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[肝切除术后门静脉血中胰腺激素的变化及胰岛细胞的形态学改变]

[Changes in pancreatic hormones in portal blood and morphological changes of islet cells of Langerhans after hepatectomy].

作者信息

Sudo T, Shobu R, Shono K, Kawamura M, Umemura H, Kuyama T

出版信息

Nihon Geka Gakkai Zasshi. 1985 Sep;86(9):1177-9.

PMID:3911051
Abstract

Hybrid adult dogs weighing 12 to 15 kg were laparotomized before, one week, and one month after partial hepatectomy: Pancreatic tissues were taken and examined by the PAP staining. Also, the animals were intravenously injected via peripheral veins with 50 percent glucose 0.5 g/kg before, one week, and one month after surgery, and their portal blood was taken before, 5, 15, 30, 45 and 60 minutes after injection, and submitted to examination of insulin, glucagon, somatostatin and blood sugar levels. We obtained these results as follows. sigma IRI which represents an increment of insulin secretion after glucose loads, showed a decrease at one week after surgery (p less than 0.05) and an increase at one month after surgery (p less than 0.05). Somatostatin levels of portal blood showed marked increase after surgery (p less than 0.05). Observation on the area of Langerhans islets revealed approximately 4.6 fold hypertrophy from the size of 486 +/- 23 microns m2 before surgery to 2236 +/- 98 microns m2 one month after surgery (p less than 0.05). Insulin secreting B cells were found to contain increased secreting granules. Somatostatin secreting D cells increased 2.8-fold in number one month after surgery, showing mitotic figures.

摘要

体重12至15千克的杂种成年犬在部分肝切除术前、术后1周和1个月接受剖腹术:取胰腺组织并用PAP染色法进行检查。此外,在手术前、术后1周和1个月经外周静脉给动物静脉注射0.5克/千克的50%葡萄糖,在注射前、注射后5、15、30、45和60分钟采集门静脉血,并检测胰岛素、胰高血糖素、生长抑素和血糖水平。我们得到如下结果。代表葡萄糖负荷后胰岛素分泌增加的总和胰岛素反应指数(sigma IRI)在术后1周时降低(p<0.05),在术后1个月时升高(p<0.05)。门静脉血中的生长抑素水平在术后显著升高(p<0.05)。对胰岛面积的观察显示,从术前的486±23平方微米增大到术后1个月的2236±98平方微米,约为4.6倍(p<0.05)。发现分泌胰岛素的B细胞含有增多的分泌颗粒。分泌生长抑素的D细胞在术后1个月数量增加2.8倍,并出现有丝分裂象。

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