自制微铜圈栓塞兔肾动脉的效果研究
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孙勇, Email: jh2006327@yean.net

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Renal artery embolization by use of self-made small copper coils: an experimental study in rabbits
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    摘要:

    目的:探讨自制微铜圈在实验兔体内的动脉栓塞效果和生物相容性。 方法:将30只新西兰大耳白兔随机均分为实验组与对照组,分别用自制微铜圈(实验组)与Cook公司生产的微弹簧圈(对照组)经3 F微导管释放,栓塞兔肾动脉末梢支,于栓塞术后不同时间观察血管闭塞情况和病理学改变,同时对实验动物栓塞前后的实验室指标进行比较。 结果:血管造影显示,栓塞后30 min,实验组血管栓塞的效果不如对照组(P<0.05),但栓塞后3 d至12周各时间点,两组血管栓塞效果差异无统计学意义(均P>0.05)。两组栓塞后肾脏大体病理学改变相似,血栓形成情况两组间差异无统计学意义(P>0.05),但实验组血管周围炎症反应较对照组轻(P<0.05)。栓塞术后,两组肝、肾功能指标变化差异无统计学意义(均P>0.05),且均在 2周后恢复至术前水平;实验组血清铜离子术后2周内较术前升高(P<0.05),4周后恢复至术前水平(均P>0.05)。 结论:自制微铜圈与微弹簧圈在动脉栓塞效果方面相似,且具有更好的生物相容性。

    Abstract:

    Objective: To assess the arterial embolic effect and biocompatibility of the self-made small copper coils in experimental rabbits. Methods: Thirty New Zealand white rabbits were equally randomized into experimental group and control group. The terminal branches of the renal artery of the rabbits were embolized using the self-made copper coils (experimental group) or spring microcoils (Cook Inc) (control group) via a 3-F microcatheter, respectively. The vessel occlusion status and pathological changes were observed at different times after the embolization, and the laboratory parameters of the experimental animals before and after embolization were compared. Results: Angiography showed that the embolic effect in experimental group was inferior to that in control group at 30 min after embolization (P<0.05), but the embolic effect had no significant difference between the two groups at each time point from 3 d to 12 weeks after embolization (all P>0.05). After embolization, the renal gross morphological changes of the two groups were similar, and the thrombosis formation showed no significant difference between the two groups (P>0.05), but the perivascular inflammatory response in experimental group was milder than that in control group (P<0.05). After embolization, the changes in parameters of liver and renal function showed no significant difference between the two groups (all P>0.05), and 2 weeks later they all returned to pre-procedure levels; the serum copper level in experimental group was increased within 2 weeks compared with preoperative level (all P<0.05), but returned to preoperative level after 4 weeks (all P>0.05). Conclusion: Self-made small copper coils have similar arterial embolic effect as spring microcoils, and, in addition, has higher biocompatibility.

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姜华,孙勇,濮进敏,闫东,王家平,李迎春,童玉云,赵洁.自制微铜圈栓塞兔肾动脉的效果研究[J].中国普通外科杂志,2014,23(12):1635-1640.
DOI:10.7659/j. issn.1005-6947.2014.12.007

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  • 收稿日期:2014-10-26
  • 最后修改日期:2014-11-13
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  • 在线发布日期: 2014-12-15