Omokawa S, Asanuma Y, Koyama K
Department of Surgery, Akita University School of Medicine, Japan.
World J Surg. 1990 Mar-Apr;14(2):247-53; discussion 253-4. doi: 10.1007/BF01664884.
An animal model resembling clinical cases with extrahepatic portal vein obstruction was developed. The changes in hepatic mitochondrial function and the hepatic hemodynamics including hepatic regional blood flow, portal venous pressure, and portogram were evaluated to assess the effect of portal vein obstruction in the model. Portal vein ligation in this model was a simple and easy maneuver and could produce collateral veins to the liver--cavernomatous transformation--which were obviously seen in clinical patients with extrahepatic portal obstruction. Hepatic blood flow was significantly decreased until 5 days after portal vein ligation; however, hepatic blood flow was gradually increased and reached the normal value at 3 weeks after portal vein ligation due to the formation of the collateral veins to the liver. Respiratory parameters of mitochondria were gradually decreased and reached the lowest levels at 5 days after portal vein ligation, while they recovered to normal values in accordance with increasing hepatic blood flow at 3 weeks after portal vein ligation. In extrahepatic portal obstruction, although the liver is temporarily deteriorated by portal vein obstruction such as portal vein thrombosis, hepatic blood flow and the liver functions are to be normally improved with the formation of collateral veins to the liver.
建立了一种类似于肝外门静脉阻塞临床病例的动物模型。评估了肝线粒体功能和肝血流动力学的变化,包括肝区域血流量、门静脉压力和门静脉造影,以评估该模型中门静脉阻塞的影响。该模型中的门静脉结扎是一种简单易行的操作,可产生通向肝脏的侧支静脉——海绵样变性——这在肝外门静脉阻塞的临床患者中明显可见。门静脉结扎后直至第5天肝血流量显著降低;然而,由于通向肝脏的侧支静脉形成,门静脉结扎后3周肝血流量逐渐增加并达到正常值。线粒体的呼吸参数逐渐降低,在门静脉结扎后第5天达到最低水平,而在门静脉结扎后3周随着肝血流量增加恢复到正常值。在肝外门静脉阻塞中,尽管肝脏会因门静脉阻塞如门静脉血栓形成而暂时恶化,但随着通向肝脏的侧支静脉形成,肝血流量和肝功能通常会得到改善。