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作 者:陈妍锜 赵敏[1] 杨丽丽[1] 李文林[2] 曾莉[1] CHEN Yanqi;ZHAMin;YANG Lili;LI Wenlin;ZENG Li(School of First Clinical Medicine College,Nanjing University of Chinese Medicine,Nanning 210000,Jiangsu,China;Jingwen Library,Nanjing University of Chinese Medicine,Nanning 210000,Jiangsu,China)
机构地区:[1]南京中医药大学第一临床医学院,江苏南京210000 [2]南京中医药大学敬文图书馆,江苏南京210000
出 处:《中华中医药学刊》2021年第4期32-35,共4页Chinese Archives of Traditional Chinese Medicine
基 金:国家自然科学基金(81673982,81704084);江苏省中医药局科技项目(YB2015002,YB2017002);江苏省研究生科研与实践创新计划(KYCX19_1198);南京中医药大学中医学优势学科三期基金项目(ZYX03KF63)。
摘 要:腹部腹腔粘连是手术后较为常见的并发症,可导致多种不良影响。发病机制现尚不明确,目前主要认为是炎症反应、纤溶系统的失衡最终导致纤维蛋白沉积,形成粘连,间皮细胞是其中的关键细胞,不仅参与整个过程,上皮-间充质细胞的转移过程(EMT)决定着粘连的形成。现阶段通过直接或间接利用间皮细胞防治术后腹腔粘连的研究愈多,综述了间皮细胞的基本生理病理及在腹腔粘连形成中的作用,联合相关中医药防治措施,以期能有更有效的治疗措施。Postoperative abdominal adhesion is a common complication after surgery and can cause a variety of adverse effects. The pathogenesis is still unclear. As to the previous research, the mechanism of abdominal adhesion is mainly fibrin exudation and deposition affected by a series of inflammatory processes. Mesothelial cells are the key cells involved in the whole process. The epithelial-mesenchymal cell metastasis (EMT) determines the formation of adhesion. At present, there are more researches on the prevention and treatment of postoperative abdominal adhesion by mesothelial cells directly or indirectly. This review discussed the basic physiology and pathology of mesothelial cells and the role in the formation of abdominal adhesion, including relevant prevention and treatment of traditional Chinese medicine, in order to have more effective treatment measures.
关 键 词:术后腹腔粘连 间皮细胞 纤维蛋白沉积 中医药防治
分 类 号:R269.19[医药卫生—中西医结合]
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