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脾自体移植后再生脾组织功能的实验研究

[Experimental study on function of regenerated splenic tissue after splenic autotransplantation].

作者信息

Sato S

机构信息

Second Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.

出版信息

Nihon Geka Gakkai Zasshi. 1990 Nov;91(11):1720-30.

PMID:2277620
Abstract

To prevent postsplenectomy overwhelming sepsis, splenic autotransplantation has been clinically attempted. However, function of regenerated splenic tissue after splenic autotransplantation has not been completely understood. Changes in weigh of regenerated splenic tissue, splenic blood flow, splenic immune responses and phagocytic function were studied for one year after splenic autotransplantation using Sprague-Dawley rats. At one year after autotransplantation, the weight of regenerated splenic tissue was increased to 80% of the originally implanted spleen and the blood flow was increased to 80% of the control spleen. The counts of lymphocytes and macrophages in the regenerated splenic tissue were significantly low at eight weeks after transplantation, however lymphocytes was increased to 58.8% and macrophages was increased to 29.5% of the control spleen at 16 weeks after transplantation. The blast formation of splenic lymphocytes was lower at the early stage after transplantation, thereafter, it was increased at the later time after transplantation. Microangiography of the regenerated spleen showed new capillaries around the implanted tissue 2 weeks after transplantation. These results suggested that the transplanted splenic tissue was regenerated to the similar structure to normal spleen and immunological function was recovered close to the normal splenic tissue.

摘要

为预防脾切除术后暴发性感染,临床上已尝试进行脾自体移植。然而,脾自体移植后再生脾组织的功能尚未完全明确。本研究采用Sprague-Dawley大鼠,对脾自体移植后1年内再生脾组织的重量变化、脾血流量、脾免疫反应及吞噬功能进行了研究。自体移植1年后,再生脾组织的重量增加至原植入脾脏的80%,血流量增加至对照脾脏的80%。移植后8周时,再生脾组织中的淋巴细胞和巨噬细胞计数显著低于正常水平,但在移植后16周时,淋巴细胞数量增加至对照脾脏的58.8%,巨噬细胞数量增加至对照脾脏的29.5%。移植后早期脾淋巴细胞的母细胞形成率较低,随后在移植后期升高。再生脾的微血管造影显示,移植后2周植入组织周围出现新的毛细血管。这些结果表明,移植的脾组织再生为与正常脾脏结构相似的组织,免疫功能恢复至接近正常脾组织的水平。

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