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Results The steno-occlusive type was most common (73.9%) in aortitis syndrome. According to the classification of Lupi-Herrea, type Ⅲ was observed in 43.5% of all. Left subclavian arteries (69.6%) and left common carotid arteries (60.9%) were the most frequently involved.

结果 大动脉炎综合征病变以狭窄-阻塞型最常见(73.9%),按Lupi-Herrea分型以Ⅲ型多见(43.5%),最常受累的血管为左锁骨下动脉(69.6%)及左颈总动脉(60.9%)。

Results In 84 cases of nerve root type,stenosis was found in 438 intervertebral foramen,of which C6~7 and C5~6 intervertebral foramen stenosis accounted for 79.6%.The causes of intervertebral foramen stenosis were uncinate process articulation hyperosteogeny,intervenebral disc protrusion,vertebral body hypertrophy,zygapophysis hyperosteogeny and dislocation etc.40 cases of vertbral artery type manifested that vertbral artery became slim and deviousness as a result of the compression of vertbral artery (20.7%) by osteophyte.22 cases of myeloid type manifested with cervical spinal canal stenosis,hyperosteogeny of posterior vertebral body edge,posterior longitudinal ligament calcification and cervical intervertebral disc protrusion etc.

结果 84例神经根型中,发现椎间孔狭窄438处,其中C5~6和C6~7椎间孔狭窄占79.6%,椎间孔狭窄的成因有钩突关节骨质增生、椎间盘突出、椎体肥大、小关节突骨质增生、错位等;40例椎动脉型表现为骨赘压迫椎动脉(52.5%),导致椎动脉变细、粗细不均和椎动脉迂曲。22例脊髓型表现为颈椎椎管狭窄、椎体后缘骨质增生、后纵韧带钙化、椎间隙狭窄和颈椎间盘突出等。

Material and Methods:From March,2008 to January,2009,250 patients(146 Males and 104 Females,ranged from 18 to 82 years old,mean age was 48 years old) enrolled in the First Affiliated Hospital of Kunming Medical College were performed dual energy scan(Group A,200 patients) and Neuro-DSA scan(Group B,50 patients) using DSCT.The patients were randomly divided into Group A and Group B.Regarding to the justification of scan protocol,100 patients in Group A were selected as sub-group to explore the scan protocol.The image quality Was analyzed both in four categories(4.0/60、4.5/60、4.0/70、4.5/70) of flow rate and total amount of contrast-enhanced material and in three categories(100—150HU、150—200HU、200-250HU) of CT value of left common carotid artery.The comparison of two scan approach was based on image quality,radiation does, postprocessing methods,time of scanning and subtraction and data storage amount.To validate the diagnostic capability of DE-CTA virtual unenhanced images,100 patients in Group A were undergoing head scan both in routine non-contrast program and DE-CTA virtual unenhanced program.Mean CT values,signal-to-noise ratio,image quality,sensitivity of lesion identification,and radiation does were applied to comparison.According to diagnostic results of dual energy of cerebral arterial angiography,62 patients out of 200 patients in Group A were confirmed with cerebral vessel lesions,the results were complied with DSA findings(the time between the two methods were within 1 week).

材料与方法收集2008年3月到2009年1月间在昆明医学院第一附属医院行DSCT CTA检查者250例(男性146例,女性104例,年龄范围18-82岁,平均48岁),随机分为A、B两组,A组200例行双能量头颅CTA扫描;B组50例行Neuro-DSA扫描。A组前100例按对比剂不同流率和总量分为4组(4.0/60、4.5/60、4.0/70、4.5/70)对图像质量比较;按触发时左颈总动脉内平均CT位分3组(100—150HU、150—200HU、200-250HU),比较图像质量的差异;对A、B两组血管图像质量、辐射剂量、后处理的方法、扫描和后处理时间及数据的容量进行比较分析;A组中前100例行常规与DE-CTA虚拟平扫的平均CT值、信号噪声比、图像质量、病灶显示情况、辐射剂量的比较分析;A组中行DSA检查62例(两种方法间隔时间均1周内),比较两种检查方法诊断结果是否符合,并对其中24例动脉瘤行动脉瘤部位、数目、形态、瘤颈显示程度、瘤颈大小及瘤体长径和短径的比较研究。

To measure the flow velocity of the lateral ascending cervical arteries and the small vessel into femoral epiphysis and RI of arteries.

测量髋关节外侧颈升动脉及股骨头骨骺终末血管的血流速度,动脉血管流速为收缩期峰值流速。

The inferior petrosal sinus drainage into the jugular bulb in three different routes between the glossopharyngeal nerve and the vagus nerve, under the vagus and accessory nerv...

本组对30个头颅标本,60侧颈静脉孔进行了详细的显微解剖研究,对舌咽神经、迷走神经、副神经、舌下神经、椎动脉、小脑后下动脉和乙状窦-颈内静脉之间

The donor brachiocephalic trunk and pulmonary artery were anastomosed to the recipient right common carotid artery and right external jugular vein respectively.

将供心的无名动脉和肺动脉分别与受体的右颈总动脉和右颈外静脉行套管法连接。

METHODS: Newborn rats in the model and laser treatment groups were treated with low-concentration oxygen (containing 8% O2 and 92% N2) following deligation of the left common carotid artery to establish models of ischemia-hypoxia brain damage. Rats in the sham operation group did not receive deligation of the left common carotid artery, but exposed to the air.

模型组、激光治疗组新生大鼠通过结扎左颈总动脉后,再吸入低浓度氧(含体积分数为8%的O2、体积分数为92%的N2)建立缺血缺氧性脑损伤模型;假手术组不结扎左颈总动脉,置于正常空气中。

Results Powder,the decocted ex-tracts and the non-heating extracts of lumbricus prolonged the occlusion time of the common carotid artery induced by the electrical stimulation in the dose-dependent way.

结果 地龙磨粉、水煎液和免加热提取物均可剂量依赖性地延长电刺激诱导的颈总动脉堵塞时间,地龙磨粉和水煎液抗动脉血栓作用强度相当,地龙免加热提取物抗动脉血栓作用强于同剂量的地龙磨粉或水煎液。

The expression of p-p38 and Rho GDIαwas upregulated in LCA by either low shear stress or hypertension. However, the highest expression of p-p38 and Rho GDIαwas observed in LCA of low shear stress accompanied by hypertension.(4) Effect of low shear stress on both decreasing apoptosis and increasing proliferation of VSMCs in LCA was reversed by tributyrin, a HDAC inhibitor.

当高血压伴有低切应力时,两者的协同作用诱导p-Akt的表达水平进一步增加;(3)高血压和低切应力都可以诱导颈总动脉p38和Rho GDIα表达增加;当高血压伴有低切应力时,两者的协同作用诱导颈总动脉p38和Rho GDIα表达进一步增加;(4)HDAC抑制剂Tributyrin可以通过抑制VSMCs增殖,促进VSMCs凋亡,在干预低切应力诱导的血管重建中发挥作用。

Methods The model of carotid-jugular fistula in 10 rats was constructed by left external jugular vein and common carotid artery side to end anastomosis.

将大鼠左侧颈外静脉与颈总动脉行端侧吻合,测定吻合前后及模型动物饲养16周后的血流动力学改变。

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