王家祥,方平,肖湘生,徐雪原,谭跃平.超声评价兔动脉粥样硬化病变的实验研究[J].中国医学影像技术,2006,22(2):212~215
超声评价兔动脉粥样硬化病变的实验研究
Experimental study of assessing rabbit atherosclerosis with ultrasound
投稿时间:2005-08-08  修订日期:2005-09-20
DOI:
中文关键词:  动脉粥样硬化  超声检查  动物模型  组织病理学
英文关键词:Atherosclerosis  Ult rasonography  Animal model  Histopathology
基金项目:
作者单位E-mail
王家祥 第二军医大学附属长征医院影像科,上海200003 jiaxiangwang2004@163.com 
方平 第二军医大学附属长征医院超声科,上海200003  
肖湘生 第二军医大学附属长征医院影像科,上海200003  
徐雪原 第二军医大学附属长征医院影像科,上海200003  
谭跃平 第二军医大学附属长征医院超声科,上海200003  
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中文摘要:
      目的 应用超声评价兔动脉粥样硬化在不同时间点主动脉壁的变化,进一步探讨超声对兔动脉粥样硬化病变的诊断价值。方法 24 只兔分别于高脂饲料饲喂前、高脂饲料饲喂8 、16 、24 周行超声和病理学检查。结果 高脂饲料饲喂前、高脂饲料饲喂后8 、16 、24 周,血流动力学参数变化无显著性统计学差异( P > 0. 05) ;随着饲喂时间延长,不同时间点超声内膜2中膜厚度( IMT) 、病理学IMT 明显增加( P < 0. 01) ;超声与病理学比较分析,兔饲喂高脂和高胆固醇饮食8 周时,超声即可显示主动脉壁的变化。结论 超声可动态准确地测量IMT ,监测AS 病变不同时间点IMT 的变化、鉴别兔动脉粥样硬化斑块内脂质和纤维成分、敏感地显示血管壁形态学的早期变化,但不能分辨斑块内微小的粥样病灶和钙化。
英文摘要:
      Objective To study the changes of aortic wall in rabbit s atherosclerosis at different time point s and evaluateatherosclerotic lesion with ultrasound. Methods All of the 24 rabbit s were examined with ultrasound and pathology beforeand af ter feeding with high lipid and cholesterol diet for 8 , 16 , 24 weeks , respectively. Results There were no significantdifferences in hemodynamics ( P > 0. 05) before and af ter feeding with high lipid and cholesterol diet for 8 , 16 , 24 weeks.Prolonged with feeding high lipid and cholesterol diet , internal-media thick ( IMT) in ultrasound and intima-media thicknessin pathology remarkably increased (P < 0. 01) . Comparison of ultrasound feature with pathology showed that ultrasoundmight identify the changes of aortic wall after high lipid and cholesterol diet for 8 weeks. Conclusion Ult rasound can accu-rately measure IMT , and dynamically monitor the change of IMT at different time points. It also can identify the compositionof lipid and fiber , and sensitively detect early morphologic changes of vessel walls. But it can not differentiate tiny atheroma-tous lesion and calcification f rom plaque.
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