大鼠肾移植慢性排斥反应模型的建立
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1. 攀枝花市第二人民医院泌尿外科,攀枝花 617068; 2. 兰州大学第二医院泌尿外科,兰州 730030

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Establishment of Rat Chronic Renal Transplantation Allograft Rejection Model
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1. Department of Urology,Second Hospital of Panzhihua,Panzhihua 617068,China;2. Department of Urology,Second Hospital of Lanzhou University,Lanzhou 730030,China

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    摘要:

    目的 建立一种稳定的大鼠原位肾移植慢性排斥反应模型。方法 供体 为 近 交 系 F344 大 鼠,受 体为 Lewis 大鼠,供肾采用左肾,在体修整,原位灌注。肾静脉用硬膜外导管做为临时内支架管端-端、六针法吻合,腹主动脉端-侧连续缝合,输尿管带膀胱瓣与膀胱吻合。受体术前 3 d 开始环孢素 A 灌胃至术后 30 d(5 mg / kg·d) ,以预防急性排斥反应。结果 手术时间 120 ~ 180 min;手术成功率 90. 9% (40P44) ;受体均存活 60 d。并发症有吻合口出血、静脉血栓形成、急性排斥反应等。结论 供肾原位灌注,在体修整是简单可靠的方法。静脉內支架管端端吻合,腹主动脉端侧吻合能够达到稳定的成功率,值得 推 广。熟练的外科操作技能和血管吻合技术是手术成功的关键。

    Abstract:

    Objective To explore establishment a stable model of rat chronic renal allograft rejection. Methods Inbred F344 and Lewis rats were used as the donors and the recipients. Used the left kidney as a donor kidney,dressing for the kidney in vivo and in situ perfusion. Epidural catheter within the renal vein as a temporary stent tube,end-to-end of the six acupuncture anastomosis. Artery end-to-side continuous suture; ureter and bladder with the bladder flap anastomosis,Used cyclosporine A 5 mg / kg·d to 30 days after operation to prevent acute rejection from three days before operation.Results The total time of operation about 120 ~ 180 min,success rate about 90. 9% (40P44) ; receptors can survive up to 60 d. the complications include anastomotic bleeding,venous thrombosis and acute rejection etc. Conclusion Dressing for kidney in vivo and in situ from renal perfusion is a simple and reliable method. Stent vein of end-to-end anastomosis,abdominal aortic end-to-side anastomosis can be achieved stable rate of success is worth promoting. Skilled surgical and vascular anastomosis operation is the key to success.

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贾其磊,尚攀峰,侯子珍,郗新生,岳中瑾.大鼠肾移植慢性排斥反应模型的建立[J].中国比较医学杂志,2011,21(3):18~21+83.

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  • 收稿日期:2010-07-20
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  • 在线发布日期: 2025-11-13
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