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[肝硬化中的肝性脑病与结肠病理]

[Hepatic encephalopathy and colon pathology in liver cirrhosis].

作者信息

Safonova M V, Kozlova I V, Ovsiannikova V V, Kvetnoĭ I M

出版信息

Eksp Klin Gastroenterol. 2012(6):20-6.

Abstract

to define a role of structural and functional changes of a colon, expression indicators of epithelial cells of mucous coat of colon that produce serotonin and hromogranin-A at in encephalopathy development at liver cirrhoses. We have examined 146 patients with liver cirrhosis of various classes using the clinical, endoscopic, morphologic and immunohistochemical methods. It is established that with increase of a class of a cirrhosis frequency of revealing of a hepatic encephalopathy, structural changes, degree dysbacteriosis of a colon. Progressing of a hepatic encephalopathy at liver cirrhoses associates with development destructive and atrophic changes of a mucous membrane of a colon and a dysbacteriosis. The increase in the morphometric rates of epithelial cells of mucous coat of colon that produce serotonin and hromogranin-A at liver cirrhoses plays a part in development of a manifesting of a hepatic encephalopathy.

摘要

为了确定结肠结构和功能变化的作用,研究肝硬化脑病发展过程中产生5-羟色胺和嗜铬粒蛋白A的结肠黏膜上皮细胞的表达指标。我们采用临床、内镜、形态学和免疫组织化学方法检查了146例不同类型肝硬化患者。结果表明,随着肝硬化分级的增加,肝性脑病的检出频率、结肠结构变化、菌群失调程度增加。肝硬化时肝性脑病的进展与结肠黏膜的破坏性和萎缩性变化以及菌群失调的发展有关。肝硬化时产生5-羟色胺和嗜铬粒蛋白A的结肠黏膜上皮细胞形态学指标的增加在肝性脑病的表现发展中起作用。

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