限制流量的部分门静脉动脉化对肝脏功能的远期影响

Long-term effect of flow-restricted arterio-portal shunt on liver function of rats

  • 摘要: 目的 对比部分门静脉动脉化(APS)与限制流量的APS术后对肝脏微循环及肝脏结构功能的远期影响。 方法 建立APS和限制流量的APS的大鼠实验模型,对肝脏微循环和结构功能改变进行为期6个月的对比观察。 结果 APS组肝组织LDF为(1.389±0.125)PU,限流组肝组织激光多普勒血流量(laser doppler flow,LDF)为(1.203±0.135)PU,APS组肝脏血流量明显大于限制流量后APS组(P>0.05)。APS组血清ALT、AST水平与限制流量的APS相比呈升高趋势,但两组间差异无统计学意义(P<0.05);APS组血清ALP水平明显升高,与限制流量的APS组差异有统计学意义(P<0.05)。肝内门静脉及其分支显著增宽、壁增厚、内膜胶原纤维增多。而限制流量的门静脉动脉化术后未出现以上改变。 结论 APS术后,限制流量是必需的,防止过高血流量对肝脏功能和结构的损害。

     

    Abstract: Objective To compare the long-term effect of arterio-portal shunt(APS) and flow-restricted APS on hepatic microcirculation,structure and function of rats. Methods APS and flow-restricted APS models of rats were established to observe changes in hepatic microcirculation,structure and function of rats for 6 months. Results The laser Doppler flow(LDF) was greater in APS group than in flow-restricted APS group(1.389±0.125 PU vs 1.203±0.135 PU,P<0.05).No significant difference was observed in serum TP,ALB,ALT and AST levels between the two groups(P>0.05).However,the serum ALP level was significantly higher in APS group than in flow-restricted APS group(P<0.05).The walls of portal vein and its branches were wider and thicker with their intimal collagen fibrosis increased.No obvious changes were found after flow-restricted APS. Conclusion It is necessary to restrict the blood flow in arteries after APS in order to prevent liver function and structure impairments caused by over blood flow.

     

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