An Experimental Study on the Effects of X-ray Irradiation and Hyperthermia on the Rat Testis

X-선 조사와 온열요법이 백서고환에 미치는 영향에 관한 실험적 연구

The effects of both hyperthermia alone and X-ray irradiation combined with hyperthermia on rat testis have been investigated. The histological changes were observed on 15 and 30 days after treatment. There was no histological change of rat testis by hyperthermia alone. The earliest change by X-ray irradiation was the degeneration of the spermatogonia of the seminiferous tubule, which was appeared in 2 Gy group. Necrosis of the spermatogonia was severe in 6 Gy group and complete atrophy was developed in 8 Gy group. With increased dose of radiation, the degree of changes of tubules was increased. In combined group of X-ray irradiation and hyperthermia, the histological change of the seminiferous tubule was more severe than X-ray alone group. Necrosis and atrophy of the spermatogonia were appeared in 2 Gy and complete atrophy of spermatogonia was seen in 6 Gy group. Thermal enhancement ratio (calculated at the complete atrophy of the spermatogonia) was 1.3 in this experiment. There was no difference in observation time inverval between 15 and 30 days after each treatment in all groups.

온열요법이 X-선조사에 미치는 영향을 연구하기 위하여 저자는 100 watt, 2450 MHz의 마이크로파 온열기구를 제작하여 백서 60마리를 대상으로 고환에 온열요법 ($43^{\circ}C$, 15분), X-선 조사($2\;Gy\~8\;Gy$ 단독 혹은 병행하여 조직학적 변화를 관찰하여 다음과 같은 결론을 얻었다. 1. 2450 MHz 마이크로파 온열요법 단독 시행하여 조직학적 변화는 관찰되지 않았다. 2. X-선 조사후 초기변화는 정조세포의 변성을 2 Gy에서 나타나기 시작하였으며 괴사는 6 Gy 후 심하게 보였고 8 Gy 후 완전소실되었다. 3. X-선 조사와 온열요법 병행하여 2 Gy후 정조세포의 괴사와 소실이 나타나기 시작하였으며 6 Gy 후 완전소실되어 열증강율은 1.3 이었다. 4. X-선조사, 온열요법 단독 및 병행후 추적기간 15일군과 30일군의 차이는 관찰할 수 없었다.