Lin C
Department of Surgery, Third Hospital, Bejing Medical University.
Zhonghua Yi Xue Za Zhi. 1993 Sep;73(9):544-6, 575-6.
Operative stenosis of common bile duct (CBD) (S group) induced pigment gallstones in 14 of 16 guinea pigs one week after operation. If Vit E and Vit C were given intraperitoneally 10 mg/kg daily from 3 days before to one week after the operation (S+V group), the gallstone incidence decreased to 5/14 (P < 0.01). In comparison with control group (C), unconjugated bilirubin (UCB) and Ca2+ concentration in gallbladder bile of S group increased significantly (P < 0.05 and P < 0.01 respectively), while the scavenge rate (SR) of superoxide radical (O2-.) in bile decreased significantly (P < 0.05). Comparing S+V group with S group showed that the differences of UCB and Ca2+ concentration were not significant (P < 0.05 both); only the SR rose significantly (P < 0.05) and reached the level of C group. It is suggested that besides the increase of UCB and Ca2+ concentration, the participation of oxygen radicals may be needed in formation of pigment gallstones induced by bile duct obstruction.
胆总管(CBD)手术性狭窄(S组)在术后1周使16只豚鼠中的14只诱发了色素性胆结石。如果从术前3天至术后1周每天腹腔注射10mg/kg维生素E和维生素C(S + V组),胆结石发生率降至5/14(P < 0.01)。与对照组(C组)相比,S组胆囊胆汁中未结合胆红素(UCB)和Ca2+浓度显著升高(分别为P < 0.05和P < 0.01),而胆汁中超氧阴离子自由基(O2-·)的清除率(SR)显著降低(P < 0.05)。S + V组与S组比较显示,UCB和Ca2+浓度差异无统计学意义(均为P < 0.05);仅SR显著升高(P < 0.05)并达到C组水平。提示除UCB和Ca2+浓度升高外,氧自由基的参与可能是胆管梗阻诱发色素性胆结石形成所必需的。