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1、蘭州醫(yī)學(xué)院碩士學(xué)位論文暫時(shí)阻斷肝靜脈行肝動(dòng)脈碘油栓塞的實(shí)驗(yàn)研究姓名:張皓申請學(xué)位級別:碩士專業(yè):影像醫(yī)學(xué)與核醫(yī)學(xué)指導(dǎo)教師:郭順林;趙鵬普2003.6.1P51507J蘭州醫(yī)學(xué)院碩士學(xué)位論文暫時(shí)阻斷肝靜脈行肝動(dòng)脈碘油栓塞的實(shí)驗(yàn)研究摘要目的:通過采用暫時(shí)阻斷肝靜脈行肝動(dòng)脈碘油栓塞,研究肝靜脈阻斷對肝動(dòng)脈栓塞效果的影響。材料和方法:20只sD大自鼠(雄性)按照四種不同劑量的碘油一優(yōu)維顯混合物隨機(jī)分為四組。在暫時(shí)阻斷(10分鐘)鼠肝靜脈匯合處右側(cè)部分行肝動(dòng)脈碘油一優(yōu)維顯混合物栓塞(從胃十二指腸動(dòng)脈穿刺進(jìn)入肝動(dòng)脈),并于栓塞后取鼠肝標(biāo)本(包括
2、肝靜脈阻斷和非阻斷區(qū)肝組織)。肝靜脈阻斷和非阻斷區(qū)肝組織內(nèi)碘油一優(yōu)維顯混合物的組織學(xué)檢查采用蘇丹ⅡI染色。比較肝靜脈阻斷區(qū)和肝靜脈非阻斷區(qū)肝組織內(nèi)碘油分布情況。結(jié)果:暫時(shí)阻斷肝靜脈與未阻斷肝靜脈區(qū)肝組織內(nèi)的碘油分布有所不同,前者較后者肝區(qū)肝小葉內(nèi)碘油沉積多,且門靜脈屬枝末梢內(nèi)亦有碘油沉積。結(jié)論:暫時(shí)阻斷部分肝靜脈行肝動(dòng)脈栓塞,可增加碘油的栓塞作用,同時(shí)達(dá)到對肝動(dòng)脈和門靜脈的雙重栓塞,此法有可能提高肝癌的化療栓塞效果。關(guān)鍵詞:動(dòng)脈栓塞,肝靜脈,肝,鼠蘭州醫(yī)學(xué)院碩士學(xué)位論文ANEXPERIMENTALSTUDYoFTEMPoRARYHE
3、PATICVENoUSoCCLUSIoNoNHEPATICARTERIALEMBoLIZATIoNWITHLIPIODOLABSTRACTobjective:Tostudytheeffectoftemporaryhepaticvenousocclusiononhepaticarteriallipiodol—embolizationinrats.MaterialsandMethods:TwentySDrats(male)wereseparatedrandomlyintofourgroupswithdifferentdosesoflip
4、iodol-Ultravistmixture.Alipiodol·Ultravistmixturewasinjectedintoproperhepaticartery(puncturedfromgastroduodenalartery)inratsduringclampingtherightsideofthehepaticvenousconfluenceabout10minuts.Thehepatictissueswitllandwithouthepaticvenousocclusionwereobtainedrespectivel
5、yafterhepaticarterialembolization.Thedistributionoflipiodol-UltravistmixtureinhepatictissueswasanalyzedbyhistologicalexaminationwithSudanHI.Theextentofthedistributionoflipiodol—UltravistmixturewascomparedinhepatictissueswithandwithouthepaticvenousocclusionResults:Lipio
6、dol-Ultravistmixturewasmorewidelydistributedinthelobuleswithhepaticvenousocclusionthanthatinthelobuleswithouthepatic蘭州醫(yī)學(xué)院碩士學(xué)位論文venousocclusion.ThereweremoreLipiodol-Ultravistmixtureinend-brushofportalveinwithhepaticvenousocclusion.Conclusions:Transcatheterarterialchemo
7、embolizationundertemporaryhepaticvenousocclusionmayenhancetheroleoflipiodolandgettheeffectofhepaticartery-portalveindouble—embolizatipn.Itcouldbeusefulinthetreatmentofhepatiocellularcarcinoma.KEYWORDS:奏alembolization,hepaticvein,rat,liVel"蘭州醫(yī)學(xué)院碩士學(xué)位論文符號說明1.HE染色:病理染色方法2.
8、kg:公斤3.m1:毫升4.SD:標(biāo)準(zhǔn)大鼠5.SPSSIO.0:統(tǒng)計(jì)學(xué)軟件6.Ultravist300:非離子造影劑7.UIII:微米8.um2:平方微米蘭州醫(yī)學(xué)院碩士學(xué)位論文英文縮寫TACETAPVECTACTAPTACE-THVO