南方医科大学学报 ›› 2006, Vol. 26 ›› Issue (11): 1556-1558.

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稳定大鼠肝移植模型的规范及移植肝灌注方式比较

许赤; 杨扬; 易述红; 李玺; 张琪; 陈规划;   

  1. 中山大学附属第三医院肝脏移植中心; 中山大学附属第三医院肝脏移植中心 广东广州510630; 广东广州510630;
  • 出版日期:2006-11-20 发布日期:2006-11-20
  • 基金资助:
    国家973计划(2003CB515507);广东省科技计划项目(2004B35001003);广东省医学科研基金(A2005238)~~

Standardization of rat stable orthotopic liver transplantation model and comparison of the effect of two liver graft perfusion methods

XU Chi,YANG Yang,YI Shu-hong,LI Xi,ZHANG Qi,CHEN Gui-hua Organ Transplant Center,Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China   

  1. 中山大学附属第三医院肝脏移植中心; 中山大学附属第三医院肝脏移植中心 广东广州510630; 广东广州510630;
  • Online:2006-11-20 Published:2006-11-20

摘要: 目的总结建立大鼠原位肝移植稳定模型的规范和提高成功率的措施,比较经门静脉灌注和经腹主动脉灌注对移植肝功能的影响。方法手术显微镜下,用改良的二袖套法进行100例大鼠原位肝移植,并依据灌注方式分组:经门静脉灌注和经腹主动脉灌注组(n=50)。检测术后肝功能,观察组织病理学改变、术后生存率以及手术并发症。结果两组组织病理学表现相同。手术成功率分别为98%(49/50)和96%(48/50),3月存活率分别为93.5%(29/31)和93.3%(28/30),术后肝功能、手术成功率和3月存活率差异无显著性(P>0.05)。结论供肝经门静脉灌注和经腹主动脉灌注均可采用,应根据研究目的选择适当肝移植模型。熟练的显微外科技术、规范细致的手术操作、缩短无肝期时间是提高成功率、减少术后并发症的关键。 

Abstract: Objective To standardize the establishment of a stable rat model of orthotopic liver transplantation and surgical technique of two-cuff technique for improving the operation success rate,and compare the effect of graft perfusion via the portal vein and the abdominal aorta on the graft function.Methods Totally 100 cases of orthotopic liver transplantation was performed in rats under microscope according to modified Kamada’s two cuff technique.The rats were divided into 2 groups with the donor liver perfused through the portal vein with 10 ml cold lactated Ringer’s solution,and via the abdominal aorta with 20 ml cold lactated Ringer’s solution,respectively.The postoperative function recovery and pathological changes of the liver grafts were evaluated by serum ALT detection and histopathological examination.The operation success rate,3-month survival rate of the rats and the complications were observed.Results No significant differences was noted in the liver function,operation success rate and 3-month survival rate between the 2 groups,and histopathological examination also showed similar findings.The success rates of the two groups were 98% and 96%,with 3-month survival rate of 93.5%(29/31) and 93.3%(28/30)(P>0.05),respectively.Conclusion The liver transplantation models with portal vein or abdominal aorta graft perfusion both serve well their respective purposes.Good microsurgical skills,standardized performance and shortened anhepatic period are the keys to improved stability and survival rate and reduced operative complications. 

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