Tang Wen Bo, Xu Qing Hua, Jiao Zi Yu, Wu Rong, Song Qing, Luo Yu Kun
Department of Diagnostic Ultrasound, Chinese PLA General Hospital, Beijing City, China.
Department of Diagnostic Ultrasound, Chinese PLA General Hospital, Beijing City, China; Department of Ultrasound, Central Hospital of Eerduosi City, Eerduosi City, Neimenggu Province, China.
Ultrasound Med Biol. 2016 Jan;42(1):282-9. doi: 10.1016/j.ultrasmedbio.2015.09.018. Epub 2015 Oct 20.
This study was designed to investigate whether hepatic arterial pressure and portal pressure have an effect on liver stiffness during the development of liver fibrosis. Liver fibrosis was induced in 50 healthy New Zealand white rabbits. Laparotomy was performed to measure liver stiffness, and the portal vein and hepatic artery were successively ligated to repeat the measurements. A significant difference was observed among liver stiffness values measured at different time points (F = 22.82, p < 0.001). Differences between original liver stiffness and liver stiffness measured after portal ligation were positively correlated with portal pressure (r = 0.801, p < 0.001). In animals with grade 4 liver fibrosis, the increase in liver stiffness caused by pressure was greater than that caused by extracellular matrix accumulation (p = 0.002). In conclusion, hepatic arterial pressure and portal pressure have a significant effect on liver stiffness during the development of liver fibrosis.
本研究旨在探讨在肝纤维化发展过程中,肝动脉压和门静脉压是否对肝脏硬度有影响。对50只健康的新西兰白兔诱导肝纤维化。通过剖腹手术测量肝脏硬度,并先后结扎门静脉和肝动脉以重复测量。在不同时间点测量的肝脏硬度值之间观察到显著差异(F = 22.82,p < 0.001)。门静脉结扎后测量的原始肝脏硬度与肝脏硬度之间的差异与门静脉压呈正相关(r = 0.801,p < 0.001)。在4级肝纤维化动物中,压力引起的肝脏硬度增加大于细胞外基质积累引起的增加(p = 0.002)。总之,在肝纤维化发展过程中,肝动脉压和门静脉压对肝脏硬度有显著影响。