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非体外循环下冠状动脉旁路移植术同期行体外循环下二尖瓣成形术:32例临床报告 被引量:5
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作者 白辰 李京倖 +3 位作者 张帆 汪川 刘锐 顾承雄 《解放军医学杂志》 CAS CSCD 北大核心 2020年第9期982-985,共4页
目的总结冠状动脉粥样硬化性心脏病(冠心病,CAD)患者非体外循环下冠状动脉旁路移植术(OPCABG)同期行体外循环下二尖瓣成形术(MVP)的临床经验。方法回顾性分析2017年4月-2018年3月于北京安贞医院心脏外科同期行OPCABG和MVP术的CAD患者的... 目的总结冠状动脉粥样硬化性心脏病(冠心病,CAD)患者非体外循环下冠状动脉旁路移植术(OPCABG)同期行体外循环下二尖瓣成形术(MVP)的临床经验。方法回顾性分析2017年4月-2018年3月于北京安贞医院心脏外科同期行OPCABG和MVP术的CAD患者的临床资料。比较患者手术前后超声心动图检查结果,并进行统计学分析。结果共纳入符合条件的CAD患者32例,每例患者平均移植血管3.69根;单纯人工瓣环成形26例,后叶矩形切除4例,腱索置换2例。住院无死亡病例;术后随访30例,失访2例,随访时间6~30个月;生存患者心功能分级(NYHA)Ⅰ级26例,Ⅱ级4例;复查超声心动图示二尖瓣微量反流8例,少量反流20例,中量反流2例;随访全部患者心功能指标LVESD、LVEDD、LVEF及二尖瓣反流面积等均明显提高(P<0.05)。结论冠心病和二尖瓣关闭不全并存患者,同期行OPCABG和MVP术疗效较好,可明显提高患者术后生活质量。 展开更多
关键词 二尖瓣关闭不全 冠状动脉旁路移植术 二尖瓣成形术
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自拟益气养血汤治疗冠脉旁路移植术后气血两虚证疗效分析 被引量:1
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作者 黄信生 李昊娲 +3 位作者 李海涛 李京倖 顾承雄 杨俊峰 《江西中医药大学学报》 2020年第2期41-46,共6页
目的:探讨自拟益气养血汤治疗冠心病行冠脉旁路移植术后气血两虚证的临床效果。方法:将冠脉旁路移植术后中医辨证属气血两虚证患者320例随机分对照组和观察组,每组160例。两组均给予常规西药治疗,其中观察组加用自拟益气养血汤,疗程60d... 目的:探讨自拟益气养血汤治疗冠心病行冠脉旁路移植术后气血两虚证的临床效果。方法:将冠脉旁路移植术后中医辨证属气血两虚证患者320例随机分对照组和观察组,每组160例。两组均给予常规西药治疗,其中观察组加用自拟益气养血汤,疗程60d。采用西雅图心绞痛量表(SAQ)评估生活质量,比较两组患者治疗前后中医证候积分、生活质量情况,并对两组临床疗效进行评价。结果:围术期并发症两组差异无统计学意义(P>0.05)。术后两组左心室大小、射血分数(LVEF)、肌钙蛋白、炎症因子及血红蛋白值比较,差异有统计学意义(P<0.05),其中观察组术后心肌酶明显低于对照组,射血分数及血红蛋白差值高于对照组;观察组中医证候积分低于对照组,SAQ各项得分明显高于对照组,差异有统计学意义(P<0.05)。结论:自拟益气养血汤明显改善冠脉旁路移植术后气血两虚证患者的症状、体征、中医证候、生活质量及实验室检查等综合指标,进而提高术后疗效,值得临床推荐。 展开更多
关键词 冠心病 气血两虚证 益气养血汤 冠状动脉旁路移植术
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Human vascular smooth muscle cells and endothelial cells cocultured on polyglycolic acid (70/30) scaffold in tissue engineered vascular graft 被引量:8
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作者 WEN Shao-jun ZHAO li-min +6 位作者 WANG Shen-guo li jing-xing CHEN Hua-ying liU Jie-lin liU Ya LUO Yi Roo Changizi 《Chinese Medical Journal》 SCIE CAS CSCD 2007年第15期1331-1335,共5页
Background Current prosthetic, small diameter vascular grafts showing poor long term patency rates have led to the pursuit of other biological materials. Biomaterials that successfully integrate into surrounding tissu... Background Current prosthetic, small diameter vascular grafts showing poor long term patency rates have led to the pursuit of other biological materials. Biomaterials that successfully integrate into surrounding tissue should match not only the mechanical properties of tissues, but also topography. Polyglycolic acid (70130) has been used as synthetic grafts to determine whether human vascular smooth muscle cells and endothelial cells attach, survive and secrete endothelin and 6-keto-prostaglandin F1α (6-keto-PGF1α). Methods Endothelial cells and smooth muscle cells were isolated from adult human great saphenous vein. They were seeded on polyglycolic acid scaffold in vitro separately to grew vascular patch (Groups A and B respectively) and cocultured in vitro to grow into vascular patch (Group C). Smooth muscle cells and endothelial cells were identified by immunohistochemical analysis and growth of cells on polyglycolic acid was investigated using scanning electron microscopy. The levels of endothelin and 6-keto-PGF1α in the culturing solutions were examined by radioimmunology to measure endothelial function. Results Seed smooth muscle cells adhered to polyglycolic acid scaffold and over 28 days grew in the interstices to form a uniform cell distribution throughout the scaffold. Then seed endothelial cells formed a complete endothelial layer on the smooth muscle cells. The levels of endothelin and 6-keto-prostaglandin F1 alpha in the culturing solution were (234±29) pg/ml and (428±98) pg/ml respectively in Group C and (196±30) pg/ml and (346±120) pg/ml in Group B; both significantly higher than in Groups A and D (blank control group, all P〈0.05 ). Conclusions Cells could be grown successfully on polyglycolic acid and retain functions of secretion. Our next step is to use human saphenous vein smooth muscle cells and endothelial cells to grow tubular vascular grafts in vitro. 展开更多
关键词 tissue engineering blood vessels endothelial cells smooth muscle cells saphenous vein
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A novel and feasible way to cultivate and purify endothelial progenitor cells from bone marrow of children with congenital heart diseases 被引量:3
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作者 WU Yong-tao li jing-xing +6 位作者 liU Shuo XIN Yi WANG Zi-jian GAO Jin JI Bing-yang FAN Xiang-ming ZHOU Qi-wen 《Chinese Medical Journal》 SCIE CAS CSCD 2012年第11期1903-1907,共5页
Background Endothelial progenitor cells (EPCs) are used in vascular tissue engineering and clinic therapy. Some investigators get EPCs from the peripheral blood for clinic treatment, but the number of EPCs is seldom... Background Endothelial progenitor cells (EPCs) are used in vascular tissue engineering and clinic therapy. Some investigators get EPCs from the peripheral blood for clinic treatment, but the number of EPCs is seldom enough. We have developed the cultivation and purification of EPCs from the bone marrow of children with congenital heart disease, to provide enough seed cells for a small calibre vascular tissue engineering study. Methods The 0.5-ml of bone marrow was separated from the sternum bone, and 5-ml of peripheral blood was collected from children with congenital heart diseases who had undergone open thoracic surgery. CD34+ and CD34+NEGFR+ cells in the bone marrow and peripheral blood were quantified by flow cytometry. CD34+/VEGFR+ cells were defined as EPCs. Mononuclear cells in the bone marrow were isolated by Ficoll density gradient centrifugation and cultured by the EndoCult Liquid Medium KitTM. Colony forming endothelial cells was detected. Immunohistochemistry staining for Dil-ac-LDL and FITC-UEA-1 confirmed the endothelial lineage of these cells. Results CD34+ and CD34+NEGFR+ cells in peripheral blood were (0.07±0.05)% and (0.05±0.02)%, respectively. The number of CD34+ and CD34+/VEGFR+ cells in bone marrow were significantly higher than in blood, (4.41±1.47)% and (0.98±0.65)%, respectively (P 〈0.0001). Many colony forming units formed in the culture. These cells also expressed high levels of Dil-ac-LDL and FITC-UEA-I. Conclusion This is a novel and feasible approach that can cultivate and purify EPCs from the bone marrow of children with congenital heart disease, and provide seed cells for small calibre vascular tissue engineering. 展开更多
关键词 congenital heart diseases endothelial progenitor cells cell culture bone marrow
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细胞共培养在牙周膜干细胞相关研究中的应用 被引量:1
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作者 张湘宜 任娅岚 +3 位作者 陈思思 钱丽萍 李景星 刘亚丽 《现代生物医学进展》 CAS 2018年第8期1588-1591,共4页
细胞共培养是一种将不同种类、不同来源的细胞在同一个体系中进行培养、增殖的技术,在细胞间的相互作用、细胞信号转导、细胞功能性间隙连接等方面的研究中有重要作用。近年来,随着组织工程学和干细胞技术的飞速发展,牙周膜干细胞(perio... 细胞共培养是一种将不同种类、不同来源的细胞在同一个体系中进行培养、增殖的技术,在细胞间的相互作用、细胞信号转导、细胞功能性间隙连接等方面的研究中有重要作用。近年来,随着组织工程学和干细胞技术的飞速发展,牙周膜干细胞(periodontal ligament stem cells,PDLSCs)已成为研究热点之一。将PDLSCs与不同的细胞共培养,可研究其免疫调节机制及定向分化作用;在牙周组织工程中,则可为组织修复材料的研究提供技术支持。故本文对目前细胞共培养技术在PDLSCs研究中的应用做一简要综述。 展开更多
关键词 细胞共培养 牙周膜干细胞 免疫调节 定向分化 牙周组织工程
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