文章摘要
周峰 方晓东 应广宇 胡未伟 沈宏.一种改良ePTFE人工硬脑膜的实验研究[J].,2015,15(8):1406-1408
一种改良ePTFE人工硬脑膜的实验研究
A Kind of Modified ePTFE Dura Mater: an Experimental Study
  
DOI:
中文关键词: 膨体聚四氟乙烯(ePTFE)  人工  硬脑膜
英文关键词: ePTFE  Artificial  Dura mater
基金项目:浙江省科技厅钱江人才项目(2010R10)
作者单位
周峰 方晓东 应广宇 胡未伟 沈宏 浙江大学医学院附属第二医院神经外科 
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中文摘要:
      目的:对一种ePTFE 人工硬脑膜表面改性,将其外表面疏水特性进行改良,并观察其对兔硬脑膜缺损愈合的影响。方法:对 一种ePTFE 材料人工硬脑膜外表面进行光化学修饰,从而改变其对成纤维细胞吸附能力及促增殖能力。将表面改性后的人工硬 脑膜和未改性人工硬脑膜修补兔硬脑膜缺损,观察其对术后1 周、3 周伤口愈合及脑脊液漏、浸润成纤维细胞、纤维组织厚度等的 影响。结果:未处理组2 只术后早期出现皮下积液,处理组无术后皮下积液的发生(P =0.12)。人工硬脑膜移植术后1 周其外表面 成纤维细胞数目表面改性组要明显多于未处理组(P<0.05)。人工硬脑膜移植术后3 周其外表面纤维组织厚度表面改性组和未处 理组无明显差异(P>0.05)。经过表面改性后的ePTFE 人工硬脑膜其促进组织愈合能力要优于未改性组。结论:对ePTFE材料人工 硬脑膜进行表面改性处理是一种可行有效的改良方法。
英文摘要:
      Objective:To observe the influence of a kind of modified ePTFE artificial dura mater on the healing process of rabbit dura mater defect.Methods:A kind of ePTFE artificial dura mater was modified for its external surface by photo-activated chemical cross-linking. The surface modified(treatment group)and unmodified (control group) dura mater were transplanted to repair the defected dura mater in a rabbit model. The wound healing, cerebrospinal fluid leakage, infiltrated fibroblast cells and the thickness of fibrous tissue were observed in 1 week and 3 weeks after the transplantation.Results:Subcutaneous effusion occurred in 2 rabbits of control group and none in treatment group in 1 week after transplantation(P =0.12). The number of fibroblasts in the external surface of artificial dura mater 1 week after transplantation in the treatment group was significantly greater than control group (P<0.05). The thickness of fibrous tissues covering artificial dura mater 3 weeks after transplantation in the treatment group was similar to that in control group (P>0.05). The healing process of modified dura mater was better than the unmodified dura mater.Conclusion:The photo-activated chemical cross-linking for this ePTFE artificial dura mater is effective to improve the quality of artificial dura mater.
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