Houry S, Bedossa P, Languille O, Huguier M, Lemaigre G
Service de chirurgie digestive, Hôpital Tenon, Paris.
Chirurgie. 1992;118(10):683-6; discussion 687.
Our study was aimed at assessing the effect on the biliary epithelium of formol and hypertonic salt serum solutions used as parasiticide for hydatid cysts of the liver in rats. One hundred and forty six rats were administrated an intrabiliary injection of isotonic salt serum (control group), of 20% hypertonic salt serum and of 0.5% and 2% formol solutions. A histological study performed 3 months later did not show any abnormality in the rat control group (n = 11). In the hypertonic salt serum group (n = 14) and 0.5% formol group (n = 12), moderate lesions of biliary epithelium were observed. After a 2% formol injection, a periductal sclerosis was observed in 11 cases out of 16, associated with pseudocirrhosis lesions in 4 cases. A sequential histo-immunochemical study did not show any histological abnormalities in the rat control group (n = 24). In rats which were administrated a 2% formol solution (n = 36), first abnormalities were observed as soon as the 7th day with a IA antigen expression at the biliary epithelium level. Fibrosis lesions were observed after 2 months. After 9 months, the infiltration included only T lymphocytes in direct contact with biliary tracts. A cholangiographic study showed a normal aspect in the rat control group (n = 11) or in rats having received hypertonic salt serum (n = 11), and stenoses of biliary tracts, mainly intrahepatic, in 10 rats out of the 11 of the 2% formol group.(ABSTRACT TRUNCATED AT 250 WORDS)
我们的研究旨在评估甲醛溶液和高渗盐血清溶液作为大鼠肝包虫囊肿杀寄生虫剂对胆管上皮的影响。146只大鼠接受了胆管内注射等渗盐血清(对照组)、20%高渗盐血清以及0.5%和2%甲醛溶液。3个月后进行的组织学研究显示,大鼠对照组(n = 11)未出现任何异常。在高渗盐血清组(n = 14)和0.5%甲醛组(n = 12)中,观察到胆管上皮有中度损伤。注射2%甲醛后,16例中有11例出现导管周围硬化,4例伴有假肝硬化病变。连续的组织免疫化学研究显示,大鼠对照组(n = 24)未出现任何组织学异常。在接受2%甲醛溶液注射的大鼠(n = 36)中,最早在第7天就观察到异常,胆管上皮水平出现IA抗原表达。2个月后观察到纤维化病变。9个月后,浸润仅包括与胆管直接接触的T淋巴细胞。胆管造影研究显示,大鼠对照组(n = 11)或接受高渗盐血清的大鼠(n = 11)胆管造影表现正常,而在2%甲醛组的11只大鼠中有10只出现胆管狭窄,主要为肝内狭窄。(摘要截短至250字)