Huang Xin, Li Chong-Hui, Zhang Ai-Qun, Kong Zhe, Gu Wan-Qing, Dong Jia-Hong
Center for Hepatopancreatobiliary Diseases, Beijing Tsinghua Changgung Hospital, Tsinghua University Medical Center, Beijing, China.
Department and Institute of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing, China.
Ann Surg Treat Res. 2017 Jun;92(6):389-395. doi: 10.4174/astr.2017.92.6.389. Epub 2017 May 29.
To develop a simple and reliable rat model of reversible obstructive jaundice with low morbidity and mortality rates.
Rats were divided into 4 groups with 8 rats each: the sham-operated (SH) group only underwent laparotomy, the control internal drainage (ID-C) group underwent choledochoduodenostomy, the new internal drainage (ID-N) group and the long-term internal drainage (ID-L) group underwent choledochocholedochostomy. Common bile duct ligation was performed in all the drainage groups 7 days before reversal procedures. All rats were sacrificed for samples 7 days after the last operation except rats of the ID-L group that survived 28 days before sacrifice. Body weight, liver function, histopathological changes, morbidity and mortality were assessed.
One rat died and 2 rats had complications with tube blockage in the ID-C group. No death or complications occurred in the ID-N and ID-L groups. The drainage tube remained patent in the long-term observation ID-L group. Body weight showed no significant difference between the ID-C and ID-N groups after 7 days drainage. Liver function was not fully recovered in the ID-C and ID-N groups after 7 days drainage, but statistical differences were only observed in the ID-C group compared with the SH and ID-L groups. Periportal inflammation and bile duct proliferation showed severer in the ID-C group than in the ID-N group.
The present study provided an efficient, simple, and reliable rat model that is especially suitable for long-term or consecutive studies of reversible obstructive jaundice.
建立一种发病率和死亡率低、简单可靠的大鼠可逆性梗阻性黄疸模型。
将大鼠分为4组,每组8只:假手术(SH)组仅行剖腹术,对照内引流(ID-C)组行胆总管十二指肠吻合术,新内引流(ID-N)组和长期内引流(ID-L)组行胆总管胆总管吻合术。在逆转手术前7天,对所有引流组进行胆总管结扎。除ID-L组大鼠在处死前存活28天外,所有大鼠在最后一次手术后7天处死取样本。评估体重、肝功能、组织病理学变化、发病率和死亡率。
ID-C组有1只大鼠死亡,2只大鼠出现引流管堵塞并发症。ID-N组和ID-L组未发生死亡或并发症。长期观察的ID-L组引流管保持通畅。引流7天后,ID-C组和ID-N组体重无显著差异。引流7天后,ID-C组和ID-N组肝功能未完全恢复,但与SH组和ID-L组相比,仅ID-C组有统计学差异。ID-C组门周炎症和胆管增生比ID-N组更严重。
本研究提供了一种高效、简单、可靠的大鼠模型,特别适合于可逆性梗阻性黄疸的长期或连续研究。