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肝硬化大鼠肝切除术后肝重量与功能恢复的研究
作者:李俊生 嵇振岭 
单位:南京铁道医学院附属医院,普外科,江苏,南京,210009
关键词:肝硬化 肝切除术 肝再生 肝功能 大鼠 
分类号:R575.2
出版年·卷·期(页码):2000·19·第二期(85-87)
摘要:

目的:研究肝硬化大鼠肝部分切除术后肝重量恢复与肝功能恢复的关系.方法:以CCl4制备肝硬化大鼠动物模型,并行70%肝切除术,以胃泌素、香菇多糖及生理盐水治疗1周,观察大鼠肝脏重量的恢复情况及肝功能改善情况.2周后再次观察各指标.结果:3组大鼠肝脏重量均有不同程度恢复,以胃泌素组为显著,且明显高于对照组(P<0.05),3组大鼠肝功能各组间无显著差异,且与治疗前比较无明显改善.结论:肝硬化大鼠肝脏可以再生,但肝功能短期内不能恢复.

Objective  The experiment was designed to investigate the restoration of liver weight and function in cirrhotic rats after partial hapatectomy.Methods  Liver cirrhotic model was established by injection of CCl  4 in 42 rats,and all the rats underwent 70% hepatectomy.They were randomly divided into three groups treated with pentagastrin,lentinan and 0.9%NS for one week respectively.The restoration of liver weight and function was studied in every group.Results  The weight restoration was proved in different degreee in every group,with a significance in pentagastrin group, but no difference was found in liver function in the three groups,The liver function didn’t improve after treatment.Conclution  The cirrhotic liver has a capability of regeneration, but the liver function cann’t be restored in short period.

参考文献:

[1] Lin T Y, Chen C C. Metabolic function and regeneration of cirrhotic and non-cirrhotic liver after hepatic lobectomy in man. 1965. doi:10.1097/00000658-196512000-00002
[2] Yamanaka N, Okamoto E, Kawamura E. Dynamics of normal and injured human liver regeneration after hepatectomy as assessed on the basis of computed tomography and liver function. 1993. doi:10.1002/hep.1840180114
[3] Rasmussen T N, Jorgensen P E, Almdal J. Effect of gastrin on liver regeneration after partial hepatectomy in rats. 1990. doi:10.1136/gut.31.1.92
[4] Rangel D M, Dinber A, Stevens G H. The hepatic response to endotoxin:hemodynamic and enzymatic observations, 1970
[5] Kato K, matsuda M, Kusano M. The immunostimlant OK-432 enhances liver regeneration after 90% hepatectomy in rats, 1994 

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