›› 2003, Vol. 23 ›› Issue (3): 135-138.

• 论文 • 上一篇    下一篇

大鼠胆源性急性胰腺炎局部组织结构的作用

  

  1. 1.苏州大学附属第二医院,苏州 215004;2.苏州大学附属第一医院,苏州 215006;3.苏州大学医学院病理教研室,苏州 215006
  • 收稿日期:2003-03-19 出版日期:2003-01-25 发布日期:2013-03-19

Roles of Local Lesions in the Acute Phase of Acute Pancreatitis

  1. 1.Dept of General Surgery,The Second Hospital Affiliated to SuZhou University,2.Dept of General Surgery ’The first Hospital Affiliated to SuZhou University 3.Dept of Pathology,edical College Affiliated to SuZhou University,SuZhou 215004,China
  • Received:2003-03-19 Online:2003-01-25 Published:2013-03-19

摘要: 为了解急性胰腺炎急性期局部组织结构所起的作用,采用牛磺胆酸钠逆行胰胆管注射制备大鼠胆源性急性胰腺炎的模型。并观察了模型制备后原发性病变与继发性局部病变以及胰腺病理的变化。大体病理所见:同一时段的模型各组间比较差异均非常显著(P<0.01)。胰腺水肿或出血坏死和胰周水肿或出血坏死间均存在正相关(P<0.01)。镜下病理所见:同一时段的模型中,除了6h间质出血和脂肪坏死各组间差异显著外(P<0.05),其余均差异非常显著(P<0.01)。例外情况的病理所见:2例轻度胰腺水肿或出血与腹膜后间隙广泛浸润:3例重度胰腺水肿或出血坏死与腹膜后局限浸润:5例出血坏死组脾门区病变严重。结果提示,在实验模型制备条件近似相同的情况下,原发性病变越严重,继发性的局部病变也越严重。局部病变表现的差异,可能与局部组织结构上存在的差异有关。

关键词: 胰腺炎, 动物模型, 大鼠, 病理

Abstract: To investigate the roles of pancreatic and peripancreatic tissues in acute pancreatitis,the rat model of acute biliary pancreatitis was established by retrograde injection of sodium taurocholate into the pancreatocholangitic duct and the primary and secondary lesions as well as pancreatic pathologic findings were observed. 1. Gross pathologic findings: at the same interval after model establishment, differences between the groups were very significant (P<0.01). A positive correlation existed between the severity of pancreatic and peripancreatio pathological changes (P<0.01). 2. Microscopic pathologic findings:at 6 hours,the necrosis of interstitial hemorrhage and fat differences between the groups was significant (P<0.05),and the other lesions were significantly different (P<0.01). 3. Exceptional pathologic findings:in two cases, mild pancreatic edema or necrosis with extensive infiltration in the retroperitoneal space. In three cases, severe pancreatitc edema or hemorrhagic necrosis with localized retroperitoneal infiltration. In five cases, hemorrhagic necrotizing model with severe lesions of splenic hilum. Under comparable conditions of model preparation, the severity of primary lesions is parallel to that of the second ary lesions. The discrepancy of the local lesions may be related to the differences of local tissue structures.

Key words: Pancreatitis, Animal models, Rat, Pathology