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补片式颈动脉内膜剥脱术与外翻式颈动脉内膜剥脱术长期随访结果比较
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作者 杨洋 闫盛 +6 位作者 陈作观 吴志远 刁永鹏 高擎 陈跃鑫 郑月宏 李拥军 《中华脑血管病杂志(电子版)》 2023年第4期337-343,共7页
目的比较补片式颈动脉内膜剥脱术(p-CEA)与外翻式颈动脉内膜剥脱术(e-CEA)的长期疗效。方法回顾性分析2009年10月至2015年10月在北京协和医院血管外科接受颈动脉内膜剥脱术(CEA)治疗的颈动脉狭窄患者的临床资料(共计340例患者372例次手... 目的比较补片式颈动脉内膜剥脱术(p-CEA)与外翻式颈动脉内膜剥脱术(e-CEA)的长期疗效。方法回顾性分析2009年10月至2015年10月在北京协和医院血管外科接受颈动脉内膜剥脱术(CEA)治疗的颈动脉狭窄患者的临床资料(共计340例患者372例次手术,其中p-CEA为193例次,e-CEA为179例次),比较两种手术方式远期的全因死亡、心肌梗死、所有卒中及手术同侧卒中发生率,以及症状复发率。结果2组基线结果比较显示,p-CEA组患者高脂血症比例高于e-CEA组,差异有统计学意义(46.1%vs 34.6%,P=0.032)。在133个月的随访期间,p-CEA组的病死率、心肌梗死发生率均高于e-CEA组,卒中发生率、手术同侧卒中发生率均低于e-CEA组,但差异均无统计学意义(17.8%vs 13.8%,P=0.4855;7.8%vs 5.9%,P=0.360;12.8%vs 15.6%,P=0.228;4.3%vs 5.9%,P=0.282);2组在术后症状复发上,差异亦无统计学意义(χ2=0.198,df=15.622,P=0.85)。Kaplan-Meier分析显示,在第6年,2组之间术后再狭窄和术后死亡比较,差异无统计学意义(P=0.87;P=0.18);在第8年,2组之间术后死亡和卒中比较,差异无统计学意义(P=0.34;P=0.24)。结论p-CEA组和e-CEA组的远期死亡、心肌梗死、所有卒中和手术同侧卒中,以及术后症状复发等均无差异,均可作为治疗颈动脉狭窄的有效方法。 展开更多
关键词 颈动脉内膜剥脱 补片式 外翻式 颈动脉狭窄 远期死亡
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ROS-responsive capsules engineered from EGCG-Zinc networks improve therapeutic angiogenesis in mouse limb ischemia 被引量:3
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作者 Zuoguan Chen Jianwei Duan +9 位作者 yongpeng diao Youlu Chen Xiaoyu Liang Huiyang Li Yuqing Miao Qing Gao Liang Gui Xiaoli Wang Jing Yang Yongjun Li 《Bioactive Materials》 SCIE 2021年第1期1-11,共11页
The successful treatment of limb ischemia requires that promote angiogenesis along with microenvironment improvement.Zinc ions have been reported to stimulate angiogenesis,but application was limited to the toxicity c... The successful treatment of limb ischemia requires that promote angiogenesis along with microenvironment improvement.Zinc ions have been reported to stimulate angiogenesis,but application was limited to the toxicity concerns.We hypothesized that zinc based metal-EGCG capsule(EGCG/Zn Ps)can achieve sustained release Zn2+resulting in reduced toxicity and improve angiogenesis as well as the improvement of microenvironment by ROS scavenging of EGCG.The surface morphology,zeta potential,infrared absorbance peaks and zinc ion release profile of the EGCG/Zn Ps were measured.In vitro,EGCG/Zn showed significantly antioxidant,antiinflammatory and induced cell migration effect.In addition,EGCG/Zn Ps enabled the sustained release of zinc ions,which reduced cytotoxicity and enhanced the secretion of vascular endothelial growth factor(VEGF)in vitro and in vivo.In mouse models of limb ischemia,EGCG/Zn Ps promoted angiogenesis and cell proliferation in ischemic tissues.Moreover,EGCG/Zn Ps group exhibited the most significant recovery of limb ischemic score,limb temperature and blood flow than other groups.In conclusion,EGCG/Zn Ps is a safe and promising approach to combine the merit of Zn2+and EGCG,thus enabling the direct application to limb ischemia. 展开更多
关键词 Polyphenol metal networks Green tea polyphenol ZINC ANGIOGENESIS Limb ischemia disease
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