Maas R, Krupski G, Meyer-Pannwitt U, Henne-Bruns D, Kremer B, Brölsch C E, Bücheler E
Radiologische Klinik des UKE, Universität Hamburg.
Rofo. 1993 May;158(5):456-62. doi: 10.1055/s-2008-1032682.
To get reliable data on human liver regeneration we performed CT volumetry in 25 patients who underwent partial hepatectomy for benign and malignant liver tumours preoperatively and at least one year postoperatively in regular intervals in a prospective study. All patients received standardised CT-scans preoperatively and two weeks, 3, 6 and 12 months post-operatively. The resected specimen size was determined by water displacement. We were able to demonstrate human liver regeneration. Contrary to the well-known animal model the amount of regeneration in humans is less and regeneration takes a longer time. We did not find any statistical correlation to extent of resection, age of patients and other parameters. On the contrary, the human liver seems to regenerate until a certain relationship of liver volume and body-surface area is reached: 0.8 l/m2.
为获取有关人类肝脏再生的可靠数据,我们进行了一项前瞻性研究,对25例因良性和恶性肝脏肿瘤接受部分肝切除术的患者在术前以及术后至少一年的时间里定期进行CT容积测量。所有患者在术前以及术后两周、3个月、6个月和12个月均接受标准化CT扫描。切除标本的大小通过水置换法确定。我们能够证明人类肝脏的再生情况。与著名的动物模型相反,人类肝脏的再生量较少且再生所需时间更长。我们未发现与切除范围、患者年龄及其他参数之间存在任何统计学关联。相反,人类肝脏似乎会一直再生,直到肝体积与体表面积达到一定比例:0.8升/平方米。