血管内膜表面温度差对识别兔腹主动脉易损斑块的价值
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武汉市科技攻关项目(200862123568)


The Significance of Vascular Intima Temperature Difference on Identification of Vulnerable Plaque in Rabbit Abdominal Aorta
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    摘要:

    目的 评价血管内膜表面温度差在判定兔腹主动脉易损斑块中的价值。方法 雄性新西兰大白兔20只,给予球囊拉伤腹主动脉加高脂饮食喂养16周,建立兔腹主动脉易损斑块模型。存活的大白兔通过中国斑点蝰蛇毒和组胺触发,诱发斑块破裂以及血栓形成。行兔腹主动脉斑块和周围组织的表面温度差测定。结果 16只实验兔顺利完成模型建立,在这些模型上共发现斑块24处。共进行54次斑块表面温度测量。14只兔有17处光学显微镜下观察切片符合易损斑块的特征,共进行了37次表面温度测量;6只有7处符合纤维性斑块特征,进行了17次表面温度测量;4处为非斑块区,共进行9次测量。易损斑块的表面温度差水平为0.94±0.25℃,而纤维斑块的水平为0.15±0.14℃,非斑块区的水平为0.10±0.08℃。易损斑块的表面温度差较纤维斑块和非斑块区明显增高,有统计学差异(P<0.01)。血管内膜表面温度差大于0.3℃识别兔动脉粥样硬化易损斑块的敏感性和特异性分别为86.5%和85.2%。结论 血管内膜表面温度差的测定有助于识别易损斑块。

    Abstract:

    Aim To evaluate the diagonostic value of vascular intima temperature difference on vulnerable plaque in rabbit abdominal aorta. Methods To establish vulnerable plaque model, twenty male New Zealand white rabbits received intra-aorta balloon inflation to induce vascular injury and were fed with lipid rich diet for the next 16 weeks. The survival rabbits were given with Chinese Russell’s viper venom and histamine to induce the rupture of plaque and the formation of thrombosis. The temperature difference of vascular intima between plaque and surrounding tissue were measured. Results 16 rabbits models were successfully established, in which there were 24 abdominal aortic plaques. A total of 54 plaque surface temperature measurement temperature difference were measured. 17 vulnerable plaque characteristics which were found in 14 rabbits, and received a total of 37 temperature difference measurements. Seven plaques with fibrous plaque characteristics were observed in six rabbits, and received 17 temperature different measurements. 4 non-plaque areas received 9 temperature different measurements. Mean intima temperature difference was 0.94±0.25℃ in valnerable plaque, which was significantly different (P<0.01) from that in fibrous plaques (0.15±0.14℃) and that in non-plaque areas (0.10±0.08℃). Identification of rabbit atherosclerosis vulnerable plaque of sensitivity and specificity were 86.5% and 85.2% respectively, when vascular intima surface temperature difference is greater than 0.3℃. Conclusion Measurements of vascular intima surface temperature difference could help to identify vulnerable plaque.

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姜红峰,彭绍蓉,郭张强,黄蔡华,夏 豪.血管内膜表面温度差对识别兔腹主动脉易损斑块的价值[J].中国动脉硬化杂志,2013,21(03):215~219.

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  • 收稿日期:2012-05-17
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