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find Author "崔正军" 2 results
  • 延期植皮术在烧伤后重度瘢痕挛缩畸形修复中的应用

    目的 总结治疗烧伤后严重瘢痕挛缩致颏颈胸粘连和肢体关节畸形简便有效的整复方法。 方法 1994年2月~2003年12月,采用延期植皮术治疗烧伤后严重颏颈胸瘢痕粘连186例,男112例,女74例;年龄2~55岁,病程6个月~5年;瘢痕范围10 cm×9 cm~26 cm×15 cm。治疗烧伤后重度肢体关节畸形26例,男19例,女7例;年龄4~49岁,病程1~6年;瘢痕范围9 cm×7 cm~22 cm×15 cm。一期手术切除挛缩的瘢痕,创面延期3~5 d后切取中厚皮片范围10 cm×9 cm~26 cm×15 cm进行修复,观察皮片成活质量及远期整复效果。 结果 术后皮片成活率90%以上者199例,13例皮片失活的小创面均通过换药愈合。颏颈胸瘢痕粘连者颈部松解良好,患者颏颈角生理角度均恢复;术后获随访104例,随访时间6个月~3年,颈部后仰、前屈、左右转动功能无明显障碍。肢体关节畸形患者均在术中被完全复位,术后经6~12个月随访,关节屈伸功能基本不受限,能正常行走。 结论 延期植皮术是治疗重度颏颈胸粘连和肢体关节畸形的一种有效的整复方法。

    Release date:2016-09-01 09:22 Export PDF Favorites Scan
  • EXPERIMENTAL STUDIES ON INHIBITION OF MALIGNANT MELANOMA GROWTH BY GENE TRANSFER OF ADENOVIRUS-MEDIATED AV ERSE VASCULAR ENDOTHELIAL GROWTH FACTOR165

    Objective To investigate the effect of Adenovirus-mediated averse vascular endothelial growth factor165(Ad-aVEGF165)on the growth of human melanoma cells(A375) in vivo and in vitro.Methods In vitro,the 100 multiplicity of infection of Aadenovirus-mediated green fluorescent protein(Ad-GFP)and Ad-aVEGF165 were transfected into human endothelium cell of vessel 304(ECV 304) and A 375. ECV 304 cells were divided into 3 groups: A 375 group, AdGFP group and AdaVEGF 165group. A375cells were also divided into 3 groups:1640 group, Ad-GFP group and AdaVEGF165 group. Their effects were analyzed by proliferation assay, cell cycle, and VEGF expression. In vivo,A375cells were injected into the axilla of the nude mouse. When the tumor formed, they were transplanted into another 15 mice. After treatment, the tumor was excised for naked eye observation, HE observation and microvascular density(MVD) counting. Results The cell supernatant fluid of A 375 group and AdGFP group could stimulate ECV304 cell growth,butthat of AdaVEGF165 group could inhibit the growth of ECV304 cell.All the A375cells in 3 groups had the proliferation trend, showing no statistically significant difference(Pgt;0.05). ECV 304 cell proliferation index(PI) in Ad-aVEGF165group reduced(Plt;0.05). There was no statistically significant difference(Pgt;0.05) in the PI of A 375 cell. The A 375cell integral optical densities were 234.41±13.8 in 1640 group, 222.73±3.67 in AdGFP group and 180.84±6.34 in Ad-aVEGF165group. The tumor volume in Ad-aVEGF165 group was smaller than that in Ad-GFP group and PBS group at 2 weeks after operation, the trend became much obvious with the time delay. AdaVEGF165 brought to much tissue necrosis under HE stain. The MVD of PBS group, Ad-GFP group and Ad-aVEGF165group were 65 10/view,52±11/view and 30±6/view, respectively. Conclusion In Vitro, Ad-VEGF 165gene could inhibited ECV304 cells’ growth by weakening VEGF expression of A 375cells. In vivo, Ad-aVEGF 165could inhibit the growth of human melanoma from blockinmicrovascular.

    Release date:2016-09-01 09:26 Export PDF Favorites Scan
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