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广东省医学科学技术研究基金(A2001558)

作品数:3 被引量:2H指数:1
相关作者:高宗银黄雄飞金敏陈文俐黄祥坤更多>>
相关机构:广州市第一人民医院中山大学广州医学院更多>>
发文基金:广东省医学科学技术研究基金更多>>
相关领域:医药卫生更多>>

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联合抗代谢药物预防兔后发性白内障的研究被引量:1
2006年
目的 探讨联合抗代谢药物在预防兔后发性白内障(PCO)中的作用及其机制.方法 40只新西兰白兔随机分为两组。在兔晶状体超声乳化吸出术后,实验组右眼晶状体囊袋内注入含有02mg/ml丝裂霉素及12.5mg/ml 5-氟尿嘧啶的甲基纤维素,左眼晶状体囊袋内仪注入甲基纤维素设置空白对照组;对照组右眼晶状体囊袋内注入含有0.2mg/ml丝裂霉素的甲基纤维素,左眼晶状体囊袋内注入含有12.5mg/ml 5-氟尿嘧啶的甲基纤维素。部分动物囊袋内植入人工晶体。手术后对动物进行1~12个月临床观察,对不同阶段进行晶状体囊膜组织和人工晶体病理学检查、晶状体囊膜平片检查及人工晶体电镜扫描。结果 空白对照组在手术后2周出现后囊膜混浊,随着术后时间的延长,PCO明显加重;对照组在术后1个月发生不同程度PCO,而实验组观察12个月,未见PCO发生。结论 晶状体囊袋内联合抗肿瘤药物能有效杀伤晶状体上皮细胞(LEC)、晶状体赤道部生发区细胞,较单一抗肿瘤药物更可靠预防PCO的发生。晶状体囊袋内联合抗肿瘤药物可能为解决预防人类PCO提供一条新途径。
金敏高宗银黄雄飞刘欣陈文俐黄祥坤谢楚芳杨培增
关键词:丝裂霉素C5-氟尿嘧啶后发性白内障晶状体上皮细胞
晶状体囊袋内联合应用丝裂霉素C和5-氟尿嘧啶预防后发性白内障被引量:1
2010年
目的:探讨晶状体囊袋内联合应用抗代谢药物预防后发性白内障的作用及其机制.方法:2007年10月至2009年10月本科室收治老年性白内障患者618例(651眼),术中在白内障超声乳化吸除后晶状体囊袋内分别注入含有或不含有不同抗代谢药物的甲基纤维素溶液0.5 mL.所有患者完全随机法分为4组:实验组155例(157眼)注入含有0.2 mg/mL丝裂霉素C(MMC)、12.5 mg/mL 5-氟尿嘧啶(5-FU)的甲基纤维素溶液;空白对照组173例(194眼)仅注入甲基纤维素溶液;MMC对照组145例(151眼)注入含有0.2mg/mL MMC的甲基纤维素溶液;5-FU对照组145例(149眼)注入含有12.5 mg/mL 5-Fu的甲基纤维素溶液.5 min后用灌注液置换晶状体囊袋内的药物并在囊袋内植入人工晶体.术后随访1年,观察患者术眼术后角膜内皮细胞生长情况,眼内压变化及晶状体前、后囊膜混浊情况,并与术前进行比较.结果:各组患者术后角膜内皮细胞损伤情况无明显差异,术前后眼内压及角膜内皮细胞计数差异无统计学意义(均P〉0.05).术后随访6个月及以上的患者中,实验组、空白对照组、MMC对照组、5-FU对照组患者晶状体前囊混浊发生率分别为11.83%(11/93)、57.65%(49/85)、50.60%(42/83)、52.63%(40/76),晶状体后囊混浊发生率分别为3.23%(3/93)、20.00%(17/85)、10.84%(9/83)、14.47%(11/76),与其他各组比较.实验组晶状体前、后囊混浊发生率均明显下降(均P〈0.05).结论:晶状体囊袋内联合应用抗代谢药物能有效抑制晶状体上皮细胞增殖,从而预防后发性白内障.
高宗银金敏朱远军黄雄飞陈文俐胡燕飞杨为中郝绮红
关键词:丝裂霉素C5-氟尿嘧啶后发性白内障晶状体上皮细胞
联合抗肿瘤药物预防免疫后发性白内障的实验研究(简报)
2005年
Objective To evaluate the efficacy of rabbit lens capsular bag by using 5-fluorouracil(5-FU) in combination with mitomycin C (MMC) in preventing posterior capsule opacification (PCO) and its mechanism. Methods Forty New Zealand rabbits (80 eyes) received continuous curvilinear capsulorhexis (CCC,its diameter approximately 3 millimete) and phacoemulsification,and were randomly divided into 2 groups:The right eyes of the rabbits lens capsular bags of the experimental group (twenty New Zealand rabbits)were in jected with methylcellulose (MC) contained 12.5 mg/ml 5-FU and 0.2mg/ml MMC,and the left eyes of that were injected with only MC as vacuity control group;While the right eyes of the rabbits lens capsular bags of the control group (twenty New Zealand rabbits) were injected with methylcellulose (MC) contained 0.2mg/ml MMC,and the left eyes of that were in jected with MC contained 12.5 mg/ml 5-FU.The anterior chamber of all subjects were filled with sodium hyaluronate (HA).Five minuts late,the anterior chambers and lens capsular bags of all subjects were permutated by irrigating solution.Some of the subjects were implantated intraocular lens (IOL) in lens capsular bags.In the two-month to twenty-month follow-up after the operation,all eyes were examined by slit-lamp microscopy,the PCO were observed and compared between the two groups;the histopathologic examination of the lens capsule membran and IOL,the wholemount technique of the lens capsule membran,the electron microscope inspection of the IOL were also observed in different period. Results For clinical study,the PCO appeared in the vacuity control group two weeks after the operation.Some of the psuedophakic subject were formed frontal membrane of the IOL.The longer follow-up after the operation,the stronger PCO were taken place.The PCO did not appeare any more in the experimental group twenty-month follow-up after the operation,while the control group appeare somewhat of a PCO.The histopathologic examination showed that the proliferation of lens epithelial ce
金敏高宗银黄雄飞刘欣陈文俐黄祥坤谢楚芳杨培增
关键词:抗肿瘤药物药物预防免疫功能后发性白内障
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