《广州医药》
点击关注官方服务号追踪稿件状态

【重要服务提醒】《广州医药》杂志服务号已上线稿件查询功能

各位作者、审稿专家:
本刊官方微信服务号新增稿件状态查询服务,无需反复登录投稿系统,微信即可随时查看审稿进度、修回通知、录用结果,稿件更新实时推送提醒,同步接收期刊征稿、学术资讯。

操作方式

微信搜索关注广州医药杂志服务号 → 点击菜单栏「绑定账号」→ 输入投稿邮箱完成账号关联;请关闭微信消息免打扰,避免遗漏稿件通知。

《广州医药》编辑部

广州医药杂志服务号
您的位置: 首页 > 2015年1月 第46卷 第1期 > 文字全文
2023年7月 第38卷 第7期11
目录

微泡增强的脉冲超声治疗脾创伤出血机制的初步探讨

The mechanism of haemostatic effects induced by microbubble enhanced ultrasound on splenic trauma

来源期刊: 广州医药 | 5-7 发布时间:2021-11-30 收稿时间:2025/11/13 16:50:11 阅读量:123
作者:
关键词:
微泡脉冲式超声脾脏机制止血
MicrobubblesPulsed therapeutic ultrasoundSpleenMechanism
DOI:
10.3969/j.issn.1000-8535.2015.01.002
收稿时间:
2014-11-27 
修订日期:
 
接收日期:
 
引用总数:
0  
目的 初步探讨微泡增强的脉冲式超声治疗脾创伤出血的作用机制。方法 14只健康家犬随机分为3组,超声微泡组(MEUS组)6只、单纯超声组(TUS组)4只、单纯微泡组(MB组)4只。开腹切割脾建立脾破裂出血模型,MEUS组用脉冲式超声治疗仪辐照伤口,同时静脉匀速推注微泡;TUS组超声治疗时静脉推注生理盐水;MB组超声治疗仪假照的同时静脉推注微泡。治疗完毕,进行超声造影评价,并送病理组织学检查。结果 MEUS组造影示靶区造影增强缺损或者低灌注,但较粗大血管仍为增强显影。病理组织学见脾窦、微小血管扩张充血、血管周围组织水肿,血小板聚集,微小血管血栓形成。结论 微小血管血栓形成、微血管淤血扩张、周围组织水肿压迫是超声联合微泡治疗脾创伤出血的可能机理。
Objective To investigate the mechanism of haemostatic effect induced by microbubble(MB)enhanced therapeutic ultrasound(TUS)on splenic trauma. Methods 14 healthy dogs were divided into 3 groups.Six animals were treated by microbubble-enhanced therapeutic ultrasound(MEUS),the other eight animals were treated with TUS only group(n=4)and the MB only(n=4)served as the controls.The spleens of all animals were surgically exposed and a 20 mm long,5 mm deep incision was created on the spleens using scalpel.Contrast enhanced ultrasound(CEUS)was performed to assess the blocking effects of splenic circulation.The targeted spleens were harvested for pathological examination. Results A non-enhanced or perfusion defect region was formed within the treated area.The histological results showed splenic sinus hyperemia,microvascular hyperemia,perivascular tissue edema,platelet aggregation and intravascular thrombosis. Conclusion The mechanism of haemostatic effect on splenic trauma by microbubble enhanced ultrasound maybe intravascular thrombosis,microvascular hyperemia and perivascular tissue edema oppression simultaneously.
1、 张婷,刘志跃,杨敬英,等.不同超声辐照联合超声造影剂对人孕早期绒毛组织的损伤作用[J]. 中国医学影像学杂志,2012,20(6),437-440. 张婷,刘志跃,杨敬英,等.不同超声辐照联合超声造影剂对人孕早期绒毛组织的损伤作用[J]. 中国医学影像学杂志,2012,20(6),437-440.
2、 赵欣,邹建中,伍烽,等.连续和脉冲高强度聚焦超声辐照兔肝VX2移植瘤的比较[J]. 中国超声医学杂志,2013,29(5):456-459. 赵欣,邹建中,伍烽,等.连续和脉冲高强度聚焦超声辐照兔肝VX2移植瘤的比较[J]. 中国超声医学杂志,2013,29(5):456-459.
3、 张金龙,吴盛正,刘永亮,等.超声联合凝血酶原阻断犬前列腺血流灌注的初步研究[J]. 中国超声医学杂志,2013,29(5):460-463. 张金龙,吴盛正,刘永亮,等.超声联合凝血酶原阻断犬前列腺血流灌注的初步研究[J]. 中国超声医学杂志,2013,29(5):460-463.
4、 Zhao XC,Li L,Zhao H, et al. Liver haemostasis using microbubble-enhanced ultrasound at a low acoustic intensity.Eur Radiol,2012,(22):379-386 Zhao XC,Li L,Zhao H, et al. Liver haemostasis using microbubble-enhanced ultrasound at a low acoustic intensity.Eur Radiol,2012,(22):379-386
5、 Liu JH,Xiao SY,Wu SZ,et al.Disruption of splenic circulation using microbubble enhanced ultrasound and prothrombin[J]. Ultrasound in Medicine and Biology,2012,38(11):1930-1937. Liu JH,Xiao SY,Wu SZ,et al.Disruption of splenic circulation using microbubble enhanced ultrasound and prothrombin[J]. Ultrasound in Medicine and Biology,2012,38(11):1930-1937.
6、 罗环千.超声空化阻断兔正常肝脏血流对超声热疗的促进作用[J]. 广州医学院硕士论文,2010. 罗环千.超声空化阻断兔正常肝脏血流对超声热疗的促进作用[J]. 广州医学院硕士论文,2010.
7、 萧淑宜,柳建华,区文财,等.超声联合微泡阻断正常脾脏微循环血流的初步研究[J]. 中国超声医学杂志.2012,(8):684-688. 萧淑宜,柳建华,区文财,等.超声联合微泡阻断正常脾脏微循环血流的初步研究[J]. 中国超声医学杂志.2012,(8):684-688.
8、 Dindyal S, Kyriakides C.Ultrasound microbubble contrast and current clinical applications[J]. Recent Patents on Cardiovascular Drug Discovery,2011,(6):27-41. Dindyal S, Kyriakides C.Ultrasound microbubble contrast and current clinical applications[J]. Recent Patents on Cardiovascular Drug Discovery,2011,(6):27-41.
下一篇
出版者信息








《广州医药》公众号
目录