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作 者:朱柱[1] 张韩静 罗礼炳 李果[1] 罗加兴[1]
机构地区:[1]南华大学附属第一医院肝胆外科,衡阳421001
出 处:《数理医药学杂志》2016年第7期1004-1006,共3页Journal of Mathematical Medicine
基 金:湖南省卫生计生委科研课题(C2016082)
摘 要:目的:明确成纤维细胞生长因子(Fibroblast Growth Factor7,FGF7)在肝硬化肝大部切除术后肝脏再生的作用。方法:建立四氯化碳诱导的肝硬化大鼠模型,在此基础上行70%肝切除术,门静脉注射FGF7,检测术后残余肝重量及增殖指数。结果:大鼠四氯化碳诱导12周后,术中见肝脏表面呈小结节样改变,镜下见正常肝小叶结构破坏,被假小叶取代。对照组与实验组残余肝第3、5、7d重量(g)分别为(3.2±0.2vs.3.6±0.3)、(3.4±0.3vs.5.8±0.5)、(4.0±0.4vs.6.9±0.6),其中两组第5、7d差异具有统计学意义(P<0.05)。对照组与实验组残余肝第3、5、7天增殖指数(%)分别为8.2±1.3vs.12.4±1.6、10.4±1.5vs.21.3±2.1、15.8±1.4vs.29.9±2.7,其中两组第5、7d差异具有统计学意义(P<0.05)。结论:FGF7促进肝硬化肝切除术后肝脏再生,为肝硬化患者行肝切除术提供了理论支持。Objective:To clarify the role of Fibroblast Growth Factor7(FGF7)in liver regeneration after hepatectomy in cirrhotic patients with liver cirrhosis.Methods:Establish the rat model of liver cirrhosis in-duced by carbon tetrachloride,and then 70% liver resection was performed on the basis of liver resection. The liver weight and proliferation index were detected after the portal vein inj ection of FGF7 .Results:The liver surface was small nodule like changes in the liver,and the structure of the normal liver was destroyed under the microscope 1 2 weeks later.The control group and experimental group residual liver third,5 ,7 days of weight (g)were (3.2±0.2 vs.3.6±0.3),(3.4±0.3 vs.5.8±0.5),(4.0±0.4 vs.6.9±0.6),of which two groups of fifth,7 days of the difference was statistically significant (P〈0.05).Control group and exper-imental group of residual liver the 3,5,7 days proliferation index (%)were (8.2±1.3 vs.12.4±1.6)and (10.4±1.5 vs.21.3±2.1),(15.8±1.4 vs.29.9±2.7),in which two groups of 5 and 7 days difference has sta-tistical significance (P 〈 0.05).Conclusion:FGF7 promotes liver regeneration after hepatectomy for liver cirrhosis,which provides theoretical support for liver resection in patients with cirrhosis.
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