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Research in experimental medicine. Zeitschrift fur die gesamte experimentelle Medizin einschliesslich experimenteller Chirurgie最新文献

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Hepatic adenine nucleotides and microsomal cholesterol 7 alpha-hydroxylase activity in the obstructed and freely draining lobes of the liver after selective bile duct obstruction. 肝腺嘌呤核苷酸和微粒体胆固醇7 -羟化酶活性在选择性胆管梗阻后梗阻和自由引流的肝叶。
K Chijiiwa, Y Hachiya, M Watanabe, I Makino, T Naito, M Komura, M Tanaka

Background: The effect of selective bile duct obstruction (SBDO) on hepatic reserve function of the bile duct obstructed (BDO) and nonobstructed freely draining (FD) lobes of the liver is obscure.

Methods: The bile duct branches draining from the left lateral and median lobes of the liver were ligated for 4 and 10 days in rats, and hepatic reserve functions in BDO and FD lobes were assessed by microsomal cholesterol 7 alpha-hydroxylase activities and by hepatic adenine nucleotide and energy charge levels. The values were compared with those in sham-operated control liver. Cholesterol 7 alpha-hydroxylase activities were determined by gas-liquid chromatography-mass spectrometry, and hepatic adenosine triphosphate (ATP), adenosine diphosphate (ADP), and adenosine monophosphate (AMP) levels with high-pressure liquid chromatography.

Results: The histological examination of the BDO lobes showed proliferation and formation of new bile ductules and fibrous connective tissue linking portal areas. Microsomal cholesterol 7 alpha-hydroxylase activities, hepatic energy charge and adenine nucleotide levels did not differ between FD and BDO lobes, and the values were similar to those in the sham-operated liver.

Conclusions: Selective bile duct obstruction shows no adverse effects on microsomal and mitochondrial functions in either BDO or FD lobes of the liver.

背景:选择性胆管梗阻(SBDO)对胆管梗阻(BDO)和非梗阻自由引流(FD)肝叶肝储备功能的影响尚不清楚。方法:将大鼠肝左外侧叶和正中叶的胆管分支结扎4 d和10 d,采用微粒体胆固醇- 7 α -羟化酶活性、肝腺嘌呤核苷酸和能量电荷水平评价BDO和FD叶的肝脏储备功能。并与假手术对照肝进行比较。采用气相液相色谱-质谱法测定胆固醇7 α -羟化酶活性,采用高压液相色谱法测定肝三磷酸腺苷(ATP)、二磷酸腺苷(ADP)和一磷酸腺苷(AMP)水平。结果:BDO叶的组织学检查显示新的胆管和纤维结缔组织的增生和形成连接门静脉区。微粒体胆固醇- 7 α -羟化酶活性、肝脏能量电荷和腺嘌呤核苷酸水平在FD和BDO肺叶之间无显著差异,与假手术肝脏相似。结论:选择性胆管梗阻对肝脏BDO或FD叶的微粒体和线粒体功能均无不良影响。
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引用次数: 0
Regulation of male fertility by pyrimethamine in adult mice. 乙胺嘧啶对成年小鼠雄性生殖能力的调节作用。
N R Kalla, S K Saggar, R Puri, U Mehta

Studies were carried out to determine the antifertility and reversibility effect of pyrimethamine (PYR) in adult male mice. The parameters mainly included sperm count and motility, fertility, histoarchitecture of testis and testicular cell kinetics quantitatively following oral administration of PYR (50 mg/kg body weight per day) for 30 days. The same parameters were also studied in PYR-treated animals which were allowed to recover for 45 days (recovery group). The results suggest that sperm motility as well as counts were significantly decreased in PYR-treated animals, and the fertility rate fell to zero. Testicular histology as well as germ cell kinetics were altered. However, in the animals of the recovery group, all the parameters studied were more or less similar to those of control animals. The study demonstrates the antifertility as well as reversible efficacy of PYR.

研究了乙胺嘧啶(PYR)对成年雄性小鼠的抗生育和可逆性作用。口服PYR (50 mg/kg体重/天)30 d后,主要定量观察精子数量、活力、生育能力、睾丸组织结构和睾丸细胞动力学。同样的参数也在pyr治疗的动物中进行了研究,这些动物被允许恢复45天(恢复组)。结果表明,在pyr治疗的动物中,精子活力和数量显著下降,生育率降至零。睾丸组织学和生殖细胞动力学发生改变。然而,在恢复组的动物中,所有研究的参数与对照组动物或多或少相似。该研究证实了PYR的抗生育和可逆功效。
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引用次数: 14
Regulation of mouse immuno-responses by a natural suppressor cell clone from bone marrow. 骨髓自然抑制细胞克隆对小鼠免疫反应的调控。
H Yanagië, Z Chen, Y Takeda, H Sugiyama, M Sekiguchi, M Eriguchi

Natural suppressor (NS) activity is mediated by several kinds of cell lineages in bone marrow. We demonstrated that a NS cell, clone 7-31, was obtained after limiting dilution with bone marrow culture supplemented with WEHI supernatant. Clone 7-31, was capable of non-specific suppression of the generation of cytotoxic T lymphocytes without major histocompatibility complex restriction. Suppression of cytotoxic thymus-dependent lymphocyte (CTL) generation was also induced with a cell-free supernatant from the 7-31 cells. Interleukin-2 (IL-2) containing concanavallin-A-conditioned medium could not reverse the suppression. The supernatant did not inhibit the proliferation of IL-2-dependent CTLL-2 cells and rapidly growing tumour cells and fibroblasts. Thus, this bone marrow suppressor cell produces a soluble factor that inhibits the generation of CTL in vitro, and prolongs the acceptance of skin allografts in in vivo.

骨髓中自然抑制因子(NS)的活性是由多种细胞系介导的。我们证明,在骨髓培养中添加WEHI上清液进行有限稀释后,获得了一个NS细胞,克隆7-31。克隆7-31能够非特异性抑制细胞毒性T淋巴细胞的产生,没有主要的组织相容性复合体限制。7-31细胞的无细胞上清液也能抑制胸腺依赖性淋巴细胞(CTL)的产生。含connavallin - a的白介素-2 (IL-2)培养基不能逆转这种抑制。上清液不抑制il -2依赖性CTLL-2细胞和快速生长的肿瘤细胞和成纤维细胞的增殖。因此,这种骨髓抑制细胞产生一种可溶性因子,在体外抑制CTL的产生,并在体内延长同种异体皮肤移植的接受时间。
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引用次数: 3
The proteoglycan metabolism, morphology and viability of articular cartilage treated with a synthetic matrix metalloproteinase inhibitor. 合成基质金属蛋白酶抑制剂对关节软骨蛋白聚糖代谢、形态和活力的影响。
J Steinmeyer, S Daufeldt, D A Kalbhen

Matrix metalloproteinases (MMP) are among the key enzymes responsible for the proteolytic destruction of articular cartilage during chronic rheumatic diseases. Articular cartilage is one potential target for drugs designed to inhibit the activity of MMPs in order to stop or to slow down the proteolytic destruction of the extracellular matrix of cartilage. The purpose of this study was to investigate the effect of the synthetic inhibitor of MMPs U-24522 for its ability (1) to inhibit in vitro the activity of MMP-proteoglycanases; (2) to modulate the morphology and viability of cartilage explants; and (3) to modify the biosynthesis and release of proteoglycans from articular cartilage explants. U-24522 dose-dependently inhibited the activity of MMP-proteoglycanases and significantly reduced the release of proteoglycans from interleukin-1 treated bovine articular cartilage explants when tested at concentrations ranging from 10(-4) to 10(-9) M. This hydroxamic acid derivative proved not to be harmful to chondrocyte viability and cartilage morphology. In addition, U-24522 had no effect on the rate of proteoglycan biosynthesis of interleukin-1 treated cartilage explants and increased the percentage of newly synthesized proteoglycans to form macromolecular aggregates. Thus U-24522 combines direct inhibitory potential on the activity of MMP-proteoglycanases with the inhibition of interleukin-1 stimulated proteoglycan loss from articular cartilage explants without affecting the morphology, viability and biosynthesis of proteoglycans of bovine articular cartilage explants.

基质金属蛋白酶(MMP)是慢性风湿病期间负责关节软骨蛋白水解破坏的关键酶之一。关节软骨是抑制MMPs活性的药物的一个潜在靶点,目的是阻止或减缓软骨细胞外基质的蛋白水解破坏。本研究的目的是研究合成的mmp抑制剂U-24522对其体外抑制mmp -蛋白聚糖酶活性的影响;(2)调节软骨外植体的形态和活力;(3)改变关节软骨外植体蛋白聚糖的生物合成和释放。当浓度为10(-4)至10(-9)m时,U-24522剂量依赖性地抑制mmp -蛋白聚糖酶的活性,并显著减少白细胞介素-1处理的牛关节软骨外植体中蛋白聚糖的释放。这种羟肟酸衍生物被证明对软骨细胞活力和软骨形态无害。此外,U-24522对白细胞介素-1处理的软骨外植体蛋白多糖的生物合成率没有影响,反而增加了新合成蛋白多糖形成大分子聚集体的比例。因此,U-24522结合了对mmp -蛋白聚糖酶活性的直接抑制潜力和对白细胞介素-1刺激的关节软骨外植体蛋白聚糖损失的抑制作用,而不影响牛关节软骨外植体蛋白聚糖的形态、活力和生物合成。
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引用次数: 4
Function of reduced-size liver transplant in the rat. 大鼠缩小肝移植的功能。
A Foss, E Zoucas, F Steinbauer, J W Ding, R Andersson, B Ahrén

We have studied the function of partial orthotopic liver transplantation in the rat by evaluating prothrombin time (PT), liver blood flow, basal and glucose-stimulated insulin secretion and glucose tolerance, and the reticuloendothelial function (RES) in hepatectomized rats subjected to partial liver transplantation. A graft corresponding to 68% of a normal liver was transplanted to totally hepatectomized rats. Comparison was made between control rats and rats subjected to 32% liver resection. PT was not significantly different in the transplanted group compared with liver-resected and control rats. Laser Doppler flowmetry showed that at 28 days after surgery, blood flow had increased in the transplanted livers. Furthermore, on the third day after transplantation, basal plasma insulin was increased and the plasma insulin response to glucose was exaggerated, suggesting reduced insulin action and impaired insulin degradation. Finally, uptake of radioactive-labeled E. coli bacteria, as a measure of RES function, was not compromised in transplanted animals. Based on these results, we conclude that reduced-size liver transplant in out-bred rats results in fast normalization of liver function after surgery although, immediately after surgery, glucose intolerance is seen.

我们通过评价部分肝移植大鼠去肝后凝血酶原时间(PT)、肝血流、基础胰岛素和葡萄糖刺激胰岛素分泌、葡萄糖耐量以及网状内皮功能(RES),研究了部分原位肝移植大鼠的功能。将相当于正常肝脏68%的移植物移植到完全切除肝的大鼠身上。对照大鼠与32%肝切除大鼠进行比较。肝移植组与肝切除组和对照组相比,PT无显著差异。激光多普勒血流仪显示,手术后28天,移植肝脏的血流量增加。此外,在移植后第三天,基础血浆胰岛素升高,血浆胰岛素对葡萄糖的反应被夸大,表明胰岛素作用降低,胰岛素降解受损。最后,作为RES功能测量指标的放射性标记大肠杆菌的摄取在移植动物中没有受到损害。基于这些结果,我们得出结论,异种大鼠的小尺寸肝移植导致术后肝功能快速正常化,尽管术后立即出现葡萄糖耐受不良。
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引用次数: 2
Endothelium-dependent relaxation counteracting the contractile action of endothelin-1 is partly due to ETB receptor activation. 内皮依赖性松弛对抗内皮素-1的收缩作用部分是由于ETB受体的激活。
G I Feger, L Schilling, H Ehrenreich, M Wahl

The vasomotor effects of the endothelins (ETs) are mediated by activation of receptor subtypes termed ETA and ETB. The present study aimed to characterize the interaction of ETA and ETB receptor activation in the cerebral circulation. Ring segments obtained from rat basilar artery were used for measurement of isometric force under resting tension or following precontraction with prostaglandin F2 alpha. In some segments, the endothelium was removed mechanically. In precontracted arteries, ET-1 elicited contraction only. In the presence of the ETA receptor antagonist, BQ-123 (10(-5) M), however, ET-1 induced a concentration-related relaxation with a pD2 value of 8.93 +/- 0.16 (mean +/- SEM, n = 15). The relaxant action was abolished following preincubation with an ETB receptor antagonist, IRL-1038 (3 x 10(-6) M), or with a nitric oxide synthase inhibitor, NG-nitro-L-arginine (10(-5) M). These results indicate that the relaxation was mediated by ETB receptor activation coupled to the release of nitric oxide. Under resting tension, ET-1 elicited concentration-related contraction (pD2: 8.03 +/- 0.04, n = 37). In arteries devoid of a functional endothelium, the concentration-effect curve was shifted to the left yielding a pD2 value of 8.88 +/- 0.11 (n = 31). Similarly, in endothelium-intact arteries contraction to ET-1 was augmented following nitric oxide synthase inhibition or ETB receptor blockade with 3 x 10(-6) M BQ-788 (pD2: 8.94 +/- 0.18, n = 19). The results suggested that, in the isolated rat basilar artery, ET-1 induced coactivation of the contraction-mediating ETA receptor and the relaxation-mediating ETB receptor. The coactivation resulted in opposing vasomotor effects, but the contraction covered relaxation under normal conditions. However, force development by ET-1 was suppressed by its endothelium-dependent relaxant action.

内皮素(ETs)的血管舒缩作用是通过激活受体亚型ETA和ETB介导的。本研究旨在描述脑循环中ETA和ETB受体激活的相互作用。取大鼠基底动脉环段,测量静息张力或前列腺素F2 - α预收缩后的等距力。在部分节段,内皮被机械去除。在预收缩动脉中,ET-1仅引起收缩。然而,当ETA受体拮抗剂BQ-123 (10(-5) M)存在时,ET-1诱导浓度相关的松弛,其pD2值为8.93 +/- 0.16(平均+/- SEM, n = 15)。与ETB受体拮抗剂IRL-1038 (3 × 10(-6) M)或一氧化氮合酶抑制剂ng -硝基- l -精氨酸(10(-5)M)预孵育后,松弛作用消失。这些结果表明,松弛是由ETB受体激活与一氧化氮释放耦合介导的。静息张力下,ET-1引起浓度相关收缩(pD2: 8.03 +/- 0.04, n = 37)。在缺乏功能性内皮的动脉中,浓度效应曲线向左移动,pD2值为8.88 +/- 0.11 (n = 31)。同样,在内皮完好的动脉中,用3 × 10(-6) M BQ-788抑制一氧化氮合酶或阻断ETB受体后,对ET-1的收缩增强(pD2: 8.94 +/- 0.18, n = 19)。结果表明,在离体大鼠基底动脉中,ET-1诱导了收缩介导的ETA受体和松弛介导的ETB受体的共激活。共激活导致相反的血管舒缩效应,但在正常情况下收缩覆盖松弛。然而,ET-1的力发展受到其内皮依赖性松弛作用的抑制。
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引用次数: 36
(1-->3)-beta-D-glucan determination in rat organs with limulus coagulation factor G. (1—>3)- β - d -葡聚糖在具有鲎试剂G的大鼠脏器中的测定。
A Nakao, H Tamura, S Tanaka, T Kawagoe, H Takagi

One cause of a false positive limulus test after surgery or hemodialysis has been identified as extrinsic (1-->3)-beta-D-glucan which was derived from surgical gauze or cellulose dialyzer. However, there have been no investigations concerning intrinsic factors and the presence of (1-->3)-beta-D-glucan in mammalian organs. In this study, (1-->3)-beta-D-glucan in homogenate of various rat organs and stool was measured by a Gluspecy test (G test) using factor G, which specifically reacts with (1-->3)-beta-D-glucan. In small intestine and lung, large amounts of factor G-activating substance were observed and identified as (1-->3)-beta-D-glucan by a digestion study using end-(1-->3)-beta-D-glucanase. However, only very small amounts of (1-->3)-beta-D-glucan were found in the kidney, spleen, vena cava, aorta, thymus, heart and liver. In serum and plasma, no (1-->3)-beta-D-glucan was observed. On the other hand, extremely large amounts of (1-->3)-beta-D-glucan were found in stool. Minute amounts of (1-->3)-beta-D-glucan were observed in a variety organs except for the small intestine and lung. High levels of (1-->3)-beta-D-glucan found in the small intestine might be traced to contamination by stool in the small intestine, and such levels in the lung might derive from macrophages which have trapped (1-->3)-beta-D-glucan in the air.

手术或血液透析后鲎试验假阳性的一个原因已被确定为外源性(1- >3)- β - d -葡聚糖,其来源于手术纱布或纤维素透析器。然而,关于内在因素和(1- >3)- β - d -葡聚糖在哺乳动物器官中的存在尚未有研究。本研究采用与(1- >3)- β - d -葡聚糖发生特异性反应的因子G,采用Gluspecy试验(G试验)测定大鼠各器官和粪便匀浆中的(1- >3)- β - d -葡聚糖。在小肠和肺中,通过端-(1- >3)- β - d-葡聚糖酶的消化研究,观察到大量的因子g激活物质,并鉴定为(1- >3)- β - d-葡聚糖。然而,在肾脏、脾脏、腔静脉、主动脉、胸腺、心脏和肝脏中仅发现极少量的(1- >3)- β - d -葡聚糖。血清和血浆中未见(1- >3)- β - d -葡聚糖。另一方面,在粪便中发现了极大量的(1- >3)- β - d -葡聚糖。微量的(1- >3)- β - d -葡聚糖在除小肠和肺外的各种器官中观察到。小肠中发现的高水平(1- >3)- β - d -葡聚糖可能归因于小肠粪便的污染,而肺中的高水平可能源于巨噬细胞在空气中捕获(1- >3)- β - d -葡聚糖。
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引用次数: 10
The influence of total porto-systemic shunting on the noradrenaline response and on the contractile effects of various vasoactive agents in small rat portal veins and hepatic arteries. 全门静脉-全身分流对小鼠门静脉和肝动脉去甲肾上腺素反应及各种血管活性药物收缩作用的影响。
L E Hammarström, K E Andersson, T Holmin

Contractile responses were studied in isolated tubal segments of branches of the rat portal vein (diameter 300 microns) and hepatic artery (diameter 200 microns) 1, 3 and 6 weeks after total porto-systemic shunt operation (PCS). 5-Hydroxytryptamine contracted hepatic arteries concentration-dependently, whereas it produced only weak and inconsistent contractions in portal veins. Vasopressin effectively contracted hepatic arteries, but had no effect on portal veins. Both vessel types responded to prostaglandin F2 alpha with contractions, although the drug potency was relatively low. The responses to these agents were not changed significantly in hepatic arteries or portal veins of PCS rats compared with controls at any of the postoperative time intervals. In both portal veins and hepatic arteries noradrenaline produced contraction-dependent contractions, portal veins being 3 times more sensitive to noradrenaline than hepatic arteries. PCS did not change the nor-adrenaline sensitivity in hepatic arteries, whereas it increased the noradrenaline sensitivity in portal veins after 1, but not after 3 or 6 weeks. This effect was enhanced by cocaine, suggesting a partial sympathetic denervation of branches of the portal vein as well as a complete reinnervation within 3 weeks. Furthermore, the results of this study indicate no influence in any vessel type on the response to several vasoactive agents after depriving the liver of splanchnic venous blood.

研究了大鼠门静脉(直径300微米)和肝动脉(直径200微米)分支离体管段在全门静脉-系统分流手术(PCS)后1、3和6周的收缩反应。5-羟色胺对肝动脉产生浓度依赖性收缩,而对门静脉仅产生微弱且不一致的收缩。加压素有效收缩肝动脉,但对门静脉无影响。两种血管类型对前列腺素F2 α都有收缩反应,尽管药物效力相对较低。在术后任何时间间隔内,PCS大鼠肝动脉或门静脉对这些药物的反应与对照组相比均无明显变化。门静脉和肝动脉去甲肾上腺素均产生收缩依赖性收缩,门静脉对去甲肾上腺素的敏感性是肝动脉的3倍。PCS未改变肝动脉的去甲肾上腺素敏感性,但在1周后增加了门静脉的去甲肾上腺素敏感性,但在3周和6周后没有改变。可卡因增强了这一作用,提示门静脉分支的部分交感神经去支配以及3周内的完全神经再支配。此外,本研究的结果表明,在剥夺肝脏的内脏静脉血后,任何血管类型对几种血管活性药物的反应都没有影响。
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引用次数: 2
Effects of chronic cigarette smoke inhalation on the development of senile lung in senescence-accelerated mouse. 慢性香烟烟雾吸入对衰老加速小鼠老年性肺发育的影响。
S Teramoto, Y Uejima, T Oka, K Teramoto, T Matsuse, Y Ouchi, Y Fukuchi

The senescence-accelerated mouse (SAM) manifests most of the features of function and morphology in the senile lung with aging. However, little is known about the effects of age and cigarette smoke on alterations of the lung in SAM. In the present study, we examined the effects of chronic cigarette smoke inhalation and age on the function and morphology of lungs in two strains of SAM, SAMP2 (senescence-prone strain) and SAMR1 (senescence-resistant strain), from 6 months of age (young) and 18 months of age (aged). After 4 weeks of cigarette smoke inhalation, a small but significant airspace along with a leftward shift of the pressure-volume (P-V) curve was observed in young SAMP2, but not in SAMR1. However, the airspace size of young SAMP2 with cigarette inhalation was smaller than that in aged SAM with air inhalation, suggesting that the effect of age may be greater than that of the small burder of tobacco smoke on the lung alterations in SAMP2. In the aged SAM, there were no differences in function and structure between tobacco-exposed and air-exposed mice. Because the changes in the lungs of young SAMP2 exposed to cigarette smoke were partly simulated with age-related alterations in human lung, and because age-dependent changes of lungs were clearly investigated in SAMP2, this strain may be an interesting animal model for investigating the effects of age and/or cigarette smoke on alterations in lung structure and function.

衰老加速小鼠(SAM)的功能和形态特征在衰老的老年性肺中表现得最为明显。然而,对于年龄和吸烟对SAM患者肺部变化的影响知之甚少。在本研究中,我们研究了慢性香烟烟雾吸入和年龄对两种SAM菌株SAMP2(衰老易感性菌株)和SAMR1(抗衰老菌株)肺功能和形态的影响,实验时间为6月龄(年轻)和18月龄(老年)。吸入香烟烟雾4周后,在年轻的SAMP2中观察到一个小但明显的空域,并伴随着压力-体积(P-V)曲线的左移,而在SAMR1中则没有。然而,吸入香烟的年轻SAMP2的空域尺寸小于吸入空气的老年SAM,这表明年龄对SAMP2肺部改变的影响可能大于烟草烟雾的小负担。在老年SAM中,烟草暴露小鼠和空气暴露小鼠在功能和结构上没有差异。由于暴露于香烟烟雾中的年轻SAMP2肺部的变化部分与人类肺部的年龄相关变化相模拟,并且由于SAMP2肺部的年龄依赖性变化已被清楚地研究,因此该菌株可能是研究年龄和/或香烟烟雾对肺结构和功能变化影响的有趣动物模型。
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引用次数: 20
Development of T-tube tracts in piglets: effect of insertion method and material of T-tubes. 仔猪t管束发育:t管插入方式和材料的影响。
A Koivusalo, M Eskelinen, H Wolff, M Talva, H Mäkisalo

T-tube-related bile leakage is a considerable problem in liver transplantation but rather rare in surgery of biliary lithiasis. To investigate the effect of T-tube insertion method and material on the intraperitoneal T-tube tract, we performed a choledochotomy and insertion of T-tube (four of silicone, seven of latex, four of silicone with a latex sheath around the long arm) for 2 weeks on 15 piglets (choledochotomy group), and sutured a transected bile duct over a T-tube stent in nine piglets (five silicone, four latex), inserted similarly as in liver transplantations, for 6 weeks. Sixteen patients underwent cholectochotomy and T-tube drainage with a latex T-tube (n = 8) and latex-sheathed silicone T-tube (n = 8) for a median 9 (7-21) days. Histological examination of T-tube tracts in piglets was made, and complications after T-tube removal in the latex T-tube group were compared with those in the latex-sheathed silicone T-tube group. In piglets, latex T-tubes induced better tracts than silicone T-tubes (P < 0.05). Piglets in the choledochotomy group had tracts superior to those in the anastomotic stent group (P < 0.05). There was one bile leakage in the latex T-tube group, and none in the latex-sheathed silicone T-tube group. We conclude that T-tube tract development is affected by both the material and the insertion method of T-tubes. A silicone T-tube with a latex sheath around the long arm may also be a good choice for T-tube material in liver transplantation.

t管相关性胆漏是肝移植手术中较为常见的问题,但在胆道结石手术中较为少见。调查丁字管插入方法的效果和材料在腹腔内丁字管,我们执行一个总胆管切除术和插入丁字管(四个硅胶,七乳胶,四个硅酮橡胶护套在长臂)仔猪15日为2周(总胆管切除术组),和切断缝合胆管在丁字管支架在9个小猪(五硅胶,四个乳胶),插入同样在肝移植,6周。16例患者采用乳胶t管(n = 8)和乳胶护套硅胶t管(n = 8)行胆道切除术和t管引流,平均时间为9(7-21)天。对仔猪t管束进行组织学检查,并比较乳胶t管组与乳胶套硅胶t管组t管拔除后的并发症。在仔猪中,乳胶t管诱导的尿路优于硅胶t管(P < 0.05)。胆道切开术组仔猪的肠束明显优于吻合口支架组(P < 0.05)。乳胶t管组胆漏1例,乳胶套硅胶t管组胆漏1例。我们认为t管束的发育受t管材料和t管插入方式的影响。在长臂周围有乳胶护套的硅胶t型管也可能是肝移植中t型管材料的一个很好的选择。
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Research in experimental medicine. Zeitschrift fur die gesamte experimentelle Medizin einschliesslich experimenteller Chirurgie
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