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Reduced-size orthotopic liver transplantation with different grade steatotic grafts in rats 被引量:4
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作者 叶晟 韩本立 董家鸿 《Chinese Medical Journal》 SCIE CAS CSCD 2003年第8期1141-1145,共5页
Objective To explore the survival time,pathological change and liver regeneration in different kinds of reduced-size liver transplantation in rats using steatotic grafts. Methods Macrovesicular and microvesicular st... Objective To explore the survival time,pathological change and liver regeneration in different kinds of reduced-size liver transplantation in rats using steatotic grafts. Methods Macrovesicular and microvesicular steatotic rat liver models were established by feeding rats with a diet consisting of 79% standard chow,20% lard and 1% cholesterol for different time periods. With modified two cuff vascular anastomoses and end-to-end sutures on the bile duct,reduced-size orthotopic rat liver transplantations were performed in an attempt to explore the ratio of graft weight to recipient body weight,recipient original liver weight and histological and electron-microscopic findings in comparison with whole rat liver transplantations. Results A one-week survival rates for the rats undergoing whole liver transplantation,and those in the 70% reduced-size orthotopic liver transplantation (ROLT) group,the 60%ROLT group and the 50%ROLT group (grade Ⅰ macrosteatotic grafts) were 91.67%,75%,75% and 25%. A 2-week survival rate was 83.33%,75%,58.33% and 0 respectively. And their graft recipient body weight (GRBW) values SD were 3.56%±0.36%,2.53%±0.15%,2.28%±0.12% and 1.83%±0.16%,respectively. In grade Ⅱ macrosteatotic grafts,the one-week survival rate for those undergoiong whole liver transplantation and those in the 70% ROLT group was 83.33% and 25%. In the microsteatosis grafts for whole liver transplantation,70% ROLT,60% ROLT and 50% ROLT,the one-week survival rate was 83.33%,75%,75% and 33.33%; and the 2-week survival rate was 75%,66.67%,66.67% and 0,respectively. The survival rate of the 50% ROLT group using grade Ⅰ macrosteatotic grafts or grafts mainly with microsteatosis was significantly different from that of other groups. While using macrosteatotic grafts in grade Ⅱ, the 1-week survival rate of the 70% ROLT group was very poor. Pathological findings after operation included liver regeneration and portal space with mild lymphocyte infiltration. Improvement in steatosis and dilation of the central vein and s 展开更多
关键词 transplantation ·liver·rats
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供肝的不同灌注方法在大鼠肝移植中的应用 被引量:6
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作者 葛勇胜 许戈良 +2 位作者 李建生 陈跃 钱明芝 《实用医学杂志》 CAS 2006年第22期2585-2587,共3页
目的:探讨大鼠肝移植时供肝的不同灌注方法对大鼠的影响。方法:80只大鼠随机分为供、受体两组(各40只),供体组再随机均分为经腹主动脉灌注组(A组)和经门静脉灌注组(B组)以获取供肝,应用改良二袖套法进行大鼠原位肝移植。检测两组供肝切... 目的:探讨大鼠肝移植时供肝的不同灌注方法对大鼠的影响。方法:80只大鼠随机分为供、受体两组(各40只),供体组再随机均分为经腹主动脉灌注组(A组)和经门静脉灌注组(B组)以获取供肝,应用改良二袖套法进行大鼠原位肝移植。检测两组供肝切取时间,热缺血时间,术后第1、4、7、10天的肝功能,术后一般情况及生存率等。结果:A组和B组的供肝切取时间分别为(30.0±3.0)min和(27.0±3.0)min,热缺血时间分别为(2.0±0.5)min和(1.0±0.5)min;A组术后第1天的丙氨酸氨基转移酶、天冬氨酸氨基转移酶、总胆红素等均较B组高,而术后第7天的结果却相反。结论:对于非肝动脉化的大鼠肝移植手术供肝采用经门静脉灌注的方法操作较简单,供肝切取时间较短,热缺血时间短,术后早期肝功能的损害较小,但恢复速度相对较慢。 展开更多
关键词 肝移植 供肝 灌注 大鼠
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中药罗勒胶囊对大鼠移植性肝癌TACE后VEGF和Bcl-2表达的影响 被引量:11
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作者 冯兵 朱莹 +2 位作者 贺嵩敏 朱亚珍 郑广娟 《南京中医药大学学报》 CAS CSCD 北大核心 2013年第2期146-150,共5页
目的观察罗勒胶囊对大鼠移植性肝癌经肝动脉化疗栓塞术(TACE)后细胞中VEGF和Bcl-2表达的影响,探讨罗勒胶囊对肝肿瘤TACE后乏氧微环境的影响及意义。方法建立大鼠移植性肝癌模型,10d后将造模成功的大鼠随机分为5组。对TACE+生理盐水组和T... 目的观察罗勒胶囊对大鼠移植性肝癌经肝动脉化疗栓塞术(TACE)后细胞中VEGF和Bcl-2表达的影响,探讨罗勒胶囊对肝肿瘤TACE后乏氧微环境的影响及意义。方法建立大鼠移植性肝癌模型,10d后将造模成功的大鼠随机分为5组。对TACE+生理盐水组和TACE+罗勒胶囊高、中、低剂量组4组大鼠进行TACE,并分别给予生理盐水10mL/(kg.d)和罗勒胶囊300、150、75mL/(kg.d)ig,对非TACE对照组大鼠只进行开腹操作,不进行TACE。给药10d后取出移植性肝癌病理标本,免疫组化法检测肿瘤组织中VEGF和Bcl-2表达情况。结果瘤质量:行TACE的4组大鼠与非TACE组比较均明显减轻(P<0.05,P<0.01),TACE+罗勒胶囊高剂量组较TACE+生理盐水组显著减轻(P<0.05);VEGF和Bcl-2阳性表达率:TACE+生理盐水组与非TACE组比均显著升高(P<0.01);TACE+罗勒胶囊高、中、低剂量组较TACE+生理盐水组显著降低(P<0.01);TACE+罗勒胶囊高剂量组较TACE+罗勒胶囊中、低剂量组显著降低(P<0.05,P<0.01)。结论中药罗勒胶囊能改善肝肿瘤局部的乏氧微环境并促进细胞凋亡,使肿瘤组织中VEGF和Bcl-2表达降低,抑制大鼠移植性肝癌TACE术后肿瘤的侵袭和转移。 展开更多
关键词 罗勒胶囊 大鼠移植性肝癌 经肝动脉化疗栓塞术 血管内皮生长因子 凋亡抑制基因Bcl-2
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