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膜椎韧带在椎间孔镜术中的形态学观察及其临床意义
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作者 林龙泉 刘华 +5 位作者 郑耿阳 黄钿峰 汪秋芬 黄清清 王慧灵 赵枫 《骨科》 CAS 2022年第4期338-343,共6页
目的探讨膜椎韧带在椎间孔镜手术中的形态学观察及临床意义。方法回顾性分析我院2018年1月至2019年10月20例因非盘源性坐骨神经痛,在侧卧位下行经皮椎间孔镜手术对椎间孔处膜椎韧带进行松解的病人的临床资料。记录病人术前、术后1 d、术... 目的探讨膜椎韧带在椎间孔镜手术中的形态学观察及临床意义。方法回顾性分析我院2018年1月至2019年10月20例因非盘源性坐骨神经痛,在侧卧位下行经皮椎间孔镜手术对椎间孔处膜椎韧带进行松解的病人的临床资料。记录病人术前、术后1 d、术后3个月日本骨科协会(Japanese Orthopaedic Association,JOA)、疼痛视觉模拟量表(visual analogue scale,VAS)评分,采用改良MacNab疗效评定标准评定手术疗效。结果术中可见膜椎韧带在神经根鞘及硬脊膜腹侧、背侧均存在,膜椎韧带向后方一般附着于黄韧带或者椎板,其形态多样化,长度、宽度、类型无明显节段性或者阶梯性规律。20例病人术后均获得随访,随访时间为(6.60±1.70)个月。病人术后1 d、术后3个月的VAS评分[(3.20±1.06)分、(1.45±1.50)分]均明显低于术前[(7.50±1.15)分],差异有统计学意义(P<0.05)。术后3个月的JOA评分[(25.80±2.61)分]高于术前[(12.55±4.62)分],差异有统计学意义(P<0.05)。术后3个月随访根据改良MacNab疗效评定标准评定手术疗效,优14例,良4例,可1例,差1例,优良率为90%。结论退变萎缩的膜椎韧带对硬脊膜及神经根存在一定的牵扯,采用侧路经皮椎间孔镜技术进行椎间孔处膜椎韧带松解,可以有效治疗非盘源性坐骨神经痛,为膜椎韧带的临床作用提供依据,为椎间孔镜治疗非盘源性坐骨神经痛提供一个新的手术思路。 展开更多
关键词 非盘源性坐骨神经痛 膜椎韧带 经皮椎间孔镜技术
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Effects of polygonatum polysaccharide on p38 MAPK/N-cadherin in zebrafish with Alzheimer disease
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作者 CHEN Yi-fei LIU Kai-fei +4 位作者 WU Shi-min LI Xun-yi huang Yao huang dian-feng JIANG Cai-wu 《中国药理学与毒理学杂志》 CAS 北大核心 2021年第10期760-760,共1页
OBJECTIVE To study the effect of polygonatum polysaccharide on zebrafish with Alzheimer disease.METHODS Zebrafish were trained in T maze for 7 d.The 40 zebrafish successfully trained were divided into 4 groups:blank g... OBJECTIVE To study the effect of polygonatum polysaccharide on zebrafish with Alzheimer disease.METHODS Zebrafish were trained in T maze for 7 d.The 40 zebrafish successfully trained were divided into 4 groups:blank group,model group,positive group and polygonatum polysaccharide group.Model group,positive group and polygonatum polysaccharide group were put in AlCl3100μg·L^(-1) for 6 d.The positive group was exposed to Huperzine A solution 4μg·L^(-1),and the polygonatum polysaccharide group was exposed to polygonatum polysaccharide solution 6 g·L^(-1) for 6 d.The model group was not treated,and the blank group was not treated.Each stage of zebrafish was recorded by video,and the time of each group in the EC region was analyzed.After administration,the brain tissue was taken out and the expression of N-cadherin,P38 and p-P38 protein factors was determined by Western blotting.RESULTS In behavior,the analysis of the time spent in the EC area,the blank group,the positive group and the polygonatum polysaccharide group were compared with the model group,respectively,there were statistically significant differences(P<0.05).At the protein level,compared with the model group,the P38 and p-P38 proteins in the positive group and the polygonatum polysaccharide group were down-regulated,while the N-cadherin protein was up-regulated,with statistical difference(P<0.05).CONCLUSION Polygonatum polysaccharide can improve the learning and memory ability of zebrafish with Alzheimer disease by up regulating the protein level of N-cadherin and hindering P38 phosphorylation. 展开更多
关键词 Alzheimer disease ZEBRAFISH polygonatum polysaccharide N-CADHERIN p38 MAPK
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