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纸质出版:2007
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戴晓天,杨和平,王海晶,易斌,熊玮,胡若兰,段海琳,宋洁.应用四环素经纤维支气管镜行微创肺减容术的动物实验研究[J].陆军军医大学学报(原第三军医大学学报),2007,29(01):59-61.
DAI Xiao-tian,YANG He-ping,WANG Hai-jing,YI Bin,XIONG Wei,HU Ruo-lan,DUAN Hai-lin,SONG Jie.Tetracycline for lung volume reduction by fibrobronchoscope[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(01):59-61.
戴晓天,杨和平,王海晶,易斌,熊玮,胡若兰,段海琳,宋洁.应用四环素经纤维支气管镜行微创肺减容术的动物实验研究[J].陆军军医大学学报(原第三军医大学学报),2007,29(01):59-61. DOI:
DAI Xiao-tian,YANG He-ping,WANG Hai-jing,YI Bin,XIONG Wei,HU Ruo-lan,DUAN Hai-lin,SONG Jie.Tetracycline for lung volume reduction by fibrobronchoscope[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(01):59-61. DOI:
目的 探讨应用四环素经纤维支气管镜行微创肺减容术的可行性。 方法 成年杂种犬5只,麻醉后经口插纤维支气管镜入亚段支气管,放入CRE球囊扩张导管,待球囊充起后注入5%四环素混悬液;采用影像学(CT,术后2、4、8、12周)和组织病理学方法(术后12周)检测局部肺组织情况以及Ⅰ型、Ⅱ型胶原表达。 结果 所有操作过程顺利,未发现技术操作上的困难,没有动物死亡,术后无明显并发症;术后12周CT检查示5只杂种犬局部肺组织均呈密度增高致密影,未见炎性病变影像,病理检查肉眼见肺表面瘢痕组织形成,镜下示阻塞部位失去正常肺组织结构,形成致密纤维结构,Ⅰ型胶原表达阳性,Ⅱ型胶原表达阴性。 结论 应用四环素经纤维支气管镜行微创手术操作容易,创伤小,并发症少,可用于肺减容治疗。
Objective To investigate the possibility of tetracycline for lung volume reduction by fibrobronchoscope. Methods Five adult mongrel dogs were anesthetized and fibrobronchoscope was inserted to the subsegmental bronchi through mouth. CRE sacculus dilation catheter was put into local lung inflate sacculus. The suspension of 5% tetracycline was administered to anesthetized dogs. Atrophic constitution of local lung was detected by roentgenographic examination at 2
nd
4
th
8
th
12
th
week and type Ⅰ
Ⅱ collagens were detected by histopathologic methods at 12
th
week after tetracycline application. Results Procedure of operation was successful without technical difficulty
no dogs dead
and no complications happened. Lung tissue of high density was found at 12
th
week by CT
but no inflammatory changes. Under microscope
scar tissue was seen
indicating obstructive tissues lost the normal lung structure and formed dense fibrous tissues. Type Ⅰ collagen was positive and type Ⅱ collagen was negtive in lung tissue. Conclusion Operative procedure through fibrobronchoscope to administer tetracycline is easy
with the advantages of less trauma
few complications so that it can be used in lung volume reduction.
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