新型射频组织焊接电极的设计与实验研究
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上海理工大学 健康科学与工程学院

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Design and experimental study of a novel radiofrequency tissue welding electrode
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    摘要:

    目的 设计一种新型射频组织焊接电极以期在提高吻合口生物力学强度的同时减少组织热损伤。 方法 设计表面存在镂空结构的新型电极(梅花形电极),以环形电极作为对照组,在射频能量作用下完成肠道组织焊接,通过撕脱力和爆破压测试研究焊接吻合口的生物力学特性,采用有限元电-热-力多场耦合仿真分析和热电偶探针研究焊接过程中的组织热损伤,并对微观组织结构进行检查。结果 当焊接功率 120 W、焊接时间 8 s、压合压强 20 kPa时,肠道吻合口呈现最优的生物力学特性,相对于环形电极对照组,梅花形电极组吻合口生物力学强度更高,撕脱力和爆破压分别从 8.62±1.22 N、81.7±3.36 mmHg 增加到 9.54±1.24 N、89.4±4.15 mmHg,且组织热损伤显著减少,组织微观结构连接的更为紧密。 结论 该新型电极在提高吻合口生物力学强度的同时可减少组织热损伤进而实现更好的吻合效果。

    Abstract:

    Objective Aiming at improving the biomechanical strength of the anastomotic stoma as well as reducing thermal tissue damage, a novel radiofrequency tissue welding electrode was developed. Methods A novel RF tissue welding electrode named Plum electrode with a hollow structure on the surface was designed and the Ring electrode was used as the control group to conduct the welding of intestinal tissue based on radiofrequency energy. Biomechanical properties of anastomotic stoma were studied by the indexes of burst pressure and shear test. The thermal characteristics of tissue during welding were investigated by electro-thermal-mechanical multi-field coupling analysis and thermocouple probe, and the tissue microstructure was also studied. Results In contrast to the Ring electrode group, a slightly higher mean strength is acquired with the shear strength and burst pressure results increasing from 9.71.47 N, 84.05.99 mmHg to 11.11.71 N, 89.46.60 mmHg respectively as well as a significant reduction in tissue thermal damage for the Plum electrode group, when the compression pressure of 20 kPa, RF energy of 120 W and welding duration of 8 s was applied to the target regions to achieve anastomosis. And histopathological examination observation demonstrates that intact and fully fused stomas can be formed in the anastomotic area. Conclusion The proposed novel electrode could reduce the thermal damage of tissue as well as improve the biomechanical strength of the anastomosis and thus achieve better fusion.

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  • 收稿日期:2022-07-02
  • 最后修改日期:2022-07-27
  • 录用日期:2022-07-29
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