Guo W, Andersson R, Willén R, Ljungh A, Wang X, Liu X, Bengmark S
Department of Surgery, Lund University Hospital, Sweden.
J Surg Res. 1994 Sep;57(3):408-15. doi: 10.1006/jsre.1994.1162.
The aim of the present study was to determine the influence of splenectomy on the incidence of enteric bacterial translocation in rats with intraperitoneal rubber drain implantation. Male Sprague-Dawley rats (250-300 g) underwent splenectomy or sham operation 7 days prior to the intraperitoneal implantation of rubber drain fragments (7 cm2). Bacterial translocation was measured 2 days after rubber drain implantation. The incidence of bacterial translocation was significantly higher in the group with intraperitoneal rubber drain implantation plus sham splenectomy than in the groups with sham splenectomy plus sham implantation, splenectomy plus sham implantation or splenectomy plus rubber drain implantation. An increase in ileal permeability of 125I-human serum albumin was induced by intraperitoneal rubber drain implantation and ameliorated by splenectomy. Splenectomy also improved the impaired intestinal motility induced by intraperitoneal rubber drain implantation. Histological examination revealed a preserved normal mucosal architecture in splenectomized rats. Thus, splenectomy reduced the rate of enteric bacterial translocation induced by intraperitoneal biomaterial implantation.
本研究的目的是确定脾切除术对腹腔内植入橡胶引流管的大鼠肠道细菌移位发生率的影响。雄性Sprague-Dawley大鼠(250 - 300克)在腹腔内植入橡胶引流片(7平方厘米)前7天接受脾切除术或假手术。在橡胶引流管植入2天后测量细菌移位情况。与假脾切除加假植入、脾切除加假植入或脾切除加橡胶引流管植入组相比,腹腔内植入橡胶引流管加假脾切除组的细菌移位发生率显著更高。腹腔内植入橡胶引流管可诱导125I - 人血清白蛋白的回肠通透性增加,而脾切除术可改善这种情况。脾切除术还改善了腹腔内植入橡胶引流管引起的肠道运动功能受损。组织学检查显示脾切除大鼠的黏膜结构保持正常。因此,脾切除术降低了腹腔内生物材料植入引起的肠道细菌移位率。