门静脉部分动脉化对大鼠肝部分切除后肝脏的影响
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An experimental study on the effects of partial arterialization of portal vein on the liver of rats after partial hepatectomy
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    摘要:

    目的: 探讨门静脉部分动脉化对部分肝切除大鼠肝脏的影响。方法:将48只SD大鼠分为肝部分切除术后非门静脉动脉化组及门静脉动脉化组。动态观察术后2,6,12h血清ALT,AST,以及肝组织中ATP,ADP,AMP含量的变化,并计算EC值;同时取肝组织行病理组织学检查。结果:(1)与非动脉化组比较,动脉化组血清AST和ALT在术后2h无差异(P>0.05),术后12h动脉化组血清AST和ALT动脉化组明显降低(分别为P<0.01及P<0.05)。(2)动脉化组较非动脉化组术后各时点肝组织ATP和EC均有明显增加(分别为P<0.01及P<0.05)。(3)非动脉化组肝组织病理变化随着缺血时间延长而加重;动脉化组病理变化较轻。结论:门静脉部分动脉化在一定程度上可以减轻大鼠部分肝切除并肝动脉离断后的肝损害,改善肝细胞的能量代谢。

    Abstract:

    Abstract:Objective:To study the effect of partial portal vein arterialization on the liver of rats after partial hepatectomy. Methods:Forty eight SD rats underwent partial hepatectomy and were divided into nonarterialization group and arterialization group. Dynamic observation of serum ALT and AST,and changes of ATP,ADP and AMP in hepatic tissues were determined at 2h,6h and 12h after operation.EC values were also calculated, and hepatic tissues were obtained for pathologic examination. Results:(1)Compared to nonarterialization group, the serum AST and ALT of arterialization group showed no significant difference on the 2nd hour after the operation(P>0.05),but,serum AST and ALT were significantly decreased on the 12th hour in arterialization group (P<0.01 and P<0.05). (2)Compared with nonarterialization group, the ATP content of liver tissue and EC value were significantly increased on the 2nd,6 th and 12th hour in arterialization group (P<0.01 and P<0.05). (3)Hepatic pathological changes were exacerbated progressively with the prolonged duration of ischemia in nonarterialization group, while the injury of hepatic cells in arterialization group was mild. Conclusions:The partial arterialization of portal vein can lessen the damage of the liver after partial hepatectomy and transection of hepatic artery, and can improved the energy metabolism of the hepatic cells.

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尹强,苗雄鹰,汤可立.门静脉部分动脉化对大鼠肝部分切除后肝脏的影响[J].中国普通外科杂志,2006,15(1):8-25.
DOI:10.7659/j. issn.1005-6947.2006.01.008

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  • 在线发布日期: 2006-01-25