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良性前列腺增生MSCT多期增强特征与VEGF、bFGF表达和血管生成关系的探讨
引用本文:刘金刚,王滨,牛庆亮,王锡臻,杜汉旺. 良性前列腺增生MSCT多期增强特征与VEGF、bFGF表达和血管生成关系的探讨[J]. 中国临床医学影像杂志, 2008, 19(4): 255-258
作者姓名:刘金刚  王滨  牛庆亮  王锡臻  杜汉旺
作者单位:1. 潍坊医学院附属医院影像中心,山东,潍坊,261031
2. 潍坊市中医院影像中心,山东,潍坊,261041
基金项目:山东省1020(卫生系统杰出学科带头人和中青年重点科技人才)工程专项基金 , 国家自然科学基金
摘    要:目的:探讨良性前列腺增生(BPH)的MSCT多期扫描强化特征与VEGF、bFGF及微血管生成之间的关系。材料和方法:对经病理证实的35例BPH患者术前行MSCT平扫和增强扫描,用免疫组化检测增生组织的VEGF、bFGF的表达以及MVD和微血管相关指标表达情况,将MSCT强化特征与免疫组化结果进行分析。结果:MSCT多期动态增强扫描见BPH强化峰值71.43%(25/35)位于延迟期(180s),28.57%(10/35)位于静脉期(75s);VEGF、bFGF的阳性表达率分别为31.43%(11/35)和14.29%(5/35)。MVD与VEGF、bFGF有相关性(P〈0.01);MAV与MVD、VEGF、bFGF亦有相关性(P〈0.01),与微血管的平均直径、平均周长、平均面积呈负相关(P〈0.01),与微血管的异型指数无相关性(P〉0.01);VEGF与bFGF的表达之间具有相关性(P〈0.01);结论:bFGF、VEGF及MVD在BPH呈现不同程度的表达,MSCT强化特征与增生组织中bFGF、VEGF的表达及微血管的生成关系密切。

关 键 词:前列腺增生  血管内皮生长因子类  成纤维细胞生长因子2  体层摄影术  X线计算机
文章编号:1008-1062(2008)04-0255-04
收稿时间:2007-09-27
修稿时间:2007-09-27

Correlative study of VEGF,bFGF and angiogenesis with MSCT multi-phase scan features of benign prostatic hyperplasia
LIU Jin-gang,WANG Bin,NIU Qing-liang,WANG Xi-zhen,DU Han-wang. Correlative study of VEGF,bFGF and angiogenesis with MSCT multi-phase scan features of benign prostatic hyperplasia[J]. Journal of China Clinic Medical Imaging, 2008, 19(4): 255-258
Authors:LIU Jin-gang  WANG Bin  NIU Qing-liang  WANG Xi-zhen  DU Han-wang
Affiliation:LIU Jin-gan , WANG Bin , NIU Qing-liang , WANG Xi-zhen , DU Han-wan(1. Medical Imaging Center, Affiliated Hospital of Weifang Medical College, Weifang Shandong 261031, China, 2. Medical Imaging Center, Weifang Hospital of Traditional Chinese Medicine, Weifang Shandong 261041, China)
Abstract:Objective: To investigate the correlation of the expression of vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF) and angiogenesis with MSCT features of benign prostate hyperplasia (BPH). Materials and Methods: Thirty-five BPH cases proved by histopathology were examined with muhi-phase contrast-enhanced MSCT scanning. Each pathologic specimen was stained with hemetoxylin and eosin and immunohistoehemieal technique to detect the level of MVD, VEGa, bFGF and related mierovascular indexes. The CT features and the expression of MVD, VEGF, bFGF were analyzed to investigate the relationship with each other. Result: The peak value of 71.43%(25/35) BPH was seen in delayed phase(180s), 28.57%(10/35) in venous phase(75s). The positive rate of VEGF and bFGF was 31.43%(11/35) and 14.29%(5/35) respectively. There was significant positive correlation between VEGF, bFGF and MVD (P〈0.01), and between MAV and MVD, VEGF, bFGF (P〈0.01), between VEGF and bFGF (P〈0.01), and negative correlation of MAV with average diameter, perimeter and area. There was no correlation between MAV and heterotypie index (P〉0.01). Conclusion: The expression of bFGF, VEGF and MVD in BPH was different. The MSCT muhi-phase scan features of BPH have significant correlation with the expression of VEGF, bFGF and angiogenesis.
Keywords:Prostatic hyperplasia  Vascular endothelial growth factors  Fibroblast growth factor 2  Tomography, X-ray computed
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