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胰腺和肝脏在联合移植时互惠作用的观察 被引量:5

The mutual benefit role of pancreas and liver in combined transplantation
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摘要 作者为观察肝脏对胰腺的免疫保护作用和胰腺对肝脏的营养保护作用,采用大鼠单独胰腺移植、单独肝脏移植及肝胰联合移植进行研究。结果显示:胰腺联合肝脏移植时,胰腺平均功能存活期(13.1±1.01天)较单独移植(9.2±1.14天)时显著延长(P<0.05,t检验),间质排斥反应减轻,分级分布与单独移植相比差异有显著意义(P<0.05,);肝脏在联合移植时,术后再生能力以及形态的完整性优于单独移植。作者认为肝脏和胰腺联合移植时,肝脏能够得到胰腺提供的营养保护作用,胰腺也能得到肝脏的免疫保护作用。 We study observed the mutual benefits of pancreas and liver in combined hepaticopancreatic transplantation in rats. The result indicated that pancreas, when transplanted with liver, could survive for a significantly longer time(134±101 days) than it transplanted alone(92±114 days) (P<005). The interstitial rejection was mild and its rejection grade was significantly different from that of pancreas transplanted alone(P<005,χ2 test). The liver, when transplanted with pancreas, regenerated with strong competence and contact structure morphologically compared with liver transplanted alone. We concluded that pancreas could be immunologically protected against rejection and liver can be nutritionalized by pancreas in combined pancreas and liver transplantation.
出处 《中华外科杂志》 CAS CSCD 北大核心 1997年第12期749-752,I111,共5页 Chinese Journal of Surgery
关键词 胰腺移植 肝移植 移植免疫学 Pancreas transplantation Liver transplantation Transplantation immunology
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  • 1吴波,周晓军.小肠移植后急性排斥反应的病理诊断标准[J].肠外与肠内营养,2005,12(6):378-381. 被引量:12
  • 2李杰群,齐海智,易仁政,胡伟,司中州,李一宁.胰头动脉血供与胰腺移植时胃十二指肠动脉重建的研究[J].中国普通外科杂志,2007,16(5):460-463. 被引量:8
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  • 6Light JA, Barhyte DY. Simultaneous pancreas-kidney transplants in type Ⅰ and type Ⅱ diabetic patients with end-stage renal disease: similar 10-year outcomes. Transplant Proc, 2005,37(2) : 1283-1284.
  • 7Nath DS, Gruessner AC, Kandaswamy R, et al. Outcomes of pancreas transplants for patients with type 2 diabetes mellitus. Clin Transplant,2005,19(6) :792-797.
  • 8Shields PL, Tang H, Neuberger JM, et al. Poor outcome in patients with diabetes mellitus undergoing liver transplantation. Transplantation, 1999,68 (4) : 530-535.
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