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題 名 | 肝硬化症併食道靜脈曲張施行短路手術時脾臟切除與否其血球和免疫球蛋白的研究 |
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作 者 | 李浩銑; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 18:1 1985.03[民74.03] |
頁 次 | 頁30-35 |
分類號 | 416.246 |
關鍵詞 | 肝硬化症併食道靜脈曲張; 短路手術; 脾臟切除; 血球; 免疫球蛋白; |
語 文 | 中文(Chinese) |
中文摘要 | 39例肝硬化合併脾臟腫大及門靜脉高壓症引發食道靜脉曲張出血,28例作上腸學系膜靜脉、下腔靜脉H型吻合術併脾臟也切除術(甲組);11例作上腸系膜靜脉、下腔靜脉H型吻合術而未作脾臟切除(乙組)。術前及術後兩週、兩個月分別檢查病人的白血球、血小版和免疚球蛋白G(Ig G)及免疫球蛋白M(Ig M)。發現:(1)術前與術後比較:甲組病人的白血球、血小板、Ig G與Ig M於術後比術前呈有意義的增加(P<0.05)。而乙組病人的白血球手術前從並無變化,血小板於術後兩週雖有增加(P<0.05),但是兩個月後又恢復術前數值(P>0.05),Ig G與Ig M於術後呈有意義的增加(P<0.05)。總結兩組病人顯示短路術後Ig G與Ig M都會增加,但是血球的增加則要在脾臟切除後才有顯著的變化。(2)術後兩組比較:術前兩組各項測定值並無差異。甲組的白血球與血小版術後兩週或兩個月郁比乙組高(P<0.05),兩組術後兩個月的Ig G、Ig M並無差異,顯示施行短路術時若再加上脾臟切除(甲組),白血球與血小板會呈有意義的增加,Ig G無差異,Ig M也永減少。(3)手術後兩組的免疫球蛋白皆呈有意義的增加,表示短路術後側枝循環增大,門靜脉裏的抗原未經肝臟破壞,經體循環而誘發淋巴組織反應使免疫球蛋白增加。脾臟切除與否並無影響。 |
英文摘要 | Thirty-nine cases of postnecrotic liver cirrhotic patients with splenomegaly and ruptured esophageal varices had been treated at the Surgical Department of National Taiwan University Hospital from Jan. 1977 to Oct. 1983. All blood specimens were sampled before transfusion preoperatively and then 2 weeks and 2 months after operation. The levels of white blood cell (WBC), platelet, immunoglobulin G (IgG), and immunoglobulin M (IgM) were studied. Twenty-eight cases with 24 males and 4 females, and the range of age being 27-59 year old (43.1±8.9, Mean±S.D.) were treated by mesocaval H shunt and splenectomy (Group A). The other 11 cases, with 10 males and 1 female and the range of age being 34-55 year old (47.4±9.5) were treated by mesocaval H shunt without splenectomy (Group B). In group A, all of the postoperative levels of WBC, platelet, IgG and IgM were increased significantly. The preoperative levels of WBC, platelet, IgG and IgM were 3728±2540/mm3, 83306±42093/mm3, 1191±244 mg/dl, and 129±28 mg/dl respectively. Each value of two weeks after operation were 9527±3519/mm3, 302733±70491/mm3, 1483±277 mg/dl and 160±43 mg/dl respectively. The values of two menths after operation were 7183±1831/mm3, 286336±44430/mm3, 1658±210 mg/dl and 191±51 mg/dl respectively. In group B, the postoperative levels of IgG and IgM were increased significnatly, while WBC and platelet were not. The preoperative levels of WBC, platelet, IgG and IgM were 4544±2607/mm3, 69833±24976/mm3, 1282±301 mg/dl, and 146±25 mg/dl respectively. The values of two weeks after operation were 4183±1371/mm3, 123400±42088/mm3, 1380±80 mg/dl and 165±41 mg/dl respectively. Those of 2 months later were 3733±849/mm3, 76500±4500/mm3, 1580±197 mg/dl and 210±72 mg/dl respectively. From the above data we concluded that after mesocaval H shunt, there was significant increase of IgG and IgM in both groups. WBC and platelet count, however, were increased only if splenectomy had been performed. The preoperative levels of WBC, platelet, IgG and IgM of these two groups were not statistically different. However, after operation, there was a significant elevation of WBC and platelet count in group A. IgG in Group A was transiently elevated 2 weeks after operation that might be corresponded with the postoperative infection. The postoperative quantity of IgM of these groups did not differ significantly. These data disclosed that after splenectomy, WBC and platelet count will increase, but the levels of IgG and IgM will not change. In summary, mesocaval H shunt operation for postnecrotic liver cirrhotic patients with ruptured esophageal varices could induce immunoglobulin over production, which could be explained by shunting the antigen away from liver and stimulating the production of immunoglobulin in the other parts of the body. Splenectomy for cirrhotic patients didn't cause declining of IgM. However, hypersplenism will be controlled. For these reasons splenectomy in cirrhotic parients with ruptured esophageal varices can be considered. |
本系統中英文摘要資訊取自各篇刊載內容。