兔颈动脉粥样硬化发展过程中血管壁重塑及生物力学特性的变化
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Changes of Vascular Remodeling and Biomechanical Parameters of Carotid Atherosclerosis in the Rabbits
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    摘要:

    目的检测兔颈动脉粥样硬化形成过程中不同时期血管壁重塑及生物力学参数的变化。方法30只日本大耳白兔按抽签法随机分为正常饮食组(n=6)和手术组(n=24),手术组饲高脂饮食,一周后左侧颈动脉实施空气干燥内膜损伤术,并以右侧颈动脉留做假手术组;正常饮食组2周后及手术组于术后2、4、8及12周利用微机万能材料试验机控制系统测定血管最大载荷、抗拉强度、弹性模量、屈服强度、断裂伸长率等指标,测试后留取病理标本做免疫组织化学及HE和Masson染色,测定中膜胶原含量。结果手术组颈动脉出现较典型的粥样硬化病变。随粥样硬化程度增加,血管内膜增厚,中膜变薄,大量增生的胶原组织代替平滑肌纤维,血管弹性模量增高,硬度增大,顺应性减低。手术后12周组与假手术组、手术后2、4及8周组相比均有显著差异。但2周组与假手术组相比差异不明显。结论在动脉粥样硬化早期,血管呈正性重塑,弹性模量略有降低以适应新的力学环境。但随着粥样硬化程度加重,动脉壁胶原含量增加,管壁弹性减低,硬度增加,呈负性重塑过程,为介入治疗增加难度。

    Abstract:

    Aim To investigate the changes of biomechanical properties of carotid atherosclerosis in rabbits and its connection with the content of collagen.Methods 30 male Japanese White rabbits were randomly divided into control group(n=6) and the surgery group(n=24).The control group was fed by normal diet,but the surgery group was fed by high-cholesterol diet and treated in left carotid artery by air-drying.Meanwhile right carotid artery was treated as sham group.At 2,4,8 and 12 week after operation,the biomechanical properties were measured on a tensile-testing machine.The Elastic modulus,the strength failure and the peak load was measured,meanwhile the degree of artery stenosis was showed by DSA.The stenosis rate,mean integra optical densities(IOD) of media collagen were calculated.Results The typical atherosclerotic plaque showed in surgery group.Following development in degrees of the atherosclerosis,the intima showed proliferation and media showed atrophy and became thin,a mass of collagen tissue proliferated and filled in the smooth muscle cell.Atery elastic modulus and stiffness was increased and atery compliance was decreased.Statistic analysis showed significant difference at the 12 week group,compared with sham group and 2,4 and 8 week group after operation,but it showed no such significant difference at 2 week group after operation,compared with sham group.Conclusions At the early carotid atherosclerosis,vessel showed positive remodeling.Elastic modulus decrease to adapt to the new mechanical condition.But following development in degrees of the atherosclerosis,the content of the artery wall collagen increases,the vessel wall elasticity decrease and stiffness increases.The vessel occurs negative remodeling.It suggests that the interventional treatment be in difficulty.

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武晓玲,陈卫军,迟路湘,鲁向辉.兔颈动脉粥样硬化发展过程中血管壁重塑及生物力学特性的变化[J].中国动脉硬化杂志,2007,15(4):281~284.

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  • 收稿日期:2006-10-20
  • 最后修改日期:2007-04-02
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