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核素131I联合低频超声微泡治疗兔VX2肝肿瘤的实验研究
作者:徐国厚 杜明华  
单位:东南大学附属中大医院核医学科
关键词:放射核素131I 低频超声微泡疗法 微泡剂 VX2肝肿瘤 电离生物学效应 超声空化效应 
分类号:
出版年·卷·期(页码):2011·30·第三期(486-490)
摘要:

目的:探讨核素131I联合低频超声微泡治疗接种于新西兰大白兔肝左叶VX2肝肿瘤的疗效。方法:将成功建立肿瘤模型的32只荷瘤兔随机分为4组(8只/组):A组空白对照组(不作任何处理)、B组(单纯核素131I治疗)、C组(单纯低频超声微泡治疗)、D组(核素131I联合低频超声微泡连续治疗)。治疗2W内连续观察各组肿瘤体积变化,行SPECT显像并计算B、D两组不同时间肿瘤区放射性计数值;治疗2W后取部分肿瘤组织行病理学观察。结果:A、B、C三组肿瘤体积明显大于C组(P<0.05),D组肿瘤增长率明显低于A、B、C三组(P<0.05);B组放射性计数的衰减率明显高于D组(P<0.05);病理学发现D组坏死较A、B、C严重。结论:核素131I联合低频超声微泡治疗时,能够产生协同效应,明显提高疗效。

Purpose:To investigate the therapeutic effects of radionuclide 131I in the treatment of the curative inoculation in New Zealand big white rabbit liver left leaf VX2 tumor when combined with low frequency supersonic microbubble agent. Methods:The New Zealand big white rabbits which successfully established the VX2 tumor of liver model were divided into 4 groups stochastically(8 rabbits in each group): A group :blank control group (does not make any processing), B group (The pure radionuclide 131I treatment), C group (The pure low frequency supersonic microbubble agent treatment), D group (radionuclide 131I united low frequency supersonic microbubble agent treatment continuously). During 2 weeks, the rabbits were observed the tumor changes in volume of each group continuously, were imaging with SPECT and made the partial radioactivity counting of tumors;2 weeks later , took the partial tumor organization for pathology observation. Rsults: The tumor volumes of A, B ,C groups are bigger than D group obviously (P<0.05),the rates of tumor increment of D group is lower than A , B , C obviously(P<0.05),the radioactive counting's attenuation rates of B group is higher than D obviously(P<0.05). The pathology discovered that the degree of necrosis of D group was more serious than A, B and C. Conclusions:When radionuclide 131I united low frequency supersonic microbubble agent, the treatment could have the cooperative effects, enhance the curative effects obviously.

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