Wen Zhe, Zhang Jin-Zhe, Xia Hui-Min, Yang Chun-Xiao, Chen Ya-Jun
Department of Surgery, Beijing Children's Hospital Affiliated to Capital Medical University, Beijing 100045, China.
World J Gastroenterol. 2009 Aug 28;15(32):4049-54. doi: 10.3748/wjg.15.4049.
To study the stability of portal hypertension (PHT) caused by partial ligation of the portal vein ligation (PVL) in a rat model.
Thirty male adult Wistar rats were divided into two groups: 10 in Group I received a sham operation; and 20 in Group II received partial PVL. Portal vein pressure (PVP) was measured at four time periods: before ligation, 2 wk, 6 wk and 10 wk post-surgery. Portal venography, blood sampling and liver and spleen pathological examinations were conducted at 10 wk after surgery.
The PVP was 9.15 +/- 0.58 cmH(2)O before ligation, and increased to 17.32 +/- 0.63 cmH(2)O 2 wk after PVL. By repeat measurement of the PVP in each rat, it was shown to remain elevated for 10 wk. There were no significant differences in the pressure measurements at 2 wk, 6 wk and 10 wk. Varices were found mainly in the mesenteric vein 2 wk after PVL, which were more obvious later, while these manifestations were similar at week 6 and week 10. Portal venography demonstrated the varices and collaterals. There was no significant change in liver pathology. The volume of the spleen was enlarged 2-fold after ligation, and the sinus of the spleen was enlarged due to congestion. Significant sinus endothelial cell proliferation was observed, but no evidence of hypersplenia was found on hemogram and biochemical examination.
These findings suggest that a satisfactory prehepatic PHT rat model can be obtained by partial ligation of the portal vein, and this PHT rat model was stable for at least 10 wk.
在大鼠模型中研究门静脉部分结扎(PVL)所致门静脉高压(PHT)的稳定性。
30只成年雄性Wistar大鼠分为两组:I组10只接受假手术;II组20只接受门静脉部分结扎。在四个时间段测量门静脉压力(PVP):结扎前、术后2周、6周和10周。术后10周进行门静脉造影、采血及肝脏和脾脏病理检查。
结扎前门静脉压力为9.15±0.58 cmH₂O,门静脉部分结扎术后2周升至17.32±0.63 cmH₂O。通过对每只大鼠重复测量门静脉压力,结果显示门静脉压力在10周内持续升高。术后2周、6周和10周的压力测量值无显著差异。门静脉部分结扎术后2周可见静脉曲张主要位于肠系膜静脉,随后更为明显,而在第6周和第10周这些表现相似。门静脉造影显示静脉曲张和侧支循环。肝脏病理无明显变化。结扎后脾脏体积增大2倍,脾窦因淤血而扩大。观察到明显的脾窦内皮细胞增殖,但血常规和生化检查未发现脾功能亢进的证据。
这些结果表明,通过门静脉部分结扎可获得满意的肝前性门静脉高压大鼠模型,且该门静脉高压大鼠模型至少在10周内是稳定的。