热凝射频仪和外裸长 4mm、直径1.6mm热敏电极 ,对 70只成年兔脑组织进行温控热凝毁损实验 ,测量毁损灶的大小以及常规病理学检查。结果 单极毁损灶为类圆形 ,在 70℃时 ,随着时间的延长从 3 0秒、60秒、90秒 ,坏死灶直径分别为 3 .4± 0 .3mm、5 .2±0 .4mm、5 .8± 0 .2mm ;75℃毁损时间为 3 0秒、60秒、90秒 ,毁损坏死灶分别为 3 .7± 0 .4mm、5 .7± 0 .3mm、6.5±0 .5mm ,呈逐渐增大 ;而在 45℃时 ,不管如何延长毁损时间 ,均不能造成大范围坏死区。因此 ,45℃以下 ,可作为可逆性毁损时选择的温度。在电极直径大小不变时 ,在一定时间内毁损形成的范围与温度、时间呈正相关 ,但当温度达到 75℃时 ,不管如何延长时间 ,毁损灶达到一定范围后就不再扩大 ,再增加温度 ,对毁损灶的影响亦不大。结论 ASA - 60 1TS型温控热凝射频仪 ,对兔脑组织毁损灶形成是可靠和安全的。在温度达 70℃或 75℃ ,持续 60秒以上 ,可作一直径为 6~ 6.5mm的毁损灶

【Abstract】 Objective To study the Rabbit’s cerebral lesion by application of ASA-601 TS type radiofrequency and study the relation the lesion and time and temperature.Methods Seventy rabbit’s cerebral lesions were made by means of ASA-601TS type radiofrequency and the monopolar electrode with exposured tip diameter of 1.6-mm and tip lengths of 4mm.The size of the lesion areas was measured and its pathology was studied.Results The radiofrequency lesion size is positively relevance to temperature and time at a certain time,if time is more than 60 seconds and temperature higher than 75℃,the lesion size is formed to a consistent extent but no longer enlarged.Temperature less than 45℃ only resulted in slight injuries or machine damages in brain.Temperature 70℃,for 30s,60s and 90s,the radiofrequency lesion size was 3.4±0.3mm,5.2±0.4mm and 5.8±0.2mm respectively;Temperature 75℃,for 30s,60s and 90s,the radiofrequency lesion size was 3.7±0.4mm,5.7±0.3mm and 6.5±0.5mm respectively.Conclusions The radiofrequency generator and electrode designs are elaborate and sophisticated.The lesion formation is safe and reliable.Temperature 70℃ or 75℃ for 60s or more than,the lesion with diameter of 6 to 6.5mm is produced.

【关键词】 热凝射频毁损仪器
【Key words】 RabbitCerebrumHeating coagulationRadiofrequency lesionEquipment
  • 【文献出处】 立体定向和功能性神经外科杂志 ,Chinese Journal of Stereotactic and Functional Neurosurgery , 编辑部邮箱 ,2003年01期
  • 【分类号】R651.1
  • 【被引频次】7
  • 【下载频次】32
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