大鼠肝内型门脉高压症形成中门静脉力学性质的变化
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国家自然科学基金资助项目(19872074)


The Changes of Biomechanical Properties of the Portal Veins in the Rats during the Pathogenesis of Intrahepatic Portal Hypertension
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    摘要:

    目的观察大鼠肝内型门脉高压症形成中门静脉零应力状态及轴向拉伸时张应力鄄伸长比关系的动态变化,探讨门静脉生物力学特性的变化在门脉高压症形成中的作用。方法以60%四氯化碳(CCl4)皮下注射法制备肝内型门脉高压症大鼠模型,采用生物力学技术测定CCl4注射第2、4、6、8、10周大鼠门静脉零应力状态张开角和轴向拉伸时张应力鄄伸长比关系,并同步监测大鼠门静脉压力(PVP)、门静脉流量(PVF)、平均动脉压(MAP)、门静脉阻力(PVR)和内脏血管阻力(SVR)等血液动力学指标的动态变化。结果随着CCl4注射时间的延长,实验组大鼠的血液动力学指标发生了显著的变化。与之相对应,大鼠门静脉张开角及轴向拉伸参数b亦逐渐增大,从注射第10周起与对照组相比具有统计学差异(P<0.05)。结论门脉高压症大鼠存在高动力循环状态(HCS)。HCS可引起门静脉血管生物力学特性的变化。

    Abstract:

    Objective To observe the dynamic changes of opening angle in zero-stress state and the relationship between tension stress (T) and extension ratio (λ) in longitudinal extension of the portal vein during the pathogenesis of intrahepatic portal hypertension, and investigate the role of biomechanical properties of the portal veins in the process of the portal hypertension. Methods The models of intrahepatic portal hypertension were established in SD rats by means of carbon tetrachloride (CCl4) injection. Opening angle, the relationship between T and λ in longitudinal extension of the portal vein were determined in 2, 4, 6, 8, 10 weeks after CCl4 injection. Meanwhile the changes of several hemodynamic indexes such as portal venous pressure (PVP), portal venous flow (PVF), mean arterial pressure (MAP), portal vascular resistance (PVR) and splanchnic vascular resistance (SVR) were detected. Results After CCl4 injection, hemodynamic indexes in the CCl4 rats had changed markedly. Accordingly,opening angles, Parameter b in longitudinal extension were increased. At the tenth week, they were much greater than those of corresponding controls (P<0.05). Conclusion The portal hypertensive rats were in hyperdynamic circulatory state (HCS). Changes of biomechanical properties of portal vein can be induced by HCS.

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施斌,朱樑,张忠兵,谢渭芬,吴国强,刘宝玉,曹银祥.大鼠肝内型门脉高压症形成中门静脉力学性质的变化[J].医用生物力学,2004,19(4):228-233

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