家兔颈动脉粥样硬化模型颈动脉内膜剥脱术后的早期再狭窄过程

Time course of early restenosis of rabbit carotid atherosclerosis model after carotid endarterectomy

  • 摘要: 目的: 观察家兔颈动脉粥样硬化模型颈动脉内膜剥脱术(CEA)后早期再狭窄随时间的变化过程,为临床预防再狭窄提供依据。方法: 以干燥气体损伤(120ml/min,持续充气15min)结合高脂饲料喂养2个月(6%花生油、2%胆固醇加入普通饲料,按每只100g/d进食饲料)制作家兔颈动脉粥样硬化模型。对模型家兔进行CEA手术,分别于术后1d、5d、10d、20d、30d、40d、60d处死取材,对组织切片进行HE染色、PCNA、α-SMA、PDGF-A、TGFβ、CD3、CD68免疫组化染色; 结果: CASS模型CEA术后早期再狭窄在不同时间的主要表现为:术后1~2d血栓形成;术后5d以内为急性炎症,以后为慢性炎症;5~40d为平滑肌细胞增殖;60d时中膜显著内膜化不易分辨。结论: CASS模型CEA术后再狭窄大约分为4个时期:术后1~2d为血栓形成期;术后5d以内为急性炎症期;5~40d为平滑肌细胞增殖期;60d为后期表现。

     

    Abstract: Objective: To observe the time course of early restenosis of rabbit carotid atherosclerosis model after CEA and to provide information for clinical preventing restenosis. Methods: Using New Zealand rabbits, lesions are created by air-drying an isolated segment of common carotid artery(120ml/min 15min) and feeding the rabbits a diet of 2% cholesterol, 6% peanut oil mixed in normal diet for 2 months. Then perform CEA. After the operations, the rabbits are killed and the carotid arteries are respectively sampled at 1, 5, 10, 20, 30, 40, and 60 postoperative day. The samples are stained with HE, and PCNA, α-SMA, PDGF-A, TGFβ, CD3, CD68 immuno-histological stain. Results: The main presentations of early restenosis of rabbit carotid atherosclerosis model after CEA are: thombosis at 1~2 postoperative day, acute inflammation in the first 5 days after operation, smooth muscle cell proliferation in 5~40 days after operation, and the media turns into intima appearance at 60 postoperative day. Conclusion: The early restenosis could be approximately divided into 4 phases: phase of thrombosis, 1-2 postoperative day;Phase of acute inflammation, in the first 5 days after operation;Phase of smooth muscle cell proliferation, 5-40 days after operation;And at 60 postoperative day phase of afterward changes.

     

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