静态与动态下脱细胞猪主动脉瓣种植人成纤维细胞初步研究

目的 探索在脱细胞猪主动脉瓣膜材料上种植人成纤维细胞的方法与效果；材料和方法 采用在脱细胞猪主动脉瓣膜材料上静态与动态种植人成纤维细胞，并对其结果进行比较研究。结果 静态种植不能在猪主动脉瓣叶的两侧形成完整的单层人成纤维细胞融合层；而经过动态种植，在一定条件下可以在猪主动脉瓣叶两侧形成完整的单层人成纤维细胞融合层；结论 动态种植较之静态种植易达到形成完整均匀的细胞种植效果。     

腹主动脉与其主支夹角的空间定位

甲醛固定的成人尸体32具(男19,女13),造影拍片和实地解剖对照观察,测量腹主动脉主支的发出高度、起点方位、与主动脉的夹角,以及与矢状面的交角。综合以上四项指标,即能构想腹主动脉与其主支夹角的空间位置和变动范围。     

Ca2+ and K+ current in cultured vascular smooth muscle cells from rat aorta

Ca²⁺ (I_Ca) and K⁺ (I_K) currents were recorded in single cultured cells from rat aorta using the whole cell clamp technique with patch electrodes. I_Ca was detected at–30 mV, and at 20 mV it reached a peak in about 10 ms and decayed with a t_1/2=50 ms. The mean maximum slope conductance (G_Ca) was 30 S/cm². I_K was detected at–10 mV and at 20 mV reached its maximum with a t_1/2=12 ms. For I_K, G_K=200 S/cm². These channels can be activated during action potentials and play a role in the excitation and contraction of vascular smooth muscle cells.Doctoral training program UAM-1     

胸腰脊神经根鞘形态观测及其临床意义

目的：为了探讨腰腿疼痛等疾病与脊神经根鞘的关系。方法：用巨视解剖和游标卡尺测量法对１５具尸体的胸腰脊神经根鞘进行了解剖学观察与测量。结果：①左、右胸腰脊神经根鞘长度和横径基本对称；②Ｔ１根鞘长度和横径大于其它胸神经根鞘，接近Ｌ２水平，Ｌ３～Ｌ５根鞘长度和横径大于其它胸腰神经根鞘，尤其Ｌ５更为突出；③胸腰脊神经根鞘开口式，由上向下，由２～３孔逐渐减至１孔。结论：①Ｔ１、Ｌ２～Ｌ５脊神经根鞘既长又粗，与周围接触范围大，受损危险增大；②根鞘开口式孔数由上向下减少，发生在鞘内的炎症和肿瘤引起前、后根同时受累的机会增多。     

Morphofunctional changes in the intima of collateral arteries in modeled aorta coarctation

In modeled aorta coarctation long-term functioning of collateral arteries is shown to be accompanied by activation of subintimal smooth muscle cells and elastofibrosis of the intima, which are a manifestation of hemodynamic arteriosclerosis. Translated fromByulleten' Eksperimental'noi Biologii i Meditsiny, Vol. 118, N ^o 7, pp. 82–85, July, 1994 Presented by L. D. Sidorova, Member of the Russian Academy of Medical Sciences     

脊柱侧凸患者椎弓根形态变化与椎弓根外固定术的应用

目的：观测脊柱侧凸患者胸椎弓根等结构的形态变化，于脊柱侧凸矫形术中应用自行设计的胸椎椎弓根外内固定技术，探讨其临床意义。方法：对30例脊柱侧凸患者行术前CT扫描，观测椎弓根形态变化及椎体旋转程度，主动脉位置变化等；对过窄或变形严重的椎弓根行胸椎椎弓根根外内固定，观察效果。结果：CT扫描发现，侧凸患者凹侧椎弓根直径明显窄于凸侧椎弓根直径，差异具有显著统计学意义（P〈0．05）。凹侧及凸侧椎弓根直径都明显小于相应肋骨．椎弓根单元直径，差异具有显著统计学意义（P〈0．05）。椎体呈楔形变，主动脉位置相对向后外侧移位；临床选择5例侧凸病人共24个胸椎弓根过细（小于2mm）或变形严重不适合经椎弓根内固定，而对这部分椎弓根行椎弓根根外内固定取得满意效果，无神经血管并发症发生，经3，6及12个月随访无螺钉拔出或松动，无矫正度丢失。结论：脊柱侧凸病人椎弓根等结构的形态发生了改变；在脊柱侧凸病人中应用胸椎椎弓根根外内固定技术具有操作简单安全、固定牢固可靠等优点，具有临床实用价值。     

The inferior supernumerary renal arteries: A classification into three types

Among cases that had multiple renal arteries on one side, an inferior supernumerary renal artery was found in 24/270 cases (ca. 9%) on the right and in 19/270 cases (ca. 7%) on the left, together with the usual renal artery. We have noticed that there are correlations between their levels of origin from the aorta and their positional relation to the ureter and the inferior vena cava (IVC). An inferior supernumerary renal artery (InfRA) of lower origin passes in front of the IVC and behind the ureter. An InfRA of middle origin passes in front of both the IVC and the ureter. An InfRA of upper origin passes behind the IVC and in front of the ureter or renal pelvis. In addition there was a tendency for the lower origin type to have an ureteric branch, while the middle and upper origin types had a gonadal branch. These findings suggest that different derivations lead to the inferior supernumerary renal arteries.     

Isolated aorta setup for hemodynamic studies

A setup consisting of a high-performance hydraulic pump connected to the ascending part of an isolated aorta, including all major distal branches, each loaded with calibrated artificial resistors, was developed. The system was used to study total aortic compliance of the baboon as a function of mean aortic pressure (n=5). The aorta loaded with the resistors was mounted in a custom-designed sink table, such that it was submersed in physiological saline maintained at 37°C. Mean distending pressure in the entire aortic compliance from pressure and flow waves generated by the pump. Total aortic compliance as a function of mean pressure was fitted with a logarithmic function: Ln (Compliance)=A+B * P. The value of A(±SE) was: 1.565±0.319 and B: −0.020±0.003 (P<0.001). The results were compared with previously published results (also using the same three-element Windkessel fit) obtained in three of the same animalsin vivo. Thein vivo data were A: 1.095±0.235 and B: −0.019±0.003.In vitro data had a significantly higher value of A thanin vivo (P=0.017), implying a significantly higher aortic compliancein vitro thanin vivo. Occlusion of the proximal descending aorta was performed at a low distending pressure (55 mm Hg) to determine the proximal complicance. It was found (n=4) that 46±11% (SD) of the total arterial compliance is to be attributed to the ascending and proximal descending aorta. This work was supported in part by Grant RG 86/0066 from the scientific affairs division of Nato.     

经股动脉至冠状动脉插管的应用解剖观测

目的:为动脉造影术以及对病变脏器进行化学治疗时的导管插入提供解剖学依据。方法:用不锈钢尺测量从股动脉起始处至冠状动脉起始处全程中主动脉各主要分支的距离;用游标卡尺测得各动脉起始部的外径。结果:从左、右股动脉起始处,经髂外动脉、髂总动脉最终到左冠状动脉起始处之间的长度分别为(68.9±4.2)cm和(69.0±3.9)cm;到右冠状动脉起始处之间的长度分别为(68.3±4.0)cm和(68.5±3.6)cm。左、右冠状动脉起始处的外径分别为(6.2±1.3)mm和(5.0±0.8)mm。结论:本文的测量数据可供经股动脉至冠状动脉起始处全程中主动脉的各主要分支施行心导管诊断治疗和对内脏器官的疾病进行化学治疗以及局部脏器动脉造影术参考。