供肝快速切取法大鼠原位肝移植模型的建立
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赵青川

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The model of rapid-harvesting donor liver in rat orthotopic liver transplantation
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    摘要:目的:采用供肝快速切取法建立大鼠原位肝移植模型,研究其稳定性及成功率。方法:健康雄性SD大鼠200只,随机分为两组。实验组采取供肝快速切取法原位肝移植,对照组采用传统肝移植方法。比较两组的手术时间,供肝冷、热缺血时间,术后受体肝功能变化及手术成功率。结果:对照组供体手术时间(33.8±4.2)min,供肝热缺血时间(3.5±1.2)min,冷缺血时间(62.0±4.2)min,手术成功率80%。实验组供肝切取时间为(13.1±2.2)min,供肝热缺血时间0min,冷缺血时间(38.0±3.1)min,术后肝功能恢复快,手术成功率94%(P<0.05)。结论:新的建模方法可明显缩短手术时间,改善供肝质量,提高手术成功率。该法为肝移植研究提供了更为科学的模型。

    Abstract:

    Abstract:Objective:To develop a rapid donor liver harvesting method in orthotopic liver transplantation in rats, and to study the stability and the success rate of the model. Methods:A total of 200 healthy adult male SD rats were randomly divided into two groups: the experimental group (rapid donor liver harvesting transplant group), and the control group (conventional liver transplant group). The operation time, cold ischemic time and warm ischemic time of the donor liver, recipient post-transplation liver function and the success rate of the operation between the 2 grous were cpmpared. Results:In the control group, the operation time of donor harvesting was (33.8±4.2) min,warm ischemic time and cold ischemic time of donor liver was(3.5±1.2) min and (62.0±4.2) min,with a 80% rate of success. The new method reduced the time for donor surgery to (13.1±2.2)min, and reduced the warm ischemic time and cold ischemic time of donor liver to 0 min and (38.0±3.1)min respectively,and with a 94% rate of success(all P<0.05). In addition,recipient liver function recovered more quickly in the experimental group. Conclusions:The novel model of rapid donor liver harvesting in rat orthotopic liver transplantation reduces the operation time, improves the quality of the donor liver, and enhances the success rate of operation, and provides a more scientific model for relevant researches.

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李军,窦科峰,张洪涛,张福琴,孔亚林,赵青川.供肝快速切取法大鼠原位肝移植模型的建立[J].中国普通外科杂志,2006,15(7):7-503.
DOI:10.7659/j. issn.1005-6947.2006.07.007

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  • 在线发布日期: 2006-07-25