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        west china medical publishers
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        find Author "鞠玲燕" 2 results
        • Study on Pathological Morphology Characteristics of Great Saphenous Vein Wall

          目的檢測曲張大隱靜脈管壁各參數,并探討曲張大隱靜脈管壁發生、發展過程中組織形態學特征與臨床病期之間的關系。方法回顧性分析我院2008年7月至2009年7月期間收治的49例高位結扎剝脫加旋切治療的大隱靜脈曲張患者的臨床資料,按臨床CEAP分級分為單純靜脈曲張組(C2~C3級,簡稱單純曲張組),24例; 靜脈曲張并皮膚改變組(C4~C6級,簡稱皮膚改變組),25例; 另選6例因外傷行截肢術但大隱靜脈正常無損傷者作為對照組。采用Masson染色測量靜脈內膜和中膜厚度,以測量靜脈截面的最大直徑作為管腔內徑值,采用免疫組織化學SP法觀察靜脈管壁的結構變化。結果管腔內徑: 與對照組比較,單純曲張組及皮膚改變組上、中、下三段靜脈管腔內徑均明顯增大(Plt;0.05); 皮膚改變組上、中段靜脈管腔內徑較下段也明顯增大(Plt;0.05); 單純曲張組三段靜脈管腔內徑變化差異無統計學意義(Pgt;0.05)。單純曲張組和皮膚改變組的靜脈管壁結構改變大致相似,主要表現為內膜不均勻增厚,管壁厚薄不等,以膠原纖維和細胞外基質增生為主,伴有平滑肌增生,中膜厚度略增加,平滑肌束排列紊亂,部分萎縮、凋亡,部分局灶增生,肌束間纖維膠原間質增生,兩者相互穿插,排列混亂,彈力纖維斷裂。皮膚改變組還可見內膜繼發性改變,包括黏液變性、玻璃樣變性、內膜炎、血栓形成等。單純曲張組和皮膚改變組上、中、下三段靜脈內膜厚度明顯大于對照組(Plt;0.05); 單純曲張組上、下段靜脈內膜厚度明顯小于中段(Plt;0.05); 單純曲張組中段內膜厚度明顯大于皮膚改變組中段(Plt;0.05)。中膜厚度單純曲張組、皮膚改變組和對照組之間以及同一組內上、中、下三段間比較差異均無統計學意義(Pgt;0.05)。結論下肢曲張靜脈管腔擴張,內膜增厚,內膜改變以中段出現較早且顯著,上、下二段血管壁的重塑與臨床病期之間無關。

          Release date:2016-09-08 10:41 Export PDF Favorites Scan
        • Ultrastructural Effect of High Hydrostatic Pressure and Hypoxia Upon Vasa Vasorum of The Walls of Great Saphenous Vein and Splenic Vein

          ObjectiveTo observe the ultrastructural changes of vasa vasorum endothelial cells in the walls of the great saphenous vein and splenic vein, and to evaluate the effect of high hydrostatic pressure and hypoxia upon vasa vasorum endothelial cells. MethodsThirty-four varicose great saphenous vein samples and splenic vein samples with portal hypertension were obtained, and the same number of normal great saphenous vein and splenic vein were used as the control groups. Semi-thin sections stained with HE staining vasa vasorum of the adventitia in great saphenous vein and splenic vein were observed for light microscopy. Samples were made into ultrathin-slices again. The ultrastructural changes of endothelial cells were observed under transmission electron microscopy. ResultsIn varicose great saphenous veins and diseased splenic veins, the nuclear architecture of endothelial cells in vasa vasorum were integrity and the distribution of chromatin were normal. In some mitochondria, the trachychromatic groundplasm, undefined and ruptured cristae were found. ConclusionUnder high hydrostatic pressure and hypoxia conditions, the ultrastructure of vasa vasorum endothelial cells between the great saphenous vein and the splenic vein may appear remodeling phenomenon, and both changes are similar.

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