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部分脾切除及脾自体移植后的脾脏吞噬功能

Splenic phagocytic function after partial splenectomy and splenic autotransplantation.

作者信息

Malangoni M A, Dawes L G, Droege E A, Rao S A, Collier B D, Almagro U A

出版信息

Arch Surg. 1985 Mar;120(3):275-8. doi: 10.1001/archsurg.1985.01390270015003.

Abstract

We investigated splenic reticuloendothelial activity after splenic preservation procedures to determine their effect upon the phagocytic function of the spleen. We performed the following procedures in Sprague-Dawley rats: sham laparotomy, total splenectomy, hemisplenectomy, subtotal splenectomy, or total splenectomy with intraperitoneal splenic autotransplantation. At nine weeks after operation, phagocytic function of the spleen was determined by measuring radiocolloid uptake. Mean (+/- SEM) splenic phagocytic indices for sham laparotomy (41.2 +/- 2.9), hemisplenectomy (44 +/- 2.9), and subtotal splenectomy (43.2 +/- 5.2) were similar; however, the phagocytic index was reduced markedly after autotransplantation (15.8 +/- 2.2). These data demonstrate that the phagocytic function of the spleen after hemisplenectomy and subtotal splenectomy correlates highly with the weight of the splenic remnant; however, phagocytic function after autotransplantation remains reduced even after accounting for differences in splenic weight.

摘要

我们研究了脾脏保存手术后脾网状内皮系统的活性,以确定其对脾脏吞噬功能的影响。我们在斯普拉格-道利大鼠身上进行了以下手术:假剖腹术、全脾切除术、半脾切除术、次全脾切除术或全脾切除术后腹腔内自体脾移植术。术后九周,通过测量放射性胶体摄取量来确定脾脏的吞噬功能。假剖腹术(41.2±2.9)、半脾切除术(44±2.9)和次全脾切除术(43.2±5.2)的平均(±标准误)脾脏吞噬指数相似;然而,自体脾移植术后吞噬指数显著降低(15.8±2.2)。这些数据表明,半脾切除术和次全脾切除术后脾脏的吞噬功能与脾脏残余重量高度相关;然而,即使考虑到脾脏重量的差异,自体脾移植后的吞噬功能仍然降低。

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