兔肝动脉插管两种穿刺途径的对照研究
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江苏省中医院科研项目(No.Y14024)。


Comparison of two hepatic artery catheterization routes in rabbits
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    摘要:

    目的 探讨实验兔肝动脉插管的路径和方法。方法 将新西兰白兔30只随机等分为外周静脉注射、肝动脉灌注、肝动脉碘化油栓塞、肝动脉明胶海绵颗粒栓塞及肝脏直接穿刺注射5组,每只兔均给予临床等效剂量的榄香烯注射液。肝动脉插管均采用Seldinger操作技术,按照实验兔编号的奇偶数分别穿刺耳动脉或股动脉,一种途径失败可转换另一种穿刺途径。记录穿刺置管及肝动脉插管的操作时间、成功率及并发症信息。抽取所有实验兔给药后多时段的静脉血用于药代动力学分析。结果 穿刺兔耳动脉和股动脉的成功率分别为55.6%(5/9,单侧2只,两侧3只)和88.9%(16/18,单侧12只,两侧4只),经兔耳动脉和股动脉行肝动脉插管的成功率分别为0%(0/5)和100%(16/16),操作时间分别为28.4±13.6和33.9±19.6 min。除肝脏直接穿刺组及股动脉穿刺组各因麻醉意外死亡1只及动脉穿刺失败后予安乐死1只外,无其他死亡实验兔。全麻后的实验兔外周血管明显收缩,经兔耳静脉短期内多次采血困难,实验中改良为经颈静脉取血23只(23/27)。结论 经兔耳动脉行肝动脉插管的可行性低,经股动脉插管为介入医师的首选途径;兔颈静脉取血具有先天的解剖优势及更高的实验价值。

    Abstract:

    Objective To explore the feasibility of transauricular arterial access for hepatic artery catheterization in rabbits. Methods Thirty healthy New Zealand White rabbits were randomly divided into 5 groups (n=6 in each group):transauricular vein injection group, transarterial infusion group, transarterial lipiodol group, transarterial gelfoam group and transhepatic puncture group. Every rabbit was prescribed elemene (20 mg/kg) via different access in 6 minutes. All the rabbits of hepatic artery catheterization were divided into two groups according to their serial number:transauricular arterial access group (odd, n=9) and transfemoral arterial access group (even, n=9). The arterial access could be changed each other due to the failure of one technique. The catheterization time, success rate and survival rate were compared between the two groups. Venous blood collection via auricular vein or jugular vein for pharmacokinetics was performed in each rabbit. Results Technical success rates of hepatic artery catheterization were 0% (0/9) and 88.9% (16/18) for transauricular and transfemoral arterial access, respectively. The time duration of transauricular and transfemoral access groups was 28.4±13.6 and 33.9±19.6 minutes, respectively (P>0.05). The survival rates of the transauricular and transfemoral access groups were 100% (9/9) and 88.9% (16/18), respectively. Blood samples were collected via auricular vein in 4 and jugular vein in 23 rabbits. Conclusions Hepatic artery catheterization via transauricular arterial access is technically not feasible, while transfemoral access is simple and suitable in rabbits. Blood collection via the jugular vein may be a more reliable and valuable method for pharmacokinetic studies in rabbits.

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刘文贵,马坤,汪有锦,沈湘蕾,汪维.兔肝动脉插管两种穿刺途径的对照研究[J].中国比较医学杂志,2016,26(12):14~19.

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  • 最后修改日期:2016-07-30
  • 在线发布日期: 2016-12-20
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