Stellamor K, Hruby W, Peschl L
Rontgenblatter. 1981 Dec;34(12):463-6.
By means of celiacography it was possible to demonstrate that parenteral medication with parathormone creates a selective dilatation of the liver vessels in man, provided that they are dilatable. This hemodynamic hormone effect could not be traced in the other mesenteric vessels. The increase of portal hypertension resulting from cirrhosis leads to a loss of the dilating ability of liver vessels. This regressive reaction is well demonstrated on the parathormon-celiaco-gram. Thus a functional assessment of the hepatic blood flow is possible. The extent of the dilatability of the liver artery seems to be of great importance for the prognosis and indication of the porto-systemic shunt-operation. Moreover we could show that an increase in the liver perfusion demonstrates pathologic liver processes in a better way.
通过腹腔造影术能够证明，对人进行甲状旁腺素的肠胃外给药会导致肝脏血管出现选择性扩张，前提是这些血管是可扩张的。这种血液动力学激素效应在其他肠系膜血管中未被发现。肝硬化导致的门静脉高压升高会使肝脏血管的扩张能力丧失。这种退行性反应在甲状旁腺素腹腔造影图上得到了很好的体现。因此，对肝血流进行功能评估是可行的。肝动脉的扩张程度似乎对门体分流手术的预后和适应症至关重要。此外，我们能够表明肝脏灌注的增加能更好地显示肝脏的病理过程。
