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Atlantooccipital assimilation associated with combined atlas arch defect: a radiological case report. 伴有合并寰椎弓缺损的寰枕同位:一例放射学病例报告。
IF 1.1 Q3 Medicine Pub Date : 2024-05-13 DOI: 10.5115/acb.23.281
Athikhun Suwannakhan, Pannawat Trerattanavong, Laphatrada Yurasakpong, Woranan Kirisattayakul, Nutmethee Kruepunga, Kiarttiyot Tuntiseranee, Kanitin Rumpansuwon, Thanyaporn Senarai

In this report, atlantooccipital assimilation (AS), anterior arch defect (AAD), and posterior arch defect (PAD) of the atlas, and several variations around the craniocervical junction were identified on computed tomography (CT) of a patient of unknown sex and age. Coronal and sagittal CT scans showed AS and bilateral fusion of the atlas and the base of occipital bone. Axial CT scan at the atlas revealed PAD type B on the left side and midline AAD. Morphometric measurements indicated a potential ventral spinal cord compression. In addition, mid-sagittal CT revealed the presence of fossa navicularis magna and incomplete formation of the transverse foramen on the right side. This study reports an extremely rare AS associated with AAD, PAD, and other variations of the clivus and the atlas. To our knowledge, no similar case has been reported in the literature.

在本报告中,一名性别和年龄不详的患者通过计算机断层扫描(CT)发现了寰枕同化(AS)、寰枕前弓缺损(AAD)、寰枕后弓缺损(PAD)以及颅颈交界处的一些变异。冠状和矢状CT扫描显示寰椎和枕骨基部有强直性脊柱炎和双侧融合。寰椎的轴向 CT 扫描显示左侧为 PAD B 型,中线为 AAD。形态测量显示脊髓腹侧可能受到压迫。此外,中矢状面 CT 显示右侧存在舟状窝和横突孔未完全形成。本研究报告了一例极其罕见的伴有AAD、PAD以及其他颅楔和寰椎变异的强直性脊柱炎。据我们所知,文献中还没有类似病例的报道。
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引用次数: 0
A bifid ureter originating from separate major calyx and renal pelvis with dual calyceal systems: a case report. 输尿管分叉,分别源自不同的大肾萼和肾盂,具有双肾萼系统:病例报告。
IF 1.1 Q3 Medicine Pub Date : 2024-05-09 DOI: 10.5115/acb.24.033
Yuri Seu, Hyun Jin Park, Jin Seo Park, Yong-Suk Moon, Hongtae Kim, Mi-Sun Hur

Present case report describes a case of bifid ureter arising directly from separate calyces and renal pelvis of the kidney. Incomplete ureter duplication on the left side in a 78-year-old male cadaver was found during an anatomy class. These ureters converged in a Y-shaped pattern just above the level of the anterior superior iliac spine. In the coronal section of the kidney, the anterior ureter arose from a renal pelvis that was divided into two major calyces in the lower two-thirds of the kidney. On the other hand, the posterior ureter was directly connected to a major calyx in the upper third of the kidney, without the formation of a renal pelvis. This anatomical variation has implications for diagnostic approaches, especially in the use of imaging techniques by urologists for the insertion of stents in the treatment of phyelonephritis.

本病例报告描述了一例输尿管分叉的病例,其输尿管直接来自分开的肾盏和肾盂。一具 78 岁男性尸体的左侧输尿管不完全复制是在解剖课上发现的。这些输尿管在髂前上棘水平上方汇聚成 Y 形。在肾脏的冠状切面上,前输尿管来自肾盂,肾盂在肾脏的下三分之二处分为两大肾盏。另一方面,后输尿管直接连接到肾脏上三分之一处的一个主要肾萼,而没有形成肾盂。这种解剖上的差异对诊断方法有影响,特别是对泌尿科医生使用成像技术插入支架治疗肾盂肾炎有影响。
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引用次数: 0
A bilateral gastrocnemius tertius coexisting with a unilateral two-headed plantaris muscle. 双侧腓肠肌与单侧双头跖肌并存。
IF 1.1 Q3 Medicine Pub Date : 2024-05-02 DOI: 10.5115/acb.24.038
George Tsakotos, George Triantafyllou, Christos Koutserimpas, Maria Piagkou

The current cadaveric report aims to present a coexistence of two uncommon variants of the posterior leg compartment. The variations were detected, during classical dissection in an 84-year-old donated male cadaver. On the left lower limb, the gastrocnemius muscle was identified as having a third head that was attached to the lateral head. This variant is known as gastrocnemius tertius muscle and was bilaterally identified. The left-sided plantaris muscle had two distinct heads that fused into a common tendon that was inserted into the calcaneal tuberosity. Knowledge of these variants is important, due to their close relationship with the popliteal neurovascular bundle. Clinicians should be aware, to avoid pitfalls and take them into account in their differential diagnosis.

本尸体报告旨在介绍两种不常见的腿部后室变异同时存在的情况。这些变异是在对一具 84 岁的男性遗体进行经典解剖时发现的。在左下肢,腓肠肌被发现有第三个头与外侧头相连。这种变异被称为 "腓肠肌第三头"(gastrocnemius tertius muscle),双侧均可识别。左侧的跖肌有两个不同的头,融合成一条共同的肌腱,插入小关节结节。了解这些变异非常重要,因为它们与腘窝神经血管束关系密切。临床医生应注意避免误诊,并在鉴别诊断时加以考虑。
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引用次数: 0
Diabetes disrupts osteometric and trabecular morphometric parameters in the Zucker Diabetic Sprague-Dawley rat femur. 糖尿病会破坏扎克糖尿病 Sprague-Dawley 大鼠股骨的骨测量和小梁形态参数。
IF 1.1 Q3 Medicine Pub Date : 2024-04-23 DOI: 10.5115/acb.24.008
R. Ndou, Vaughan Perry, Gcwalisile Frances Dlamini
Type 2 diabetes mellitus is increasingly becoming more prevalent worldwide together with hospital care costs from secondary complications such as bone fractures. Femoral fracture risk is higher in diabetes. Therefore, this study aimed to assess the osteometric and microarchitecture of the femur of Zucker Diabetic Sprague-Dawley (ZDSD) femur. Ten-week-old male rats (n=38) consisting of 16 control Sprague-Dawley (SD) and 22 ZDSD rats were used. The rats were terminated at 20 weeks and others at 28 weeks of age to assess age, diabetes duration effects and its severity. Bilateral femora were taken for osteometry, bone mass measurements and micro-focus X-ray computed tomography scanning to assess the trabecular number (TbN), thickness (TbTh), spaces (TbSp), bone tissue volume to total volume (BV/TV) and volume (BV). Diabetic rats had shorter (except for 20-weeks-old), lighter, narrower, and less robust bones than SD controls that wered more robust. Although cortical area was similar in all diabatic and control rats, medullary canal area was the largest in ZDSD rats. This means that the diabetic rats bones were short, light and hollow. Diabetic rats aged 20 weeks had reduced BV, BV/TV, TbN with more spacing (TbSp). In contrast, the 28 weeks old diabetic rats only showed reduced BV and TbN. Discriminant function analysis revealed, for the first time, that osteometric parameters and TbTh, TbN, and TbSp were affected by diabetes. This knowledge is valuable in the management of diabetic complications.
2 型糖尿病在全球的发病率越来越高,骨折等继发性并发症造成的住院治疗费用也越来越高。糖尿病患者的股骨骨折风险更高。因此,本研究旨在评估 Zucker 糖尿病 Sprague-Dawley 大鼠(ZDSD)股骨的骨计量学和微结构。研究使用了 10 周大的雄性大鼠(n=38),其中包括 16 只对照组 Sprague-Dawley 大鼠(SD)和 22 只 ZDSD 大鼠。大鼠在 20 周龄终止妊娠,其他大鼠在 28 周龄终止妊娠,以评估年龄、糖尿病持续时间的影响及其严重程度。对大鼠的双侧股骨进行骨测量、骨量测量和微聚焦 X 射线计算机断层扫描,以评估骨小梁数量(TbN)、厚度(TbTh)、间距(TbSp)、骨组织体积与总体积之比(BV/TV)和体积(BV)。与骨骼更粗壮的 SD 对照组相比,糖尿病大鼠的骨骼更短(20 周龄大鼠除外)、更轻、更窄、更不粗壮。虽然所有糖尿病大鼠和对照组大鼠的皮质面积相似,但 ZDSD 大鼠的髓质管面积最大。这说明糖尿病大鼠的骨骼短小、轻盈且中空。20 周龄的糖尿病大鼠的 BV、BV/TV、TbN 减少,间距(TbSp)增大。相比之下,28 周龄的糖尿病大鼠只表现出 BV 和 TbN 减少。判别函数分析首次揭示了骨测量参数、TbTh、TbN 和 TbSp 受糖尿病的影响。这些知识对糖尿病并发症的治疗很有价值。
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引用次数: 0
The effect of biological mechanisms of melatonin on the proliferation of spermatogonial stem cells: a systematic review. 褪黑素对精原干细胞增殖的生物机制影响:系统综述。
IF 1.1 Q3 Medicine Pub Date : 2024-04-09 DOI: 10.5115/acb.23.256
S. Navid, Zahra Saadatian, Ali Talebi, Heidar Toolee, Saba Seyedi
In the last decade, melatonin has gained recognition as a potent scavenger and an effective antioxidant capable of neutralizing free radicals, including reactive oxygen species. Additionally, it exhibits anti-apoptotic properties. In this review, we will examine a compilation of articles that explore the cellular signaling function of melatonin on spermatogonial stem cells (SSCs) and adjacent cells such as Sertoli and Leydig cells. These cells play a crucial role in the proliferation of SSCs both in vitro and in vivo. In this review, we analyze the function of melatonin in the proliferation of SSCs from other aspects. For this purpose, we examine the articles based on the presence of melatonin on SSCs in four groups: As a supplement in SSCs medium culture, SSCs three-dimensional culture system, SSCs freezing medium, and as a therapeutic factor in vivo. Mechanisms of growth and proliferation of SSCs were considered. The purpose of this study is to investigate the potential effects of melatonin as a powerful antioxidant or growth stimulant for SSCs, both in vivo and in vitro.
在过去十年中,褪黑素已被公认为一种强效的清除剂和有效的抗氧化剂,能够中和自由基,包括活性氧。此外,它还具有抗细胞凋亡的特性。在这篇综述中,我们将研究探讨褪黑激素对精原干细胞(SSC)和邻近细胞(如Sertoli和Leydig细胞)的细胞信号功能的文章汇编。这些细胞在体外和体内对精原干细胞的增殖起着至关重要的作用。在这篇综述中,我们从其他方面分析了褪黑激素在造血干细胞增殖中的功能。为此,我们分四组研究了基于褪黑激素对 SSCs 存在作用的文章:作为 SSCs 培养基培养的补充、SSCs 三维培养系统、SSCs 冷冻培养基以及作为体内治疗因子。研究考虑了 SSCs 的生长和增殖机制。本研究的目的是探讨褪黑素作为一种强效抗氧化剂或生长促进剂对 SSCs 在体内和体外的潜在作用。
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引用次数: 0
Development and growth of the temporal fascia: a histological study using human fetuses. 颞筋膜的发育和生长:利用人类胎儿进行的组织学研究。
IF 1.1 Q3 Medicine Pub Date : 2024-04-09 DOI: 10.5115/acb.23.298
Kei Kitamura, S. Ishizuka, Ji Hyun Kim, Hitoshi Yamamoto, Gen Murakami, J. Rodríguez-Vázquez, Shin-Ichi Abe
The temporal fascia is a double lamina sandwiching a thick fat layer above the zygomatic bony arch. To characterize each lamina, their developmental processes were examined in fetuses. We observed histological sections from 22 half-heads of 10 mid-term fetuses at 14-18 weeks (crown-rump length, 95-150 mm) and 12 near-term fetuses at 26-40 weeks (crown-rump length, 215-334 mm). The superficial lamina of the temporal fascia was not evident at mid-term. Instead, a loose subcutaneous tissue was attached to the thin, deep lamina of the temporal fascia covering the temporalis muscle. At near-term, the deep lamina became thick, while the superficial lamina appeared and exhibited several variations: i) a mono-layered thick membrane (5 specimens); ii) a multi-layered membranous structure (6) and; iii) a cluster of independent thick fasciae each of which were separated by fatty tissues (1). In the second and third patterns, fatty tissue between the two laminae was likely to contain longitudinal fibrous bands in parallel with the deep lamina. Varying proportions of the multi-layered superficial lamina were not attached to the zygomatic arch, but extended below the bony arch. Whether or not lobulation or septation of fatty tissues was evident was not dependent on age. The deep lamina seemed to develop from the temporalis muscle depending on the muscle contraction. In contrast, the superficial lamina developed from subcutaneous collagenous bundles continuous to the cheek. Therein, a difference in development was clearly seen between two categories of the fasciae.
颞筋膜是夹在颧骨弓上方厚脂肪层中的双层薄片。为了描述每一层的特征,我们对胎儿的发育过程进行了研究。我们观察了 10 个 14-18 周中期胎儿(冠臀长 95-150 毫米)和 12 个 26-40 周近中期胎儿(冠臀长 215-334 毫米)的 22 个半头组织切片。中期胎儿的颞筋膜浅层不明显。相反,在覆盖颞肌的颞筋膜深层薄层上附着有疏松的皮下组织。在近足月时,深筋膜变厚,而浅筋膜出现并表现出几种变化:i)单层厚膜(5 个标本);ii)多层膜状结构(6 个标本);iii)一簇独立的厚筋膜,每个筋膜之间由脂肪组织分隔(1 个标本)。在第二和第三种模式中,两层膜之间的脂肪组织可能含有与深层膜平行的纵向纤维带。不同比例的多层表层薄片并不附着于颧弓,而是延伸至骨弓下方。脂肪组织的分叶或间隔是否明显与年龄无关。深层薄片似乎是由颞肌发展而来,这取决于肌肉的收缩情况。与此相反,浅层脂肪组织则从皮下胶原束发展而来,与脸颊相连。由此可见,两类筋膜在发育上存在明显差异。
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引用次数: 0
Morphometric analysis of sacral corridor in the upper three sacral segments to prevent neurovascular injury. 对骶骨上三节段的骶骨走廊进行形态计量分析,以防止神经血管损伤。
IF 1.1 Q3 Medicine Pub Date : 2024-04-05 DOI: 10.5115/acb.23.266
B. Chaudhary, Prem Kumar, Ruchika Narayan, A. Asghar, P. Panchal, Neelam Kumari
Although studies of the sacral corridor dimension have been reported in the European population, little attention has been paid to this issue in the Asian population. The purpose of the study is to estimate the safe dimension of the corridor to avoid neurovascular damage during the fixation of the sacral fracture. The study aimed to examine the cephalocaudal (vertical) and the anteroposterior diameter of the bony passage in the upper three sacral segments. The study further examines the effect of age and sex on corridor dimensions at different sacral levels. Three-dimensionally reconstructed sacra from computed tomography of normal subjects were included in the study. Cephalocaudal and anteroposterior diameters were measured in coronal and axial sections using Geomagic Freeform Plus software. Anteroposterior diameter of the sacral corridor at the first, second, and third sacral segments are significantly higher in males (P=0.013, 0.0011, and <0.0001, respectively). The length of the sacrum also revealed sexual dimorphism (P<0.00016). The anteroposterior diameter of the second sacral segment (ap-S2c) correlated moderately with the first sacral anteroposterior diameter (ap-S1c) (R=0.519, P<0.001). The ap-S2c exhibited a moderate correlation to the third sacral segment (ap-S3c) (R=0.677, P<0.001). The sacral corridor at the level of S1 has the largest cephalocaudal (18.25 mm) and anteroposterior diameter (17.11 mm). Placement of the screw in the first sacral corridor may avoid damage to the neurovascular bundle during the fixation of the sacral fracture.
尽管有关骶骨走廊尺寸的研究在欧洲人群中已有报道,但在亚洲人群中却很少有人关注这一问题。本研究旨在估算骶骨走廊的安全尺寸,以避免在固定骶骨骨折时造成神经血管损伤。研究旨在检查骶骨上三节段骨性通道的头尾(垂直)和前胸直径。研究进一步探讨了年龄和性别对不同骶骨水平的走廊尺寸的影响。研究对象包括正常人的计算机断层扫描三维重建骶骨。使用 Geomagic Freeform Plus 软件在冠状切面和轴切面上测量头尾和前胸直径。男性骶骨第一、第二和第三节段的骶骨走廊前后缘直径明显高于女性(P分别=0.013、0.0011和<0.0001)。骶骨的长度也显示出性别二态性(P<0.00016)。骶骨第二节段的前胸直径(ap-S2c)与骶骨第一节段的前胸直径(ap-S1c)呈中度相关(R=0.519,P<0.001)。ap-S2c与骶骨第三节段(ap-S3c)呈中度相关(R=0.677,P<0.001)。S1 水平的骶骨走廊具有最大的头尾直径(18.25 毫米)和前胸直径(17.11 毫米)。在第一骶骨走廊放置螺钉可避免在固定骶骨骨折时损伤神经血管束。
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引用次数: 0
Receiving a donation call to dissection tables: various aspects of whole-body donation in northern union territory region medical college of India. 在解剖台前接受捐赠电话:印度北部联邦区医学院全身捐赠的各个方面。
IF 1.1 Q3 Medicine Pub Date : 2024-04-05 DOI: 10.5115/acb.23.211
Pinki Rai, Kanchan Kapoor
Body donation is the act of giving one's body to science for study, practice, and research. This selfless act contributed to the education and training of professionals in the field of medicine. Body donation programs allow medical students to learn about the different aspects of human anatomy, perfect their dissection skills, and develop a better understanding of the relationship between structure and function in the human body. The purpose of article is to improve body donation programs which meet ethical standards and best practices. This article emphasizes the significance of body donation to teaching medical institutions by discussing various aspects of body donation to medical colleges in India and the procedural steps followed, sample proformas and the obstacles faced during the whole process. The process of body donation varies among different countries pertaining to their legal frameworks and the challenges faced. A description of the problems faced in the process of body donation has been discussed with suggestions for potential solutions in this section. The sample formats of the forms filled by donors and the certificates issued by concerned organizations are also provided to clearly understand the process of body donation. The information compiled will pave the way for medical teaching institutions that have yet to start a body donation program.
遗体捐献是将自己的遗体捐献给科学界用于学习、实践和研究的行为。这种无私的行为促进了医学领域专业人员的教育和培训。遗体捐献计划让医学生了解人体解剖学的各个方面,完善他们的解剖技能,并更好地理解人体结构与功能之间的关系。本文旨在改进符合道德标准和最佳实践的遗体捐献计划。本文通过讨论印度医学院遗体捐献的各个方面,以及所遵循的程序步骤、样本表格和整个过程中所面临的障碍,强调了遗体捐献对教学医疗机构的意义。不同国家的遗体捐献程序因其法律框架和面临的挑战而各不相同。本节讨论了遗体捐献过程中面临的问题,并提出了可能的解决方案。此外,还提供了捐赠者填写的表格和相关组织颁发的证书的样本格式,以便清楚地了解遗体捐赠的过程。所汇编的信息将为尚未启动遗体捐献计划的医疗教学机构铺平道路。
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引用次数: 0
Vitronectin regulates osteoclastogenesis and bone remodeling in a mouse model of osteoporosis. 在骨质疏松症小鼠模型中,Vitronectin 可调节破骨细胞生成和骨重塑。
IF 1.1 Q3 Medicine Pub Date : 2024-04-05 DOI: 10.5115/acb.23.251
Mari Nakashima, Akiko Suzuki, K. Hashimoto, Mayu Yamashita, Yoko Fujiwara, Yasunori Miyamoto
Vitronectin (VN) is an extracellular matrix protein with a crucial role in regulating bone remodeling. In this study, we aimed to investigate the effect of VN deficiency in a mouse model of osteoporosis induced by ovariectomy (OVX). The findings revealed that the absence of VN led to an increase in the activity of tartrate-resistant acid phosphatase (TRAP), a marker for osteoclasts, in the plasma of OVX-operated mice. TRAP staining further demonstrated that VN deficiency resulted in a higher number of osteoclasts within the femurs of OVX-operated mice. X-ray micro-computed tomography analysis of the femurs in OVX-operated mice indicated that VN deficiency significantly suppressed the OVX-induced increase of marrow area and total volume of bone. Additionally, we assessed structural model index (SMI) and degree of anisotropy (DA) as indices of osteoporosis. The results showed that VN deficiency effectively attenuated the OVX-induced increase in SMI and DA among OVX-operated mice. In summary, our study demonstrates the vital role of VN in regulating osteoclastogenesis and bone remodeling in the mouse model of osteoporosis.
Vitronectin(VN)是一种细胞外基质蛋白,在调节骨重塑中起着至关重要的作用。本研究旨在探讨卵巢切除术(OVX)诱导的骨质疏松症小鼠模型中缺乏 VN 的影响。研究结果表明,缺乏 VN 会导致卵巢切除术小鼠血浆中破骨细胞的标志物--抗酒石酸磷酸酶(TRAP)的活性增加。TRAP染色进一步表明,VN缺乏会导致OVX手术小鼠股骨中破骨细胞数量增加。OVX 术后小鼠股骨的 X 射线显微计算机断层扫描分析表明,VN 缺乏可显著抑制 OVX 引起的骨髓面积和骨总量的增加。此外,我们还评估了作为骨质疏松症指数的结构模型指数(SMI)和各向异性程度(DA)。结果表明,VN的缺乏有效地减轻了OVX诱导的OVX手术小鼠SMI和DA的增加。总之,我们的研究证明了 VN 在骨质疏松症小鼠模型中调节破骨细胞生成和骨重塑的重要作用。
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引用次数: 0
Reversible effect of castration induced hypogonadism on the morphology of the left coronary arteries in adult male rabbits. 去势所致性腺功能减退对成年雄性家兔左冠状动脉形态的可逆影响。
IF 1.1 Q3 Medicine Pub Date : 2024-03-31 Epub Date: 2023-11-30 DOI: 10.5115/acb.23.196
Duncan Anangwe, Moses Madadi Obimbo, Ibsen Henric Ongidi, Peter Bundi Gichangi

Hypogonadism is associated with an increased risk of coronary artery disease. This study sought to describe the histomorphology of the left coronary arteries of the adult male rabbit following orchiectomy and subsequent testosterone administration. We included 20 adult male rabbits, divided into a baseline group (n=2), an interventional group subjected to castration only (n=6), an intervention group subjected to castration followed by testosterone injection (n=6), and a control group (n=6). Key variables under investigation were serum testosterone levels, the intima-media thickness of coronary arteries, smooth muscle cell density, and adventitial collagen fiber density. The mean coronary arteries' intimal medial thickness was significantly higher in the castrated group than in controls (0.488 mm and 0.388 mm, respectively), while the testosterone-injected group had a mean of 0.440 mm. Mean smooth muscle cell density was significantly lower in the castrated rabbits vs. controls (26.96% and 47.80%, respectively), this observation being reversed with testosterone injection (47.53%). Mean adventitial collagen fiber density was significantly higher in the castrated group than in controls (66.6% and 36.1%, respectively), with a marginal difference after testosterone injection (65.2%). This study demonstrates that castration-induced hypogonadism causes morphological changes in the coronary arteries that are partly reversible using testosterone injections. These findings provide a morphological basis for understanding the role of testosterone in coronary arteries.

性腺功能减退与冠状动脉疾病的风险增加有关。本研究旨在描述成年雄性兔在睾丸切除术和随后的睾酮治疗后左冠状动脉的组织形态学。我们纳入20只成年雄性家兔,分为基线组(n=2)、仅阉割干预组(n=6)、阉割后注射睾酮干预组(n=6)和对照组(n=6)。研究的关键变量是血清睾酮水平、冠状动脉内膜-中膜厚度、平滑肌细胞密度和外膜胶原纤维密度。去势组冠状动脉内膜中层厚度均值显著高于对照组(分别为0.488 mm和0.388 mm),注射睾酮组冠状动脉内膜中层厚度均值为0.440 mm。去势兔的平均平滑肌细胞密度显著低于对照组(分别为26.96%和47.80%),注射睾酮后这一观察结果逆转(47.53%)。去势组平均胶原纤维密度显著高于对照组(分别为66.6%和36.1%),注射睾酮后差异较小(65.2%)。本研究表明,去势诱导的性腺功能减退引起冠状动脉的形态改变,这种改变可以通过睾酮注射部分逆转。这些发现为理解睾酮在冠状动脉中的作用提供了形态学基础。
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引用次数: 0
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Anatomy & Cell Biology
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