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缺血后处理对兔睾丸缺血再灌注的影响
  • ISSN号:1009-3591
  • 期刊名称:《中华男科学杂志》
  • 时间:0
  • 分类:R697.22[医药卫生—泌尿科学;医药卫生—临床医学;医药卫生—外科学]
  • 作者机构:[1]福建医科大学附属协和医院超声科,福建省超声医学研究所,福建福州350001
  • 相关基金:福建省医学创新项目(2007-ex-11)
中文摘要:

目的:探讨缺血后处理对不同缺血程度的兔睾丸缺血再灌注损伤的作用。方法:42只雄性大白兔随机分成对照组、缺血组(R1、R2、R3组)、后处理组(P1、P2、P3组),每组6只。缺血组、后处理组在超声监测下制成睾丸不同缺血程度模型:R1、P1组睾丸回声均匀,血流轻度减少;R2、P2组睾丸回声增粗,血流明显减少;R3、P3组睾丸出现片状或放射状低回声,血流信号消失。出现上述图像变化后,缺血组给予直接灌流,后处理组于恢复灌流前给予后处理措施,即再灌注30s/缺血30s,反复3次。再灌注前进行超声造影,3d后测定各组组织丙二醛(MDA)、超氧化物歧化酶(SOD)含量。HE染色后光镜下观察睾丸组织和病理学改变,并行Johnsen's评分和凋亡指数分析;电镜下观察睾丸组织超微结构。结果:再灌注前各造影参数速度参数(β)、峰值时间(TTP)、峰值基础强度差(PBD)、峰值减半时间(DT/2),R1与P1组比较均无显著差异(P〉0.05)、R2与P2组比较均无显著差异(P〉0.05)、R3与P3组无显影。MDA含量:R1与P1组比较有显著差异(P〈0.05),R2与P2组比较有显著差异(P〈0.05),R3与P3组比较无显著差异(P〉0.05)。SOD活性:R1与P1组比较有显著差异(P〈0.05),R2与P2组比较有显著差异(P〈0.05),R3与P3组比较无显著差异(P〉0.05)。Johnsen's评分:R1与P1组比较有显著差异(P〈0.05),R2与P2组比较无显著差异(P〉0.05),R3与P3组比较无显著差异(P〉0.05)。凋亡指数:R1与P1组比较有显著差异(P〈0.05),R2与P2组比较无显著差异(P〉0.05),R3与P3组比较无显著差异(P〉0.05)。电镜:P1组超微结构损伤程度较R1组轻,R2与P2组超微结构无明显差异,R3与P3组超微结构无明显差异。结论:缺血后处理可以减轻睾丸缺血再灌注损伤,但是受到缺血程度的影响,并且在病理学和生化学上的表现不一致?

英文摘要:

Objective:To investigate the protective effect of ischemic postconditioning (IP) against different degrees of testicular ischemia-reperfusion (IR) injury in rabbits. Methods: Forty-two white male rabbits were equally randomized into 7 groups: a control, 3 IR (R1, R2 and R3), and 3 IP (P1, P2 and P3) groups. Testicular models of different degrees of ischemia were established in the IR and IP groups. Before reperfusion, ultrasonography showed homogeneous echoes with slightly decreased blood flow in R1 and P1, heterogeneous echoes with obviously decreased blood flow in R2 and P2, lamellar or fragmental low echo areas absent of blood flow signals in R3 and P3. Then the IR groups were directly subjected to perfusion, and the IP groups to 3 episodes of 30-second reperfusion followed by 30-second ischemia. All the groups underwent contrast-enhanced ultrasonography (CEUS) before reperfusion and, after 3 days, examined for the contents of malonaldehyde (MDA), superoxide dismutase (SOD) and histology, and observed for the pathological changes of the testicular tissue. Results: Before reperfusion, no significant differences were found in the CEUS parameters β, time-to- peak (TTP), peak-base intensity (PBD) and half of declining time (DT/2) between R1 and P1, R2 and P2, and R3 and P3 (P0.05). There were remarkable differences in MDA and SOD between R1 and P1, and R2 and P2 (P0.05), but not between R3 and P3 (P0.05). Johnsen's score, apoptosis index and ultrastructure showed marked differences between R1 and P1 (P0.05) but not between R2 and P2, and R3 and P3 (P0.05). Conclusion: IP can attenuate IR-induced testis injury, but the effect varies with the degree of ischemia, and its pathological manifestation differs from the biochemical one.

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期刊信息
  • 《中华男科学杂志》
  • 北大核心期刊(2014版)
  • 主管单位:南京军区联勤部卫生部
  • 主办单位:南京军区南京总医院
  • 主编:商学军
  • 地址:南京市中山东路305号
  • 邮编:210002
  • 邮箱:editor@androl.cn
  • 电话:025-80860178
  • 国际标准刊号:ISSN:1009-3591
  • 国内统一刊号:ISSN:32-1578/R
  • 邮发代号:28-257
  • 获奖情况:
  • 国家科技部中国科技论文统计源期刊,中国科学引文数据库医学类核心期刊,中国期刊方阵军队双效科技期刊
  • 国内外数据库收录:
  • 美国化学文摘(网络版),荷兰文摘与引文数据库,美国生物医学检索系统,中国中国科技核心期刊,中国北大核心期刊(2008版),中国北大核心期刊(2014版)
  • 被引量:15041