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肝中动脉的影像学解剖特点与活体供肝移植的相关性 被引量:5
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作者 王少发 何晓顺 +5 位作者 李子平 彭振鹏 孙灿辉 张中伟 胡安斌 黄洁夫 《中华器官移植杂志》 CAS CSCD 北大核心 2009年第10期608-611,共4页
目的探讨在活体供肝移植中逐步受到重视的肝中动脉的解剖特点,以指导临床活体供肝移植的成功开展。方法分析70例研究对象的64排螺旋CT资料,重点观察肝中动脉的解剖特点及变异情况。结果肝中动脉在肝门部从其起源动脉发出后,走行于肝... 目的探讨在活体供肝移植中逐步受到重视的肝中动脉的解剖特点,以指导临床活体供肝移植的成功开展。方法分析70例研究对象的64排螺旋CT资料,重点观察肝中动脉的解剖特点及变异情况。结果肝中动脉在肝门部从其起源动脉发出后,走行于肝外,然后逐渐转至脐裂内门脉矢状部内侧,发出分支,主要供应肝4段。70例研究对象中,有49例(70%)存在肝中动脉。其中肝中动脉发自肝右动脉29例,占所有肝中动脉(n=49)的59.2%;发自肝左动脉17例,占34.7%;发自其它动脉3例(肝右前动脉、胃十二指肠动脉、肝固有动脉各1例),占6.1%。结论肝中动脉的存在率高达70%,术前了解其解剖变异情况对于活体供肝移植手术方案的制定有重要指导作用。 展开更多
关键词 肝中动脉 多排螺旋CT 活体移植
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术中肝动脉栓塞化疗^(125)I内放射治疗肝癌的配合
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作者 刘金凤 李玲 张丽君 《中华肿瘤防治杂志》 CAS 1995年第1期75-75,共1页
术中肝动脉栓塞化疗 ̄(125)I内放射治疗肝癌的配合刘金凤,李玲,张丽君1986年至1992年间我们对不能切除的肝癌采用术中肝动脉栓塞化疗125I内放射治疗112例其中男91例,女21例,年龄17~70岁,平均46岁... 术中肝动脉栓塞化疗 ̄(125)I内放射治疗肝癌的配合刘金凤,李玲,张丽君1986年至1992年间我们对不能切除的肝癌采用术中肝动脉栓塞化疗125I内放射治疗112例其中男91例,女21例,年龄17~70岁,平均46岁。全组均系原发性肝细胞癌。现将手术... 展开更多
关键词 动脉栓塞化疗 125I 内放射治疗 氟脲嘧啶 固有动脉 阿霉素 配合 器械护士 泛影葡胺
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双源性肝固有动脉分支伴胆囊动脉起点变异1例 被引量:1
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作者 谢伦利 易一平 +2 位作者 杨佩峰 李倩 吴长初 《中南医学科学杂志》 CAS 2013年第1期94-94,共1页
在教学标本制作过程中发现双源性肝固有动脉分支伴胆囊动脉起点异常的情况,鉴于肝固有动脉、胆囊动脉与临床关系密切,而双源性肝固有动脉分支伴胆囊动脉起点异常的资料不多,现报告如下。
关键词 固有动脉 肝中动脉 胆囊动脉
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MSCTA在评价活体肝移植手术切面血管中的价值
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作者 宋天彬 沈文 祁吉 《天津医科大学学报》 2010年第3期518-521,共4页
目的:探讨多层螺旋CT血管成像(MSCTA)对评估活体右半肝移植手术切面血管结构的价值。方法:对100例活体右半肝移植健康供体进行术前MSCTA评价,分析经过手术切面的IV段动脉支和门静脉支,V、VIII段的静脉引流支(直径>5 mm)。结果:IV段... 目的:探讨多层螺旋CT血管成像(MSCTA)对评估活体右半肝移植手术切面血管结构的价值。方法:对100例活体右半肝移植健康供体进行术前MSCTA评价,分析经过手术切面的IV段动脉支和门静脉支,V、VIII段的静脉引流支(直径>5 mm)。结果:IV段肝动脉支起自肝右动脉约占28%I,V段动脉支起源距离肝右动脉根部距离为(9.8±3.6)mm。部分由门静脉右前支供应占3%。V段和VIII段肝静脉分别汇入肝中静脉及肝右静脉者占14%和1%,主要汇入肝中静脉者占13%和26%,主要汇入肝右静脉者占14%和8%。VIII段主要汇入副肝右静脉者占1%,分别汇入肝中静脉和副肝右静脉者占6%。不带肝中静脉的右半肝移植时,V、VIII段静脉重建数目n:n=1分别占22%和24%,n=2分别占4%和3%。发现44支直径大于5 mm副肝右静脉,其中7支引流V、VI段,37支引流VI和VII段,直径为(6.5±1.3)mm。副肝右静脉距离肝右静脉根部冠状面距离为(44.4±14.7)mm。结论:MSCTA可以有效地评估活体肝移植中经过手术切面的血管分布情况,从而更好地指导临床手术。 展开更多
关键词 多层螺旋CT 活体移植 血管成像 肝中动脉 右静脉 静脉重建
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Effect of electroacupuncture at Ganshu(BL 18) and Shenshu(BL 23) on the expression of EphB2 protein in cortex around cerebral infracted area of rat 被引量:8
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作者 Li Hong-liang Xiang Juan +4 位作者 Ouyang Li-zhi Chen Guo Xue Zhi-hui Long Kang-sheng Li Tie-lang 《Journal of Acupuncture and Tuina Science》 CSCD 2017年第1期14-21,共8页
Objective: To observe the effect of electroacupuncture (EA) on the expression of erythropoie-tin-producing hepatocyte receptor B2 (EphB2) in the cortex around the infracted area of middle cerebral artery occlusi... Objective: To observe the effect of electroacupuncture (EA) on the expression of erythropoie-tin-producing hepatocyte receptor B2 (EphB2) in the cortex around the infracted area of middle cerebral artery occlusion (MCAO) rats at different timing, and to reveal the possible mechanism of acupuncture in the treatment of cerebral ischemia. Methods: A total of 180 male Sprague-Dawley (SD) rats were randomly divided into a sham operation group, a model group, an acupoint group and a non-acupoint group, with 45 rats in each group. Rats in each group were further divided into three subgroups: postoperative 3 d, postoperative 14 d and postoperative 2l d groups, with 15 rats in each subgroup. The MCAO model was made by the modified occlusion method. The neurological function score, 2,3,5-triphenyl tetrazolium chloride (TFC) staining, immunohistochemistry assay, immunofluorescence double labeling method and Western blot were used to detect the corresponding indicators. Results: The neurological impairment of rats was most obvious at postoperative 3 d, and then gradually improved with time, which was more significant in the acupoint group (P〈0.05). The change of infarcted volume was consistent with the neurological function impairment. The number of EphB2 positive cells (EphB2+) around the infarcted area was decreased significantly at postoperative 3 d, and then gradually improved with time, which returned to the same level as that in the sham operation group at postoperative 21 d. The increase was most significant in the acupoint group (P〈0.05), and the positive cell number was higher than that in the sham operation group (P〈0.01). Western blot and immunohistochemistry results were basically consistent. Immunofluorescence displayed that EphB2+ and postsynaptic density-95 positive (PSD-95+) were co-expressed, after the MCAO operation, in the cortical neuron around the infracted area, and the number of co-expressing cells was increased gradually with time, which was most significant in the acupoint group (P〈0.05). Conclusion: Electroacupuncture at Ganshu (BL 18) and Shenshu (BL 23) can significantly improve the neurological function and cerebral infarcted volume ratio of MCAO rats, which may be related to the activation of EphB2 expression in cortex around the infracted area and the promotion of synaptic remodeling. 展开更多
关键词 Acupuncture Therapy ELECTROACUPUNCTURE Point Ganshu (BL 18) Point Shenshu (BL 23) Brain Ischemia Infarction Middle Cerebral Artery Rats
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Effect of electroacupuncture on expressions of VEGF and CD31 in MCAO model rats 被引量:7
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作者 陈果 向娟 +5 位作者 欧阳里知 宋瑾 薛智慧 李洪亮 李铁浪 杨燕萍 《Journal of Acupuncture and Tuina Science》 CSCD 2017年第5期311-316,共6页
Objective: To investigate the effect of electroacupuncture (EA) at Ganshu (BL 18) and Shenshu (BL 23) on vascular endothelial growth factor (VEGF) and platelet endothelial cell adhesion molecule-1 (PECAM-1)... Objective: To investigate the effect of electroacupuncture (EA) at Ganshu (BL 18) and Shenshu (BL 23) on vascular endothelial growth factor (VEGF) and platelet endothelial cell adhesion molecule-1 (PECAM-1)/CD31 around the cerebral infarction focus in middle cerebral artery occlusion (MCAO) rats and the possible mechanism, thus to provide a new strategy for the treatment of cerebral ischemic stroke by acupuncture. Methods: A total of 180 healthy male Sprague-Dawley (SD) rats were randomly divided into a sham operation group, a model group, an acupoint group and a non-acupoint group, 45 rats in each group. MCAO model was established using the modified line-embolus method in all rats except for those in the sham operation group; rats in the acupoint group were treated with EA at Ganshu (BL 18) and Shenshu (BL 23); rats in the non-acupoint group were treated with EA at the control points; rats in other 2 groups were only subjected to bundling without treatment. Ten rats in each group were randomly selected on the 3rd day, the 14th day and the 21st day after acupuncture stimulation to test the neurological function impairment. The expression levels of CD31 and VEGF were also detected. Results: Compared with the model group and non-acupoint group, the neurological function score of the acupoint group was decreased at each time point, and the differences were statistically significant (P〈0.05, P〈0.01). The expressions of VEGF and CD31 in each group were the lowest on the 3rd day, reached the peak on the 14th day and still remained at high level on the 21st day. And the differences among groups were statistically significant both on the 14th day and the 21st day (P〈0.05, P〈0.01). Compared with the model group and the non-acupoint group, the expressions of VEGF and CD31 in the acupoint group were increased, and the differences were statistically significant (all P〈0.05). Conclusion: EA at Ganshu (BL 18) and Shenshu (BL 23) can significantly improve the neurological function score of MCAO model rats, and shows protective effect on cerebral ischemia. The protective mechanism may be related to the up-regulation of CD31 and VEGF expression around the cerebral infarction focus in the MCAO model rats and induction of angiogenesis. 展开更多
关键词 Acupuncture Therapy ELECTROACUPUNCTURE Point Ganshu (BL 18) Point Shenshu (BL 23) Brain Ischemia Infarction Middle Cerebral Artery Vascular Endothelial Growth Factors Rats
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