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彭秀凡,曾伟生,乔贵宾,蒋仁超,廖明.猪源生物型人工心包可行性及疗效的实验研究[J].陆军军医大学学报(原第三军医大学学报),2011,33(14):1502-1505.
Peng Xiufan,Zeng Weisheng,Qiao Guibin,Jiang Renchao,Liao Ming.Feasibility and efficacy application of porcine bioartificial pericardium in dogs[J].J Amry Med Univ (J Third Mil Med Univ),2011,33(14):1502-1505.
彭秀凡,曾伟生,乔贵宾,蒋仁超,廖明.猪源生物型人工心包可行性及疗效的实验研究[J].陆军军医大学学报(原第三军医大学学报),2011,33(14):1502-1505. DOI:
Peng Xiufan,Zeng Weisheng,Qiao Guibin,Jiang Renchao,Liao Ming.Feasibility and efficacy application of porcine bioartificial pericardium in dogs[J].J Amry Med Univ (J Third Mil Med Univ),2011,33(14):1502-1505. DOI:
目的 探讨用生物材料进行心包修复重建的可行性及疗效。 方法 对6只中国杂种犬进行右侧开胸,切除直径为8 cm类圆形心包,用生物材料人工心包进行修复重建。术后2周、1个月、3个月、6个月、1年、2年分别进行心脏彩超检查,观察有无粘连、积液、破损及增厚钙化。术后1年及2年各解剖2只动物,分别进行大体检查,观察人工心包的内外表面、组织的柔韧性及生物膜性组织有无钙化、增厚;进行组织学检查,观察内膜组织构成及完整性,了解纤维结缔组织层有无血管形成及神经纤维长入。余下2只进行长期观察,以预测人工心包长期置入体内的可能性及转归。 结果 6例动物全部长期存活,心脏彩超动态随访观察未发现人工心包有破损、积液、粘连及钙化增厚等情况发生,大体观察见人工心包浆膜层光滑、无粘连,人工心包与犬正常心包连接处内光滑,无接痕;组织学检查发现人工心包内膜与正常心包已无缝连接,组织结构相同,在人工心包内见到血管及神经纤维结构。 结论 猪源生物型人工心包是一种优质心包重建材料,置入机体后具有自体化倾向。
Objective To explore the feasibility and efficacy of pericardial repair and reconstruction with porcine biomaterial in dogs. Methods Six Chinese mongrel dogs were inflicted with a defect of pericardium in 8-cm-diamter circle through right extrapleural thoracotomy. Subsequently
neoplasty of pericardium was proceeded using our patent porcine biomaterial. The pericardial adherence
effusion
breakage
and thickening was evaluated by cardiac color doppler sonography at 6 postoperative time points
including 2 weeks
1
3 and 6 months
1 and 2 years after operation. Gross examination was performed at 1 year and 2 years after operation to observe pericardial surface and flexibility and to evaluate calcification and thickening of implanted biomaterial patches. Histological examination was also performed at the same time points to observe the construction of pericardial endomembrane and integrity of pericardium. The last 2 animals were used to anticipate the ability of long lasting implanted patches and the relationship between artificial pericardium and post-treatment outcomes. Results All animals survived through all the experiment. No breakage
effusion
adherence
calcification or thickening was detected by cardiac color doppler sonography during the followed check period. The plasma membrane of bioartificial pericardium was smooth without any adherence. The endomembrane of specimens immigrated from dog’s pericardium to bioartificial pericardium. The connection between two kinds of pericardium was smooth and integrity. Conclusion Our porcine pericardial biomaterial is a satisfactory prothesis in application of pericardial reconstruction
and it is turning to autologous tissue after implanting.
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