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        west china medical publishers
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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
        • 腔內隔絕術治療Stanford B型主動脈夾層--116例臨床分析

          目的 探討腔內隔絕術(EVGE)治療Stanford B型主動脈夾層動脈瘤的手術指征、術前評估方法、手術操作技巧、并發癥防治原則及臨床應用前景. 方法 對自1998年9月至2001年12月間施行的116例Stanford B型胸主動脈夾層動脈瘤EVGE進行了回顧性研究.術前CT血管造影(CTA)或磁共振血管造影(MRA)顯示:夾層動脈瘤最大直徑平均66.2±18.1mm,72例患者表現為單一夾層裂口,44例表現為多裂口.經股動脈或髂動脈將移植物導入胸主動脈封閉夾層裂口,手術在數字剪影血管造影(DSA)監視下完成. 結果 術中移植物成功釋放115例,72例單一夾層裂口患者中62例使用單一移植物,8例使用2個移植物,2例使用3個移植物,6例手術結束時殘存I型內漏;44例多夾層裂口者,18例使用2個移植物同時封閉不同部位夾層裂口,26例遠端夾層裂口曠置,1例中轉開胸手術.平均隨訪時間15.4±11.2個月,圍手術期死亡6例,其余病例術后無心、肺、腎功能衰竭及截癱等嚴重并發癥;術后11個月猝死1例,2例分別于術后14個月和24個月再發Stanford A型胸主動脈夾層而行Bentall手術,其余患者未出現與夾層及手術相關的并發癥. 結論 EVGE治療Stanford B型主動脈夾層動脈瘤是一種創傷小、恢復快的新方法,短期的隨訪結果表明該技術安全、有效.內漏是該方法的主要并發癥,并可能導致術后患者死亡,遠期療效有待繼續隨訪.

          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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