摘要目的 探讨环氧合酶-2(COX-2)和血管内皮细胞生长因子(VEGF)表达与慢性乙型肝炎(CHB)肝窦毛细血管化(LSC)的关系.方法 对200例CHB肝样本作COX-2、VEGF免疫组织化学染色,就其表达变化与LSC的关系进行观察.结果 LSC占该组病例80%以上,有轻(灶性)、中(片状)、重度(弥漫)表现.电镜示肝窦内皮撕裂,基膜形成,窦内皮细胞出芽形成血管腔,贮脂细胞转化肌成纤维细胞,COX-2、VEGF、Ⅳ型胶原(Co-Ⅳ)及网状、胶原、弹力纤维表达与LSC的轻重程度呈同步关系.结论 肝组织COX-2、VEGF表达增强可促进LSC及肝纤维化.

abstractsObjective To study the relationship between expression of cyclooxygenase-2 (COX-2) and vas-culax endothelial growth factor (VEGF) with liver sinusnidal capillarization (LSC) of chronic hepatitis B (CHB). Methods We studied liver biopsies from 200 patients with CHB COX-2 ,VEGF immunohistochemical stain were ob-served to accomplish relationship between expression of COX-2,VEGF and LSC. Results LSC occupy above 80% in the group. There were manifestation in mild-LSC (focal) , middle-LSC (sheet-shape) and severe-LSC (widespread). Electron microscope shown the laceration in the endothelium of sinuses and formation of basal lamina and budding for-mation lumen of blood vessel and fat-storing cell convert myofibroblast. Expression of COX-2, VEGF, Co-Ⅳ and retic-ulum, collagen and elastic fibers with mild or severe in LSC is manifest locking relate. Conclusion Increased ex-pression of COX-2 ,VEGF in liver tissue of CHB may facilitate LSC and hepatic fibrosis.