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find Author "包俊敏" 3 results
  • Progress in Endovascular Treatment for Peripheral Arterial Disease

    Release date:2016-09-08 10:54 Export PDF Favorites Scan
  • 腔内隔绝术治疗Stanford B型主动脉夹层--116例临床分析

    目的 探讨腔内隔绝术(EVGE)治疗Stanford B型主动脉夹层动脉瘤的手术指征、术前评估方法、手术操作技巧、并发症防治原则及临床应用前景. 方法 对自1998年9月至2001年12月间施行的116例Stanford B型胸主动脉夹层动脉瘤EVGE进行了回顾性研究.术前CT血管造影(CTA)或磁共振血管造影(MRA)显示:夹层动脉瘤最大直径平均66.2±18.1mm,72例患者表现为单一夹层裂口,44例表现为多裂口.经股动脉或髂动脉将移植物导入胸主动脉封闭夹层裂口,手术在数字剪影血管造影(DSA)监视下完成. 结果 术中移植物成功释放115例,72例单一夹层裂口患者中62例使用单一移植物,8例使用2个移植物,2例使用3个移植物,6例手术结束时残存I型内漏;44例多夹层裂口者,18例使用2个移植物同时封闭不同部位夹层裂口,26例远端夹层裂口旷置,1例中转开胸手术.平均随访时间15.4±11.2个月,围手术期死亡6例,其余病例术后无心、肺、肾功能衰竭及截瘫等严重并发症;术后11个月猝死1例,2例分别于术后14个月和24个月再发Stanford A型胸主动脉夹层而行Bentall手术,其余患者未出现与夹层及手术相关的并发症. 结论 EVGE治疗Stanford B型主动脉夹层动脉瘤是一种创伤小、恢复快的新方法,短期的随访结果表明该技术安全、有效.内漏是该方法的主要并发症,并可能导致术后患者死亡,远期疗效有待继续随访.

    Release date:2016-08-30 06:30 Export PDF Favorites Scan
  • Effect of RNA Interference on Endogenous bcl-2 Expression of Vascular Smooth Muscle Cells in Rabbit

    Objective To study the inhibitory effect of RNA interference (RNAi) on bcl-2 expression of vascular smooth muscle cells (VSMCs) in rabbit. Methods The expression vector of bcl-2 gene-targeting small interference RNA (pshRNA-bcl-2) was constructed and was transfected into VSMCs by lipofectamine, and the unloaded vector was used as control. The expression of bcl-2 mRNA was identified by RT-PCR and Western blot, respectively. The growth of the transfected VSMCs was examined by MTT. Results The pshRNA-bcl-2 may inhibit the expression of bcl-2 gene at the levels of transcription and translation. There were significant differences (P<0.01) of the expressions of bcl-2 mRNA between the VSMCs that were transfected with pshRNA-bcl-2 and the ones in plasmid transfected group and control group, respectively. There was a significant difference (P<0.01) in the growth of VSMCs between the plasmid transfected and the control groups. Conclusion The plasmid containing the small interference RNA of bcl-2 may have an inhibitory effect on the cell growth and endogenous expression of bcl-2 gene at the levels of transcription and translation in VSMCs.

    Release date:2016-08-28 04:08 Export PDF Favorites Scan
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