二袖套法建立恒河猴原位肝移植的稳定模型

被引:6
作者
冉江华 [1 ,2 ]
李铸 [1 ,2 ]
刘静 [1 ,2 ]
张升宁 [1 ,2 ]
吴淑媛 [1 ,2 ]
张熙冰 [1 ,2 ]
李来邦 [1 ,2 ]
李立 [1 ,2 ]
张鸿青 [1 ,2 ]
刘滇生 [1 ,2 ]
机构
[1] 昆明市第一人民医院肝胆胰一病区
[2] 昆明医学院附属甘美医院
关键词
二袖套法; 肝移植; 动物模型; 恒河猴; 血管重建;
D O I
暂无
中图分类号
R657.3 [肝及肝管]; R-332 [医用实验动物学];
学科分类号
摘要
背景:以往多应用大鼠建立肝移植模型对肝移植术后排斥反应进行基础研究,而灵长类非人类大动物建立肝移植模型能更接近临床肝移植的需求。目的:探讨建立稳定的恒河猴原位肝移植模型的最佳方案。方法:选用健康恒河猴进行同种异体原位肝移植20次,以10只雄性作为受体,10只雌、雄不限为供体,借鉴临床肝移植和各种动物模型建立的方法,使用二袖套法加肝动脉重建建立稳定的恒河猴原位肝移植模型。结果与结论:20次恒河猴原位肝移植模型成功率90%,供肝切取时间(17±3)min,供肝修整时间(35±5)min,受体移植时间(133±45)min,受体无肝期(12±4)min,术后24h存活率90%(18/20),72h存活率为80%(16/20),1周存活率50%(10/20),14只分别于术后2周内死于急性排斥反应,最长存活38d,也死于急性排斥反应,所有受体均无门静脉血栓形成及胆道并发症发生。改进后的恒河猴同种异体原位肝移植模型具有操作简便、手术成功率高、重复性和稳定性好的优点,是肝移植临床前期研究的较理想动物模型。
引用
收藏
页码:762 / 768
页数:7
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