Malagó Rodolfo, Reis Norair Salviano, Araújo Marina Rachel, Andreollo Nelson Adami
Post-Graduate Program, School of Medical Sciences, University of Campinas, Brazil.
Acta Cir Bras. 2008 May-Jun;23(3):274-81. doi: 10.1590/s0102-86502008000300011.
To evaluate macro and microscopically the late evolution of autotransplants of fragments of spleen in the greater omentum, mesenterium and peritoneal cavity, after 24 weeks of observation.
Fifty two Wistar rats were used, males and adults, submitted to total splenectomy and divided in four groups. The group I--seventeen animals with implant of spleen fragment in the peritoneal cavity; group II--eighteen animals with implant in the omentum and group III--seventeen animals with implant fixed in mesenterium root. The group control (group IV) was formed by eight animals chosen aleatorily among the three groups. It was analyzed macro and microscopically the evolution of the implant, and in the histological study qualitative and quantitative criteria were adopted, with the counting of no cellular e cellular elements.
It was observed adherences to the adjacent tissues and vascularization in all of the fragments transplanted. The group I presented white pulp and preserved vascularization. In the group II were observed white pulp with follicular formations and lymphoid tissue preserved, and the red pulp in cordon aspect and hemorrhagic. In the group III were observed with depletion of white and red pulp, while others evidenced better preservation of the pulps. The counting of lymphocytes revealed significant difference between the groups I and IV and the group III and IV (p < 0.05). The counting of active macrophages revealed significant difference between the groups II and III (p < 0.05) and similarity between II and IV (p > 0.05). The other elements: active macrophages phagocyting hemosiderine, plasmocytes, fibroblasts, fibrocytes, giant cells, monocytes, interstitial spaces and fibers of collagen, did not show significant difference among the groups.
The splenic autotransplantation is feasible, being the better place the greater omentum. This research demonstrated through qualitative and quantitative histological analysis that the splenic tissue autotransplanted in the omentum of Wistar rats preserves its function of defense of the organisms.
在观察24周后,从宏观和微观层面评估大网膜、肠系膜和腹腔内脾脏碎片自体移植的后期演变情况。
选用52只成年雄性Wistar大鼠,进行全脾切除并分为四组。第一组——17只大鼠,将脾脏碎片植入腹腔;第二组——18只大鼠,将脾脏碎片植入大网膜;第三组——17只大鼠,将脾脏碎片固定于肠系膜根部。对照组(第四组)由从上述三组中随机选取的8只动物组成。对植入物的演变进行宏观和微观分析,在组织学研究中采用定性和定量标准,对无细胞和细胞成分进行计数。
观察到所有移植碎片均与相邻组织粘连并有血管化。第一组呈现白髓并保留血管化。第二组观察到有滤泡形成的白髓和保留的淋巴组织,红髓呈索状且有出血。第三组观察到白髓和红髓均减少,而其他组则显示髓质保存较好。淋巴细胞计数显示第一组与第四组、第三组与第四组之间存在显著差异(p<0.05)。活性巨噬细胞计数显示第二组与第三组之间存在显著差异(p<0.05),第二组与第四组之间相似(p>0.05)。其他成分:吞噬含铁血黄素的活性巨噬细胞、浆细胞、成纤维细胞、纤维细胞、巨细胞、单核细胞、间质间隙和胶原纤维,各组之间未显示出显著差异。
脾脏自体移植是可行的,大网膜是较好的移植部位。本研究通过定性和定量组织学分析表明,Wistar大鼠大网膜中自体移植的脾脏组织保留了其对机体的防御功能。