Nakata Manabu, Nakamura Kenji, Koda Yoichi, Kaminou Toshio, Ugami Masayuki, Kaneda Kenji, Yamada Ryusaku
Department of Radiology, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan.
Hepatogastroenterology. 2002 May-Jun;49(45):652-6.
BACKGROUND/AIMS: To evaluate the hepatic microcirculatory changes in liver cirrhosis, in vivo microscopic findings were assessed quantitatively in cirrhotic rats.
Using in vivo microscopy, the blood flow velocity through terminal portal venules and terminal hepatic venules, and their diameters were measured. The rats were classified into a normal group, fibrosis group, and cirrhosis group, histopathologically. To estimate intrahepatic blood flow of the liver surface, laser-Doppler flowmeter was used for the three groups, and portal venous pressures were measured.
Blood flow velocity through terminal portal venules increased significantly in cirrhosis rats. However, among the three groups, there were no significant differences with blood flow velocity through terminal portal venules, diameters of terminal portal venules and terminal hepatic venules. Portal venous pressure and intrahepatic blood flow of the liver surface increased significantly.
These data indicate that pre-sinusoidal alterations to hemodynamics become manifest in the liver cirrhosis, which might be related to intrahepatic shunt formation.
背景/目的:为评估肝硬化时肝脏微循环的变化,对肝硬化大鼠的体内显微镜检查结果进行了定量评估。
采用体内显微镜技术,测量通过终末门静脉小支和终末肝静脉小支的血流速度及其直径。组织病理学上,将大鼠分为正常组、纤维化组和肝硬化组。使用激光多普勒血流仪测量三组肝脏表面的肝内血流,并测量门静脉压力。
肝硬化大鼠通过终末门静脉小支的血流速度显著增加。然而,在三组中,通过终末门静脉小支的血流速度、终末门静脉小支和终末肝静脉小支的直径没有显著差异。门静脉压力和肝脏表面的肝内血流显著增加。
这些数据表明,肝窦前血流动力学改变在肝硬化中表现明显,这可能与肝内分流形成有关。