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[超声微泡促进兔股动脉血栓溶解]

[Ultrasound microbubbles promote thrombolysis of rabbit femoral artery thrombus].

作者信息

Ou Wen-chao, Xiu Jian-cheng, Xie Jin-guo, Zha Dao-gang, Liu Jian, Hao Rui, Bin Jian-ping, Liu Yi-li

机构信息

Department of Cardiology, Nangfang Hospital, First Military Medical University, Guangzhou 510515, China.

出版信息

Di Yi Jun Yi Da Xue Xue Bao. 2004 May;24(5):536-8.

Abstract

OBJECTIVE

To evaluate the efficacy of intravenous ultrasound microbubbles for thrombolysis of arterial thrombus without using thrombolytic drugs.

METHODS

Twelve rabbit models of acute bilateral femoral artery thrombosis were established and 6 of them received transcutaneous ultrasound and intravenous albumin microbubble treatment for thrombosis on one side while only microbubble treatment for the other side. The other 6 rabbits received ultrasound treatment on one side but no treatment on the other to serve as the control group.

RESULTS

None of the 6 arteries treated with microbubbles alone and only 2 arteries treated with ultrasound alone in the 6 control rabbits were recanalized. All the 6 femoral arteries treated with microbubbles together with ultrasound were recanalized (P=0.014), with significantly shorter patent time and smaller residual thrombus cross-sectional area than those of the arteries with only ultrasound treatment (P=0.004 and P=0.003, respectively).

CONCLUSION

Treatment with intravenous microbubbles assisted by transcutaneous ultrasound effectively promotes arterial thrombolysis in vivo, and this technique can be of significance in clinical treatment of acute thrombotic occlusions.

摘要

目的

评估在不使用溶栓药物的情况下,静脉注射超声微泡对动脉血栓进行溶栓的疗效。

方法

建立12只兔双侧股动脉急性血栓形成模型,其中6只兔一侧经皮超声联合静脉注射白蛋白微泡治疗血栓,另一侧仅行微泡治疗。另外6只兔一侧接受超声治疗,另一侧不治疗作为对照组。

结果

6只对照组兔中,单独使用微泡治疗的6条动脉均未再通,单独使用超声治疗的6条动脉中仅有2条再通。超声联合微泡治疗的6条股动脉均再通(P = 0.014),与仅接受超声治疗的动脉相比,再通时间显著缩短,残余血栓横截面积更小(分别为P = 0.004和P = 0.003)。

结论

经皮超声辅助静脉注射微泡治疗可有效促进体内动脉溶栓,该技术在急性血栓性闭塞的临床治疗中具有重要意义。

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