首都医科大学学报 ›› 1996, Vol. 17 ›› Issue (1): 36-39.

• 论著 • 上一篇    下一篇

实验胆汁性肝硬化形成机制的病理研究

洪明理1, 黄向红1, 李云生1, 付治锋1, 王正明1, 任家强1, 童洁1, 陈代丽1, 秦彬1, 张彤1, 李非2, 苏建新2   

  1. 1. 首都医科大学附属北京友谊医院 北京市临床医学研究所;2. 首都医科大学宣武医院外科
  • 收稿日期:1995-03-21 修回日期:1900-01-01 出版日期:1996-01-15 发布日期:1996-01-15

Pathologic Study on Pathogenesis of Experimental Biliary Cirrhosis

Hong Mingli1, Huang Xianghong1, Li Yunsheng1, Fu Zhifeng1, Wang Zhengming1, Ren Jiaqiang1, Tong Jie1, Chen Daili1, Qin Bin1, Zhang Tong1, Li Fei2, Su Jianxin2   

  1. 1. Beijing Friendshtp Hospital, Capital University of Medical Sciences;2. Department of Surgery, Xuanwu Hospital, Capital University of Medical Sciences
  • Received:1995-03-21 Revised:1900-01-01 Online:1996-01-15 Published:1996-01-15

摘要:

结扎Wistar大鼠胆总管制备胆汁性肝硬化模型。取结扎术后1~86d不同时间的肝脏,用光学显微镜和电镜观察肝硬化形成过程的病理和超微病理变化。探讨了肝硬化胶原纤维增生和结节形成的机制:胆总管结扎后胆汁郁积造成肝细胞损伤、坏死、激发小胆管样上皮细胞增殖并分化演变,大多数变成小胆管,少数变成小结节状肝细胞。小胆管样上皮细胞和小胆管上皮细胞具有合成胶原纤维的能力。增殖的小胆管、纤维母细胞、毛细血管等和伴随其增生的胶原纤维一起形成结缔组织,隔包围、分割、改建原来的肝小叶而形成假小叶,终于导致肝硬化形成。

关键词: 胆总管结扎, 超微病理, 小胆管样上皮细胞, 肝硬化

Abstract:

Animal model for biliary cirrbosis has been obtained by ligating the common bile duct of Wistar rats.The pathologic and ultrapathologic changes of liver were studied in rats whose common bile duct had been irrevesibly ligated for 1~86 days by light and electron microscopy.The pathogenesis of liver fibrosis and nodular formation of experimental biliary cir rhosis was disussed.Cholestasis after the ligation of common bile duct led to the damage of hepatocytes,necrosis and stimulating the proliferation of ductuloid epithelial cells,the latter undergone differentiation and transformation,and most of them formed bile ductules and a few of them formed nodules of hepatocytes.The ductuloid and ductular epithelial cells have the ability for synthesizing collagens.The liver lobules were surrounded and separated by connective tissue septa which were cqmposed of proliferated bile ductules,fibroblasts,phagocytes, blood capilarys and proliferaled collagen fibers,and then pseudolobules were formed.Finally, the liver cirrhosis developped.

Key words: common bile duct ligate, pathology, ultrapathology, bile ductuloid epithelial cell, liver cirrhosis

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