郭大静,孔祥泉,王志刚,赵建农,陈维福,谢微波,钟维佳.急性脑静脉闭塞动物模型的改进[J].中国医学影像技术,2005,21(12):1877~1880
急性脑静脉闭塞动物模型的改进
Improved model of acute cerebral venous occlusion: experimental study
投稿时间:2005-07-12  修订日期:2005-10-28
DOI:
中文关键词:  模型,动物  脑静脉闭塞  磁共振成像  体层摄影术,X线计算机
英文关键词:Model, animal  Cerebral venous occlusion  Magnetic resonance imaging  Tomography, X-ray computed
基金项目:
作者单位E-mail
郭大静 华中科技大学同济医学院附属协和医院放射科,湖北 武汉 430022 guodaj@163.com 
孔祥泉 华中科技大学同济医学院附属协和医院放射科,湖北 武汉 430022  
王志刚 重庆医科大学附属第二医院,重庆 400010  
赵建农 重庆医科大学附属第二医院,重庆 400010  
陈维福 重庆医科大学附属第二医院,重庆 400010  
谢微波 重庆医科大学附属第二医院,重庆 400010  
钟维佳 重庆医科大学附属第二医院,重庆 400010  
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中文摘要:
      目的 对急性脑静脉闭塞动物模型加以改进,拟建立一个稳定的类似临床疾病的动物模型。方法 家猫28只,随机分为3组(栓塞组18只,结扎组6只,假手术组4只),栓塞组和结扎组分别采用开颅上矢状窦穿刺注射醋酸纤维素聚合物(CAP)和上矢状窦(SSS)后份结扎制备急性脑静脉闭塞模型,术后1、3、6、12、24、48 h对各组模型行MRI、CT检查,观察脑实质损害的动态变化,并和病理作对照研究。结果 栓塞组16只猫造模成功。MR发现13只猫,CT发现12只猫脑实质内异常灌注区。大体病理学16只猫上矢状窦、桥静脉及皮层静脉内见CAP凝固呈铸型改变。显微病理学见病灶以血管源性水肿为主,12 h后出现静脉性脑梗死、脑出血。结扎组和假手术组脑实质未见异常改变。结论 上矢状窦穿刺注射CAP制备急性脑静脉闭塞模型方法可行,该模型适合于病理生理及影像学研究。
英文摘要:
      Objective To improve the model of acute cerebral venous occlusion and establish a stable animal model to be similar to clinical disease. Methods Twenty-eight cats were randomly divided into 3 groups, including embolism group (n=18), ligation group (n=6) and sham operation group (n=4). Embolism group and ligation group were performed respectively by injection of the cellulose acetate polymer (CAP) solution into the superior sagittal sinus (SSS) and by ligation of the posterior part of the SSS. MRI and CT were performed at an interval of 1, 3, 6, 12, 24 and 48 h after operation. Brain parenchymal lesions were observed dynamically and compared with pathological changes. Results Sixteen cats in embolism group were operated successfully. Abnormal perfusion areas of brain parenchyma were found in 13 cats by MRI and 12 cats by CT. There were cast-like materials formed by CAP within SSS, bridging veins and cortical veins in 16 cats. The microscopic changes were mainly vasogenic edema and followed by venous hemorrhagic infarction in 12 h. No abnormal findings were observed in ligation group and sham operation group. Conclusion Modeling of acute cerebral venous occlusion by injection of CAP solution into SSS is feasible. The model is suitable for pathophysiological and radiological studies of acute cerebral venous occlusion.
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