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    16 April 2011, Volume 15 Issue 16 Previous Issue    Next Issue
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    Electrochemical polishing of 316L stainless steel stent
    Ji Shi-wei, Huang Nan, Wan Guo-jiang, Wang Kai
    2011, 15 (16):  2851-2854.  doi: 10.3969/j.issn.1673-8225.2011.16.001
    Abstract ( 329 )   PDF (331KB) ( 468 )   Save

    Using direct current-electropolishing technique, the present study investigated the function of components and effects of operating conditions on polishing quality direct current-electropolishing of 316L stainless steel stent materials. Smooth surface was obtained quickly using this technique.

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    Self-made amniotic carrier complex implanted with epidermal cells for full-thickness skin defects
    Fu Ling, Song Ning, Su Xue-zhong, Yu Ning, Sun Pei-jie, Li Na-ran, Yang Xiao-xia
    2011, 15 (16):  2857-2861.  doi: 10.3969/j.issn.1673-8225.2011.16.003
    Abstract ( 278 )   PDF (1731KB) ( 296 )   Save

    BACKGROUND: The composite skin developed by using tissue engineering and cell culture technology is still not an ideal artificial skin, which is limited by weak local skin, poor tensile strength and resistance to friction and no skin appendages.
    OBJECTIVE: To observe the effect of basic fibroblast growth factor and vitamin C epidermal cell composite transplantation on full-thickness skin defects and to investigate the optimal time promoting the epidermal growth.
    METHODS: A total of 36 New Zealand white rabbits were prepared for three full-thickness skin defect models at the back. The self-made amnion carrying composite with basic fibroblast growth factor and vitamin C, pure amnion carrying composite, pure capping were implanted into the three defects, and were randomly divided into three groups. Epidermal cells were implanted into the site in related groups after 7, 14, and 21 days. After 7 days, general observation, histological observation, immunohistochemical observation were carried out.
    RESULTS AND CONCLUSION: The groups with autologuos epidermal cells implantation at 21 days had a better effect that those with autologous epidermal cells implantation at 14 and 7 days. Self-made amniotic carrier complex with basic fibroblast growth factor and vitamin C was superior to pure amnion carrying composite and pure capping. Basic fibroblast growth factor and vitamin C promoted the regeneration and renascence of the dermis. The latter of the dermis repairing and the former of the dermis restoring were the best stage which accelerates the renascence and regeneration of the epidermis.

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    Effect of injectable bone mesenchymal stem cells compounded with sodium hyaluronate in repairing disc degeneration
    Chen Guo-xian, Wang Wan-ming, Wang Guo-rong, Lin Zong-jin, Li Guo-shan, Lin Zhi-jun, Liu Hang-tao
    2011, 15 (16):  2862-2866.  doi: 10.3969/j.issn.1673-8225.2011.16.004
    Abstract ( 305 )   PDF (1168KB) ( 400 )   Save

    BACKGROUND: Sodium hyaluronate, as the matrix material of intervertebral disc tissue engineering scaffolds, can provide proteoglycan attachment points and increase deposition of proteoglycan, to make enough large porosity allowing the seed cell ingrowth.
    OBJECTIVE: To observe the effect of bone mesenchymal stem cells (BMSCs) mixed with sodium hyaluronate solution in repair of disc degeneration in rabbits.  
    METHODS: The animal mode of degenerative intervertebral disc was built in rabbits by aspirating the nucleus pulposus (L1-2 and L3-4) through an posterolateral approach. Two weeks later, the mixture of BMSCs and sodium hyaluronate were injected into L3-4 discs using micro-injection syringe as study group, while sodium hyaluronate alone was injected into L1-2 as control group. At 2, 4, 8, 12 weeks after injection, the rabbit intervertebral disc was determined by plain radiography and histology.
    RESULTS AND CONCLUSION: The intervertebral disc height was reduced in control group, and gradually reduced in experiment group at 2 weeks after injection and then raised. There were significant differences in disc height index between two groups (P< 0.05). Pathological examination showed the structure of the inner annulus fibrosus was significantly preserved in the experiment group, and the boundary between the nucleus and annulus could be clearly visualized. The implanted BMSCs proliferated and the pathological grading scores were significantly higher than control group. Expression of type Ⅱ collagen was significantly greater in the experiment group than in control group (P < 0.05). BMSCs transplanted into intervertebral discs are shown to well survive and proliferate. The mixture of BMSCs and sodium hyaluronate could decelerate disc degeneration and repair the degenerated intervertebral discs.

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    Biological stability of long-term culture chondrocytes on three-dimensional culture system of multifactorial sodium alginate
    Zhu Zhen-zong, Liang Wei-guo, Shen Yan, Yang Xiao-hong, Dai Li-bing, Tan Jian-rong, Liang Pei-hong, Zhang Jin-li, Kang Ning
    2011, 15 (16):  2867-2870.  doi: 10.3969/j.issn.1673-8225.2011.16.005
    Abstract ( 354 )   PDF (1195KB) ( 417 )   Save

    BACKGROUND: Previous studies demonstrated that the survival time of chondrocytes is prolonged in three-dimensional culture system of multifactorial sodium alginate; extracellular matrix has a strong secretion.
    OBJECTIVE: To observe the effect of biological stability of long-term culture chondrocytes on three-dimensional culture system of multifactorial sodium alginate.
    METHODS: Chondrocytes were implanted on three-dimensional culture system which comprises sodium alginate, hyaluronic acid, chitosan, fibronectin, and basic fibroblast growth factor (bFGF), and the plane culture as controls. The morphological changes, differences of cell growth curves, and the contents of glycosaminoglycan (GAG) of cells supernatant fluid of chondrocytes were regularly observed in two different culture systems.
    RESULTS AND CONCLUSION: Morphous of chondrocytes on three-dimensional culture system of multifactorial sodium alginate grew well and flourishingly, and formed the globular group of cells, cell proliferation was active. Proliferation of chondrocytes on the culture system of multifactorial sodium alginate was slightly higher than that implanted on plane cultured 2 days. Proliferation of chondrocytes was significantly higher cultured 4 days on the culture system of multifactorial sodium alginate. Chondrocytes were keep stable proliferation at 6-14 days culture; while the proliferation of chondrocytes cultured on plane was gradually decrease. The contents of GAG of cells supernatant fluid of the three-dimensional culture system were significantly higher than monolayer culture system. Chondrocytes on three-dimensional culture system of multifactorial sodium alginate can long-term culture and keep their biological stability.

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    Chondrogenic differentiation of adipose-derived stromal cells seeded on small intestinal submucosa in vitro
    Yang Hao, Zhu Xiao-song, Li Shi-he, Wu Di
    2011, 15 (16):  2871-2876.  doi: 10.3969/j.issn.1673-8225.2011.16.006
    Abstract ( 268 )   PDF (1824KB) ( 365 )   Save

    BACKGROUND: Treating cartilage defects with tissue engineered cartilage constructed in vitro is a research hot point, but there are still many problems to be resolved.
    OBJECTIVE: To observe chondrogenic differentiation effect of chondrogenic medium on adipose-derived stromal cells (ADSCs) and small intestinal submucosa (SIS) composite in vitro. 
    METHODS: The 3rd passage of ADSCs were seeded onto both sides of SIS, and induced by chondrogenic medium in vitro, 7 days and 14 days after being induced, real-time fluorescent quantitative RT-PCR was used to analyze mRNA level of type Ⅱ collagen, type Ⅱ collagen was examined by histoimmunologic staining, toluidine blue staining was used to observe extracellular matrix. Scanning electron microscope (SEM) was used to observe cellular morphology after 14 days of chondrogenic differentiation.
    RESULTS AND CONCLUSION: Standardized quantity of type Ⅱ collagen mRNA in ADSCs-SIS composites which were induced for 7 days and 14 days were larger than that in uninduced ADSCs-SIS composites (P < 0.05), standardized quantity of type Ⅱ collagen mRNA in ADSCs-SIS composites which were induced for 14 days was larger than that in ADSCs-SIS composites which were induced for 7 days (P < 0.05). Histoimmunologic staining of type Ⅱ collagen was positive in ADSCs-SIS composites which were induced for 14 days by chondrogenic medium, but was negative in non-induced ADSCs-SIS composites. Extracellular matrix was metachromatic stained by toluidine blue in ADSCs-SIS composites which were induced for 14 days by chondrogenic medium. Plenty of ADSCs adhered to both sides of SIS after 14 days of chondrogenic differentiation were observed by SEM. ADSCs could differentiate into chondrogenic cells after being induced by chondrogenic medium in SIS scaffold.

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    Repairing articular cartilage defects in rabbits using poly(lactic-co-glycolic acid)
    Cui Yu-ming, Wu Ji, Hu Yun-yu
    2011, 15 (16):  2877-2880.  doi: 10.3969/j.issn.1673-8225.2011.16.007
    Abstract ( 192 )   PDF (1497KB) ( 334 )   Save

    BACKGROUND: Traditional methods to repair cartilage damage are prone to induce degeneration. Poly(lactic-co-glycolic acid) (PLGA) has good biocompatibility, its degradation rate can be adjusted according to the requirements, has a potential application prospect in the repair of cartilage damage.
    OBJECTIVE: To study the feasibility of repairing articular cartilage defect in rabbits using PLGA as a carrier.
    METHODS: Two-month-old New Zealand white rabbits were selected, and the marrow stromal cells were induced into chondroncytes. The third passage of cells and the PLGA were co-cultured for 24 hours, then PLGA-cell composites were prepared ready. Defects were made in femoral condyles of rabbit patellofemoral joint, and the right 36 knees were treated with PLGA-cell composites, the left 18 knees was implanted with PLGA only, the other 18 knees were left untreated as control group. At 4, 8, 12, 24, 36, 48 weeks after operation, the animals were killed and the newly formed tissues were observed grossly and graded histologically.
    RESULTS AND CONCLUSION: After the defects in rabbits were repaired using PLGA-cell composite, the chondrocytes distributed uniformly, the color and the luster of the defects were similar to that of the normal cartilage, and was ill-demarcated from the surrounding normal cartilage. The cells on the surface paralleled to joint surface, and the cells in the deep layer arranged disorderly. The cells clustered together, the matrix was extensively metachromatic. The subchondral bone formed, the tide mark basically recovered, and the new cartilage integrated with normal cartilage finely. As for only PLGA group and untreated group, chondrocytes proliferated in the border, but on the bottom, there were mainly fibrous tissues. Chondroncytes derived from marrow stromal cell are ideal seed cells for repairing articular cartilage defect. PLGA can be used as a suitable matrix material for the repair of cartilage defect and may have a good prospect for clinical use.

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    Preparation of rabbit costal cartilage acellular matrix
    Liu Meng-meng, Zhang Jian, Luan Bao-hua, Sun Liang, Li Zhong-hua, Wang Xiao-xia
    2011, 15 (16):  2881-2884.  doi: 10.3969/j.issn.1673-8225.2011.16.008
    Abstract ( 140 )   PDF (1567KB) ( 327 )   Save

    BACKGROUND: Several studies have suggested that New Zealand rabbits cartilage tissue can be used as a kind of tissue engineering scaffold material and is widely used in scientific research, including articular cartilage and ear cartilage cells of the matrix of the emergence of studies comparing fully, but adopting costal cartilages as tissue engineering cartilaginous framework of research little, yet few reports.
    OBJECTIVE: Based on the preparation of costal cartilage acellular matrix from New Zealand rabbits, to discuss the feasibility of natural cartilage matrix scaffold for tissue engineering scaffolds.
    METHODS: By using detergent-enzyme method, cartilaginous framework was obtained, and acellular matrix was divided into four groups of 0, 24, 48 and 96 hours according to Triton X-100 second processing time. Scanning electron microscope was used for image acquisition to calculate stents porosity, pore diameter, and then the scaffolds underwent hematoxylin-eosin, toluidine blue and Ⅱ collagen type immunohistochemical staining. The compatibility of the acellular matrix scaffolds transplanted subcutaneously was observed.
    RESULTS AND CONCLUSION: The acellular matrix presented with milk-white, size uniformity with intact stained structure, and there were a lot of acid mucopolysaccharide and collagen type Ⅱ. The porosity was (61.31± 8.45)%, and the pore diameter was (32.80±5.15) μm. The biocompatibility of the transplanted acellular matrix was good at 7 days after transplantation. No obvious hyperemia and purulent occurred. These findings show that there is a good substrate composition of rabbit coastal cartilage acellular matrix scaffolds with intact and even pore structure, which can be used as tissue engineering scaffold materials.

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    Application of different bone graft materials in the process of lumbar fusion and transforming growth factor-beta expression
    Wang Lei-lei, Jin Ge-le, Ren Long-long, Yang Yi
    2011, 15 (16):  2885-2888.  doi: 10.3969/j.issn.1673-8225.2011.16.009
    Abstract ( 269 )   PDF (1283KB) ( 397 )   Save

    BACKGROUND: The effect of bone morphogenetic protein (BMP) used to bone transplantation is not ideal, while transforming growth factor-β (TGF-β) can significantly enhance osteoconductivity in vivo of BMP.
    OBJECTIVE: To observe the TGF-β expression on autogenous bone and recombinant human bone morphogenetic protein-2 (rhBMP-2) used for the process of the lumbar fusion of rabbit.
    METHODS: Sixty adult male New Zealand white rabbits were randomly divided into autograft group, composite group and allograft group. The rabbits were undergone L5-6 intertransverse process fusion respectively using autograft, rhBMP-2/composite bone and allograft. 3 segmental calluses were obtained at 7, 14, 21, 28, 35 days after implantation, the TGF-β expression was detected by real time fluorescent quantitation RT-PCR.
    RESULTS AND CONCLUSION: At 28days after implantation, the TGF-β expression in composite group reached the peak, and then declined, but still had statistical difference compared to the other two groups (P < 0.05). RhBMP-2/composite allograft released rhBMP-2; meanwhile, the rhBMP-2 effectively improved the TGF-β expression and significantly increase osteoinductive effect in vivo.

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    Propylene carbonate/chitosan nanofiber porous scaffolds composited with bone marrow mesenchymal stem cell for bone defect repair in rabbits
    Huan Song-wei, Zha Zhen-gang, Yao Ping, Wu Hao, Liu Ning, Zhao Jian-hao, Xiong Gao-xin, She Guo-rong
    2011, 15 (16):  2889-2894.  doi: 10.3969/j.issn.1673-8225.2011.16.010
    Abstract ( 269 )   PDF (1671KB) ( 420 )   Save

    BACKGROUND: Cell transplantation technique for bone tissue engineering is a hotspot in recent years. Scaffold material is an important component, which can obtain the most promising breakthrough among the three elements. With the innovative development of tissue engineering material technology, it is expected to bring a hope for better repair of bone defects.
    OBJECTIVE: To investigate the effect of propylene carbonate/chitosan nanofibers (PPC/CSNF) porous scaffolds combined with bone marrow mesenchymal stem cells (BMSCs) to repair bone defects in the femoral condyle of rabbits.
    METHODS: PPC/CSNF composite porous scaffold was processed by in situ phase separation, the third passage of BMSCs were cultured on the composite scaffold. Thirty-six New Zealand white rabbits were divided into experimental group, standard group, control group and blank group at random. A bone defect was made, 6 mm in diameter and 10 mm in depth, in the right femoral condyle of each rabbit. Then PPC/CSNF/BMSCs compound was planted into the defected position in the experimental group; autogenous bone in the standard group; PPC/CSNF scaffolds in the control group; and nothing in the blank group. The curative effect was evaluated by general observation, radiographic examination and histologic analysis at the 4th, 8th, and 12th week after operation.
    RESULTS AND CONCLUSION: Roentgenographically, the bone defects in the experimental groups and criterion groups exhibited new bone formation increased with time, which were apparently superior to that in the control group (P < 0.05). The quality of new bone formation was significantly different between the experimental and the control groups by histologic analysis. In the blank group, bone defect could not be repaired without proper treatment, finally filling only with fibrous tissue. PPC/CSNF porous scaffold composited with BMSCs has a good ability to accelerate the formation of new bone, and repair bone defect finally.

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    Self-assembling peptide nanofiber scaffold combined with RhoA-siRNA for repair of spinal cord injury
    Jiang Yan-wen, Zhang Wei-wei1, Zhan Xiao-duo, Kang Xiao-ning, Dai Xiang, Zhang Wen-ying, Liu Zhong-ying, Dong Wei-ren, Guo Jia-song
    2011, 15 (16):  2895-2900.  doi: 10.3969/j.issn.1673-8225.2011.16.011
    Abstract ( 289 )   PDF (1052KB) ( 315 )   Save

    BACKGROUND: Up-expression of RhoA after spinal cord injury is one of main reasons of neural regeneration failure. Based on our previous report that self-assembling peptide nanofiber scaffold (SAPNS) could effectively promote the repair of structure and function after spinal cord injury, the complex of SAPNS and RhoA-siRNA was constructed to repair the injured spinal cord.
    OBJECTIVE: To explore the promotion of SAPNS-mediated siRNA interference RhoA expression on repair of spinal cord injury.
    METHODS: A total of 54 Kunming mice were randomly divided into 4 groups: sham group, saline group, SAPNS group and siRNA+SAPNS group. After transection spinal cord injury model was prepared by removed 1mm spinal cord tissue, saline, SAPNS or the complex of siRNA+SAPNS was filled into the lesion cavities in saline group, SAPNS group and siRNA+SAPNS group. Spinal cord was exposed in sham group.Then, the siRNA transfection efficiency was detected by FAM fluorescent signal; the RhoA expression was detected by immnohistochemistry; the axonal regeneration was examined by neurofilament (NF) immnohistochemistry and behavioral test.
    RESULTS AND CONCLUSION: After transplantation of FAM-siRNA+SAPNS, the FAM fluorescent signal could be detected in the nerve fiber in the spinal cord and the neuronal bodies in motor cortex, which indicated the siRNA could be released from the complex and successfully entered into the target cells. Compared with the SAPNS group and saline group, RhoA-siRNA+SAPNS transplantation could significantly reduce the RhoA expression in the neurons, increase the densities of NF positive nerve fiber in the spinal cord injury area, and improve the function of the hindlimbs of the spinal cord injured mice. The results indicated that mediated by SAPNS, RhoA-specific siRNA can effectively interfere the expression of RhoA, in order to promote the repair of spinal cord injury.

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    Biocompatibility of calcium-titanate coating prepared by thermochemical treatment
    Huang Jing, Lan Lin, Xiao Dong-qin, Luo Hui-tao, Zhi Wei, Duan Ke, Weng Jie, Zhang Cong
    2011, 15 (16):  2901-2904.  doi: 10.3969/j.issn.1673-8225.2011.16.012
    Abstract ( 259 )   PDF (1246KB) ( 389 )   Save

    BACKGROUND: Calcium-titanate (CaTiO3) is a promising coating candidate on titanium biomedical implants.
    OBJECTIVE: To prepare uniform CaTiO3 coatings on Ti6Al4V substrates by a simple thermochemical surface transformation technique and to evaluate its biocompatibility by in vitro culture of rat osteoblasts.
    METHODS: Ti6Al4V substrates were embedded in anhydrous calcium nitrate powders and the temperature was increased; reaction between the molten nitrate and Ti6Al4V formed a uniform layer of calcium nitrate. The biocompatibility of Ti6Al4V thermochemically treated at 570 ℃ was evaluted by in vitro culture of SD rat osteoblasts.
    RESULTS AND CONCLUSION: The transformation occurred only above the melting point of anhydrous calcium nitrate (561℃), and that the size of the calcium titanate crystals increased with the treatment temperature. Proliferation and adhesion of osteoblasts was promoted on the thermochemically treated substrates. This technique is simple and efficient, and may find applications in the surface processing of titanium implants and improve. the biocompatibility between metals and cells or tissues.

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    Effect of immediate implantation of beta-tricalcium phosphate scaffold on preserving the alveolar ridge
    Hu Yang, Ma Ying, He Hui-yu
    2011, 15 (16):  2905-2910.  doi: 10.3969/j.issn.1673-8225.2011.16.013
    Abstract ( 266 )   PDF (1334KB) ( 377 )   Save

    BACKGROUND: The bone materials were immediately implanted into dental alveoli after tooth extraction, such as deproteinized small cattle bone, hydroxyapatite and hard tissue substitutes, human demineralized freeze-dried bone, etc. These materials could prevent or delay the rapid, sustained absorption of alveolar ridge after tooth extraction.
    OBJECTIVE: To observe the effect of immediate implantation of β-tricalcium phosphate (β-TCP) on preserving the residual alveolar.
    METHODS: The bilateral and mandibular central incisors of 18 New Zealand White rabbits were extracted, and β-TCP was implanted immediately into dental alveoli on one side as the experimental group, while the other side without implantion as control group. The length, width, and height of residual ridge was measured at 4, 8, 12 weeks after operation. The histopathological changes of the healing procedure of alveolar crest in the surgical region were observed by toluidine blue staining. Changes of bone mineral density of alveolar crest in the surgical region were observed by X-ray. The interface between β-TCP and trabecular bone of teeth extraction were observed by scanning electron microscopy.
    RESULTS AND CONCLUSION: The height, width, and length of alveolar ridge in experimental group were higher than that in control group (P < 0.05) at 8, 12 weeks after operation. With the prolonged time, osteoblasts can be seen scattered in the experimental group, new trabecular bone was gradually increased and vascular network became more and more intensive. New bone and β-TCP combined with increasingly close, and β-TCP continued degradation, new bone tissue was formed in the interface between β-TCP and the alveolar bone. It suggested that β-TCP has good bone conduction properties and biological compatibility. It was implanted immediately after tooth extraction, which could effectively preserve the anatomic form of residual alveolar ridge, and prevent further absorption of alveolar ridge.

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    Optimal concentration of trehalose for protection of aortic valve homograft
    Cheng Chen-chen, Chang Qing, Gao Hong-bo, Xu Ping
    2011, 15 (16):  2911-2914.  doi: 10.3969/j.issn.1673-8225.2011.16.014
    Abstract ( 272 )   PDF (1106KB) ( 338 )   Save

    BACKGROUND: It was very mature that protecting organs and tissues in liquid nitrogen at present, but the debates were different protective agents of that.
    OBJECTIVE: To observe the effect of apoptosis and metabolization of trehalose as cryoprotectant for preserving aortic valve homograft in liquid nitrogen on their tissues and cells, and to seek the best protective agents and their optimal concentrations.  
    METHODS: The aortas and pulmonary arteries obtained from New Zealand white rabbits and frozen in liquid nitrogen to 12, 15, 18 months, 0.1 mol/L dimethyl sulfoxide (DMSO), 0.1 mol/L trehalose, 0.1mol/L trehalose +0.1 mol/L DMSO, 0.2 mol/L trehalose+0.1 mol/L DMSO, 0.3 mol/L trehalose+ 0.1 mol/L DMSO was used in liquid nitrogen, respectively. After specimens rewarming, the apoptosis of the specimens was detected by immunohistochemistry method, and the metabolism of tissue cells was detected by glucose consumption.
    RESULTS AND CONCLUSION: Immunohistochemistry and glucose consumption determination results showed that the freezing effects of 0.1mol/L trehalose + 0.1 mol/L DMSO and 0.2 mol/L trehalose+0.1 mol/L DMSO were the best. 0.3 mol/L trehalose+  0.1 mol/L DMSO, which was worse than 0.1 mol/L trehalose + 0.1 mol/L DMSO and 0.2 mol/L trehalose+0.1 mol/L DMSO, ranked above 0.1 mol/L trehalose. The worst was 0.1 mol/L DMSO. The trehalose as the cryoprotectant for preserving aortic valve homograft in liquid nitrogen had a good protective effect. The separate use of trehalose was better than the separate use of DMSO. The joint use of trehalose and DMSO was better than the separate use of either one. The best concentrations of trehalose of the joint use were between 0.1 mol/L and 0.2 mol/L.

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    Nano sliver distribution in vivo after the application of silver nanoparticle dressings
    Geng Jian, Liu Da-lie, Zhang Yang, Xi Ting-fei, Zhang Zhi-xiong, Jian Ming-li, Huang Jian-lin, Zhu Xiao-ling, Zeng Kong-xian
    2011, 15 (16):  2915-2919.  doi: 10.3969/j.issn.1673-8225.2011.16.015
    Abstract ( 361 )   PDF (1137KB) ( 482 )   Save

    BACKGROUND: Silver nanoparticles are greatly superior to traditional sliver products in terms of antibacterial effect due to small size effect, quantum effect and large specific surface area. The negative biological effect or adverse reaction in vivo remains unclear.
    OBJECTIVE: To investigate the nano-sliver distribution in rabbits after the application of silver nanoparticle dressings on trauma. 
    METHODS: New Zealand white rabbits were randomly divided into three groups: normal control group (trauma wounds healed naturally), dressings for single time group and dressings for multiple times group. Both dressing groups were respectively assigned into six subgroups. Full-thickness excisional wounds were created over the ventral surface of rabbits’ ears. Rabbits in dressings for single time group were treated with silver nanoparticle dressings for single time and in dressings for multiple times group were treated with dressings for multiple times. Dressings in six subgroups of dressings for multiple times were changed respectively in 0, 2, 2 and 4, 2 and 4, 2 and 4, 2 and 4 post treatment days after injury. Blood, liver, kidney and spleen were respectively collected to determine the silver contents in 2, 4, 7, 14, 30, 60 days after injury.
    RESULTS AND CONCLUSION: The sliver contents in blood, liver, kidney and spleen of dressing groups at 2 days were significantly higher than those of normal control group (P < 0.01). The sliver contents in blood, liver, kidney and spleen of dressing groups at 4 days and were significantly higher than those of normal control group (P < 0.01). The contents in multiple dressing group were progressively increasing with time went, while the contents in single dressing group was progressively decreasing. This alteration was more obvious at 7 days, with significant differences between two dressing groups (P < 0.01). After removing the dressings, the sliver contents of dressing groups significantly declined compared with previous time point, especially in multiple dressing group (P< 0.01). At 30 and 60 days post injury, there was no significant difference in the sliver contents in blood, liver, kidney and spleen between dressing groups and normal control group (P > 0.05). After the application of silver nanoparticle dressings on trauma, it is rapidly absorbed through skin wounds into the circulatory system and then deposited into the liver, kidney and spleen. While removing the dressings, the sliver contents in blood, liver, kidney and spleen declined rapidly to the normal value without any accumulation.

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    Preparation and transfection efficiency of mPEG-CS/livin shRNA complex
    Xiao Wei, Peng Jian, Zhang Yang-de
    2011, 15 (16):  2920-2924.  doi: 10.3969/j.issn.1673-8225.2011.16.016
    Abstract ( 430 )   PDF (1333KB) ( 399 )   Save

    BACKGROUND: Nanoparticles formulated from biodegradable polymers such as mono methyl poly (ethylene glycol)-g-chitosan are being extensively investigated as non-viral gene delivery systems due to their sustained release characteristics, targeting and biocompatibility.
    OBJECTIVE: To prepare mPEG-CS nanoparticles and to explore the feasibility of mPEG-CS as livin shRNA gene carrier, and to study the gene transfection efficiency to colorectal cancer cell HT-29 mediated mPEG-CS nanoparticles.
    METHODS: mPEG-CS nanoparticles were prepared by ionic cross-linking method and mPEGylated -chitosan/ livin shRNA complex by Static adsorption. The pattern, size and Zeta potential of blank nanoparticles and mPEGylated-chitosan/ livin shRNA complex were detected by Zeta-size analyzer and transmission electron microscope (TEM). The encapsulation efficiency of gene-nano complex was measured. The protection of nanoparticles for gene was validated through Gel electrophoresis block experiment and DNase I enzyme digestion experiment. The transfection efficiency of livin shRNA was compared to that of CRC cell HT-29 mediated by mPEG-CS nanoparticles or not.
    RESULTS AND CONCLUSION: mPEG-CS nanoparticles of the size about 60 nm were successfully prepared out, when nanoparticles /gene volume ratio was 3∶1, size of gene-nano complex was 100 nm and encapsulation efficiency was (94.32±0.35)%. The gel electrophoresis blocking test showed that nanoparticles could be effectively combined with the plasmid, and Dnase I test proved that the nanoparticles could protect the plasmid. Transfection efficiency mediated by mPEG-CS was higher than naked gene and working a longer time. As gene carrier, mPEG-CS nanoparticles can protective gene well, and it is able to transfect livin shRNA recombinant plasmid into colorectal cancer cells and express in a long time. The gene-nano complex overcomes the shortage of relatively short time of RNA interference in gene therapy for tumor.

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    Preparation of drug-loaded poly (D, L-lactide-co-glycolide) nanoparticles and characterization of release behavior in vitro
    Xu Wei-hua, Liu Jie, Jin Cheng, Zhang Fu-qin, Dou Ke-feng
    2011, 15 (16):  2925-2928.  doi: 10.3969/j.issn.1673-8225.2011.16.017
    Abstract ( 318 )   PDF (657KB) ( 360 )   Save

    BACKGROUND: As a new drug delivery carrier, medical nanoparticle has currently become the focus of research in the field of medicine.
    OBJECTIVE: To construct antitumor drug 5-fluorouracil (5-FU) loaded nanoparticles using the biodegradable material poly (D, L-lactide-co-glycolide) (PLGA).
    METHODS: The PLGA nanoparticles were prepared by double emulsification solvent evaporation technique. The morphology and particle size distribution of nanoparticles were determined by field emission scanning electron microscope and laser particle size analyzer, respectively, and the granulation rate of nanoparticles was calculated. The drug loading, encapsulation efficiency of 5-FU and release in vitro were detected by ultraviolet spectrophotometer.
    RESULTS AND CONCLUSION: The nanoparticles were spherical in shape with average diameter (186±14) nm. The granulation rate, drug loading and encapsulation efficiency was 70.8%, 6.6%, 28.1%, respectively. The nanoparticles exhibited initial burst release in vitro, releasing a cumulative 36.2% of 5-FU in 24 hours. The cumulative release reached 83.6% at the 10th day. The results suggested that the 5-FU-loaded PLGA nanoparticles were prepared successfully and have slow release function in vitro.

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    Function and metabolic activity of hepatocytes cultured by spherical porous chitosan microcarriers
    Zhang Rui, Han Bao-san, Peng Cheng-hong
    2011, 15 (16):  2929-2932.  doi: 10.3969/j.issn.1673-8225.2011.16.018
    Abstract ( 188 )   PDF (637KB) ( 366 )   Save

    BACKGROUND: Hepatocyte culture is the key to the hepatocyte transplantation and BAL study. It has turned into the first problem how to get adequate numbers, better activity and well-functioning hepatocyte. In the recently years, the microcarrier as a technique for high density cell culture has been applied in the in vitro culture of hepatocytes.
    OBJECTIVE: To detect the function and metabolic activity of human hepatocytes L-02 cultured by spherical porous chitosan microcarriers at each time.
    METHODS: The function, including aspartate aminotransferase (AST), alanine aminotransferase (ALT) and lactate dehydrogenase (LDH) levels, and metabolic activity, including albumin (ALB), urea, glucose contents, of human hepatocytes L-02 cultured by spherical porous chitosan microcarriers were detected at 1, 2, 3, 4, 5 days of culture.
    RESULTS AND CONCLUSION: In the two groups, the levels of AST, ALT and LDH decreased at 1-3 days, and increased at 4 days; the contents of ALB, urea and glucose increased at 1-3 days, and decreased at 4 days. The levels of all the indexes in the experimental group were obviously higher than those in the control group (P < 0.05). It indicated that the metabolic activity of human hepatocytes L-02 in the experimental group was higher than that in the control group.

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    Fibrin sealant combined with autologous bone marrow and artificial bone to promote spine fusion
    Cai Zhi-gang, Rui Gang
    2011, 15 (16):  2933-2936.  doi: 10.3969/j.issn.1673-8225.2011.16.019
    Abstract ( 197 )   PDF (597KB) ( 391 )   Save

    BACKGROUND: How to use the adhesion of fibrin glue to combine with autologous bone marrow and artificial bone to increase the success rate of spinal fusion in surgery, it is worthy of further study.
    OBJECTIVE: To review the research background, composition, function theory, physical and chemical properties of fibrin glue, the present of fibrin glue, autologous bone marrow combined with artificial bone in spinal fusion.
    METHODS: China Knowledge Resources Library-CNKI Series Database (1994 to 2010) and PubMed database were retrieved by the first author for literatures concerning the research background, composition, function theory and physical and chemical properties of fibrin glue, the application of fibrin glue in bone tissue engineering and repairing bone defects, the application of autologous bone marrow graft combined with artificial bone transplantation in repairing bone defects, the application of bone graft methods of spinal fusion.
    RESULTS AND CONCLUSION: Autologous bone marrow graft combined with artificial bone repairing bone defects achieved good clinical efficacy. Therefore, it should be a feasible solution which using autologous bone marrow combined with artificial bone to increase spinal fusion rate in spinal fusion. However, the process of autologous bone marrow combined with artificial bone was relatively simple in the past. Because of a large fluidity of autologous bone marrow, it lost easily after injection, and reduced its bone formation function. Therefore, it is envisaged in clinical surgery that the adhesion properties of fibrin glue were used to adhere autologous bone marrow and artificial bone together, implant it in spinal zygapophysial joints and transverse process and make full use of its largest bone formation function. This will be a simple, fast and effective clinical way for increasing spinal fusion rate. It needs to be further researched.

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    Calcium sulfate cement versus polymethylmethacrylate in percutaneous kyphoplasty
    Bai Ming, Yin He-ping
    2011, 15 (16):  2937-2940.  doi: 10.3969/j.issn.1673-8225.2011.16.020
    Abstract ( 249 )   PDF (682KB) ( 311 )   Save

    BACKGROUND: Osteoporosis caused by the vertebral fractures in orthopedic clinical disease is very common; due to pain, kyphosis affects the quality of life of older persons. In recent years using balloon kyphoplasty (PKP) treatment of the disease to obtain good clinical, but its use of traditional bone cement filler has many shortcomings, and injectable calcium sulfate is a biocompatible, safe and effective bone substitute material, as the method of filling enhanced to make up for the lack of bone cement.
    OBJECTIVE:
    By analyzing and summarizing bone cement and injectable calcium sulfate in the kyphoplasty in applied research since 1975, to look for ideal filling materials for kyphoplasty.
    METHODS: By using "osteoporosis, percutaueous kyphoplasty (PKP), calcium sulfate cement (CSC), polymethylmethacrylate (PMMA)" as keywords, we retrieved articles published 1975-01/2009-12 included in Wanfang database and PubMed database. Irrelevant and the repetitive contents were excluded. Twenty-five documents retained for further analysis.
    RESULTS AND CONCLUSION: Ideal effective implants may be injection shall be of good, can precisely infuse fracture sites, and may reduce the injection pressure; they can rapidly be solidified, have enough mechanical strength, stable, immediately recover vertebral body load capacity; Solidification low temperature, can reduce heat damage to nearby tissue; A good imaging capabilities, can develop during the operation, which precisely control the location and depth of the filler; can be slowly biodegradable; Material origin is widespread, and cheaper prices. At present there is no a filling materials can completely have the above advantages. Therefore, the research to develop a kind of ideal filling materials for clinical use is an important task in the future.

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    Opalescence and fluorescence properties of light-cured resin composites
    Chen Dou-dou, Li Ji-yao
    2011, 15 (16):  2941-2944.  doi: 10.3969/j.issn.1673-8225.2011.16.021
    Abstract ( 361 )   PDF (567KB) ( 495 )   Save

    BACKGROUND: In esthetic restorative dentistry, light-cured resin composites are widely applied in direct repairing dental defects due to their excellent color performance. 
    OBJECTIVE: To review research status of influencing factors on the opalescence and fluorescence of light-cured resin composites.
    METHODS: Databases of CNKI and PubMed were retrieved by the first author to research the papers with the key words of “resin composite, illumination, filler, scattering, opalescence, fluorescence, color”. Papers underlying light mechanism, characteristics, and research status were included. In total 129 documents were initial searched, and 34 ones were included in the final analysis.
    RESULTS AND CONCLUSION: The light-cured resin composites, in particular, scattering of inorganic filler with similar diameter to blue light and absorption of photoreceptive organic matrix to ultraviolet light, have similar properties of opalescence and fluorescence as those of natural teeth. Opalescence and fluorescence of light-cured resin composite were affected by illumination, resin composition and relevant clinical performances, which may further influence the masking effect of resin composites.

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    Biocompatibility of artificial dura materials
    Zhou Yu-feng, Huang Me2, Deng Cong-ying, Tang Li-xin
    2011, 15 (16):  2945-2948.  doi: 10.3969/j.issn.1673-8225.2011.16.022
    Abstract ( 271 )   PDF (638KB) ( 713 )   Save

    BACKGROUND: Dural repair materials in the application of present research are mainly including autologous tissue repair material, allograft material, heterogeneous biological materials and synthetic materials.
    OBJECTIVE: To evaluate the property and application of various repair materials in the repair of dural defects, and to find appropriate dural repair materials.
    METHODS: Taking “dural, material” in Chinese as search terms, the articles related to dural defect repair materials research and a variety of materials in the clinical application of dural defect repair from CNKI database (2000-01/2010-12) were retrieved.
    RESULTS AND CONCLUSION: At present autologous tissue, allograft materials, heterogeneous biological materials and synthetic materials and other dural repair materials respectively exist sources of difficulty, easy adhesion, difficult to preserve, not easily sterilized or poor biocompatibility disadvantages. Autologous tissue repair material was still the preferred material under usable circumstances, heterogeneous biological materials because of its good biocompatibility and physical and chemical properties become the most widely dural repair material in clinical application. Although heterogeneous biological materials is currently extensive use of dural repair material in clinic, because of respective inevitable shortcomings of them, dural repair material still needs further development.

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    Microfiltration membrane materials and techniques
    Xu Ya-fu, Zou Da-jiang, Xiong Jun
    2011, 15 (16):  2949-2952.  doi: 10.3969/j.issn.1673-8225.2011.16.023
    Abstract ( 467 )   PDF (542KB) ( 921 )   Save

    BACKGROUND: In recent years, with the development of biomaterials, microfiltration membrane has been gradually instead of various traditional filtering techniques and become a indispensable way to ensure product quality in modern industry, especially high-grade, advanced technology industries, such as electronics, pharmaceuticals, scientific research and quality testing. The development of modern biotechnology and the pharmaceutical industry accelerates the development of membrane technology.
    OBJECTIVE: To review the separation principle, characteristics, and types of microfiltration membranes and to introduce the development and application of microfiltration membrane in various fields.
    METHODS: A retrieve of CNKI and PubMed were performed by the fist author to search articles about microfiltration membrane materials and techniques published from January 1994 to December 2010 by using the keywords of “microfiltration technique, microfiltration membrane, biomaterial” in Chinese and English. Repetitive articles were removed. Among 60 retrieved articles, 27 were included in result analysis, including 25 Chinese articles and 2 English.
    RESULTS AND CONCLUSION: Microfiltration, also known as microporous filtration, belongs to delicate filtration, which can filter micron or nanoparticles and bacteria. The basic principle is based on different membrane pore size or molecular mass trapped, and the membranes can be classified as microfiltration membrane, ultrafiltration membrane, nanofiltration membrane and reverse osmosis membrane. Currently, the microfiltration technique is popular in every field, but membrane fouling, plugging, high viscosity of liquid material influence the rapid development of microfiltration membrane. The key to achieve the large-scale application of biological product purification depends on the studies on the mechanism of membrane fouling and anti-pollution film materials, and so on. In the future, a cooperative development among a variety of membrane separation techniques, such as ultrafiltration, nanofiltration and microfiltration will be realized, and the implementation of multi-stage separation is the developmental trend.

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    Preparation and imaging characteristics of polymer ultrasound contrast agents
    Li Na
    2011, 15 (16):  2953-2956.  doi: 10.3969/j.issn.1673-8225.2011.16.024
    Abstract ( 359 )   PDF (683KB) ( 361 )   Save

    BACKGROUND: Current ultrasound contrast agents contain micro-bubbles with different gas composition, and the majority of shell materials are surfactant, human blood proteins, lipids and so on. With the development of polymer chemistry, polymer contrast agents are a hotspot in the research field of ultrasound contrast agents.
    OBJECTIVE: To investigate the difficulties and solution in the preparation of different ultrasound contrast agents so as to find an ideal polymer contrast agent.
    METHODS: A electronic search of Wanfang database (http://www.wanfangdata.com.cn/) to retrieve articles about polymer contrast agents published from January 2005 to December 2010 using keywords of “polymer material, ultrasound, contrast agent”. Repetitive studies, review and Meta-analysis were excluded, and 26 articles were included in the result analysis.
    RESULTS AND CONCLUSION: In recent years, more and more attention have been paid on imaging contrast agents with the development of polymer materials and molecule medicine. Polymer contrast agents have become a research hotspot due to their good biocompatibility, particle size uniformity, good compression performance, longer development duration and other characteristics. Targeted micro-bubble contrast agent can reach a specific target via intravenous injection, and improve the resolution of local tissues under the action of low power ultrasound imaging. Targeted micro-bubble contrast carrying drugs or genes in low-frequency (1 MHz) ultrasound can generate transient cavitation to increase cell membrane permeability, and thus, effectively improve the drug or gene transfection efficiency. Today, the targeted micro-bubbles carrying anticancer drugs combined with ultrasound are becoming a new way for cancer treatment. Targeted micro-bubble ultrasound shows a greater advantage in clinical diagnosis and treatment, but the precise biological mechanism is still unclear, and ultrasound treatment parameters need to be further optimized.

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    Clinical value and evaluation of composite resin filling materials in dental defect repair
    Ma Fu-jun, Wang Zhan-hong
    2011, 15 (16):  2957-2960.  doi: 10.3969/j.issn.1673-8225.2011.16.025
    Abstract ( 199 )   PDF (696KB) ( 799 )   Save

    BACKGROUND: A variety of composite resin filling materials has become indispensable for dental defect repair, which is abreast of alloy materials. However, the wear resistance of composite resin is not ideal.
    OBJECTIVE: To summarize and compare different composite resin filling materials used in recent year for dental defect repair.
    METHODS: PubMed, Wanfang and VIP databases were searched for articles about the application of composite resin in dental defect repair with keywords of “composite resin, visible-light cured dental, dental adhesive materials, compatibility” in English (1999-01/2010-12) and “composite resin, oral filling materials, curing properties, biocompatibility, oral repair, nanomaterials” in Chinese (2000/2010-10). Old and repetitive articles were excluded, and totally 28 articles were included in result analysis.
    RESULTS AND CONCLUSION: Composite resins are most commonly composed of organic resin matrix, inorganic filler, and photoinitiator. As a kind of dental filling materials, composite resins have acceptable mechanical properties and good appearance, and they are easy to operate and repair, which are used widely in dental repair. But there are also some shortcomings, such as shrinkage, poor wear resistance, and discoloration. The poor wear resistance can lead to a decrease in surface area and edge destroy of restorations. With the development of nanotechnology, composite resins are expected to have a better prospect in dental repair.

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    Application and biocompatibility of biodegradable gastrointestinal stents
    Zhang En
    2011, 15 (16):  2961-2964.  doi: 10.3969/j.issn.1673-8225.2011.16.026
    Abstract ( 247 )   PDF (729KB) ( 798 )   Save

    BACKGROUND: Biodegradable stent can be formed in the gastrointestinal lumen short-term, which has a good biocompatibility, and then completely degraded, and the degradation time of stent should be adjusted according to clinical needs, in order to avoid complications of permanent stents.
    OBJECTIVE: To evaluate application, compatibility evaluation and research progress of biodegradable gastrointestinal stents made by different materials.
    METHODS: Taking “application and biocompatibility of biodegradable gastrointestinal stents” in Chinese as search terms, the researches related to biodegradable gastrointestinal stents from Wanfang database (1999-01/2009-12) was retrieved by computer. Repetitive, reviewed and Meta-analysis researches were excluded. A total of 22 documents were screened for evaluation.
    RESULTS AND CONCLUSION: The application of biodegradable stents in disease of digestive tract had showed their effective dilatancy and clinical safety. Biodegradable materials are mostly polymers, including natural biodegradable polymer, synthetic polymer micro-organisms and synthetic biodegradable polymer materials. Natural biodegradable polymers are mostly polysaccharides. Natural biodegradable polymers generally have a good biocompatibility, but their mechanical properties are poor. The research and application of synthetic polymer micro-organisms are less, while types of synthetic polymers are more, such as polylactide, polycaprolactone, and polyethylene glycol. The advantages of synthetic polymers are that they can be designed more flexible molecular structure, and obtained different kinds of materials according to the development of copolymers, and blends. Degradable stents can solve benign and malignant narrow recanalization and the sealing of fistula. However, the effect of degradable stents in alimentary system is still need a great deal of research to undergo evaluation in the future.

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    Choice and application of esophageal stent materials in senile esophageal carcinoma
    Chen Jing, Lin Yuan, Pan Xing-guo, Huang Zhi-jie, Zhang Yi, Zhang Ru
    2011, 15 (16):  2965-2968.  doi: 10.3969/j.issn.1673-8225.2011.16.027
    Abstract ( 99 )   PDF (746KB) ( 325 )   Save

    OBJECTIVE: To analyze the application and compatibility of different fungible material of artificial esophagus for tissue engineering, and explore the curative effect on esophageal carcinoma of old patients after implantation, in order to find nonvolatile artificial implant material.
    METHODS: Taking “gene chip, protein chip, artificial neural network, gastrointestinal cancer, diagnosis” in English and “tissue engineering esophagus, artificial esophagus, biocompatibility, esophageal carcinoma, diagnosis” in Chinese was utilized as search terms to retrieve PubMed database (2000-01/2010-09) and Wanfang database by the first author. Literatures related to tissue engineering esophageal research, evaluation of biocompatibility after artificial esophagus implantation and experimental analysis of different materials for tissue engineering esophagus were included. Duplicated articles were excluded. A total of 30 literatures were obtained for further summarization.
    RESULTS: At present, the main complications of artificial esophagus including anastomotic fistula, narrow, necrosis, contraflow. Future research directions of artificial esophagus are mainly on construction and the choice of material. The main views were as followed: ①Ideal materials were selected and their suitable shape was constructed. ②The materials were cultured in vitro, and transplanted in vivo, then esophageal regeneration was induced. ③A biodegradable biological artificial esophagus with accurate control was developed, and then transplanted into organism and served as supporter, finally induced in vivo so as to regenerate newborn esophagus.
    CONCLUSION: The research of tissue engineering esophagus toward the similar esophageal substitute with normal esophageal structure constructed by tissue engineering method, the choice of materials from a single biological inert materials to resorbable and degradable bioactive materials into a diversified research and development trends.

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    Application of tissue-engineered scaffolds in the repair of urinary system injury
    He Yan, Zhu Feng, Liu Pei, Zhang Jian-chun
    2011, 15 (16):  2969-2972.  doi: 10.3969/j.issn.1673-8225.2011.16.028
    Abstract ( 149 )   PDF (588KB) ( 472 )   Save

    BACKGROUND: Urological tissue engineering technology has brought a new hope for microinvasive repair and functional reconstruction of urinary tract tissues and organs. In recent years, many studies addressing tissue-engineered scaffolds for the urinary system and tissue-engineered tissues such as the kidney, ureter, bladder, and urethra have been reported.
    OBJECTIVE: To summarize the application of tissue-engineered scaffolds in the repair of urinary system injuries.
    METHODS: A computer-based search of Wanfang databases (http://med.wanfangdata.com.cn/) from January 1998 to December 2010 was performed by using keywords “ureter, bladder, urethra, scaffold materials, tissue engineering”. Papers addressing preparation of biomaterial scaffolds for the urinary system and tissue-engineered scaffolds for repair of urinary system injuries were included. Repetitive and old papers were excluded. Finally, 41 articles were included in result analysis.
    RESULTS AND CONCLUSION: Recently, there is a rapid progress in tissue-engineered scaffold materials for the urinary system, including natural extracellular matrix, such as collagen, proteoglycan, glycoprotein, etc.; extracellular matrix derivatives, such as extracellular matrix of the bladder, urethra, extracellular matrix, small intestine Lower, etc.; synthetic polymers, such as polyglycolic acid, polylactic acid and so on. These kinds of materials have a similar network structure, biomechanical properties, and part of active factors to human body. It is beneficial for epithelial cells and smooth muscle cells to play a physiological function if the cells growth on these kinds of scaffolds. The urological tissue engineering technology, currently, is at a critical stage from basic studies to clinical applications.

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    Bone filling materials for bone defects after bone tumor resection
    Chen Bei-bei
    2011, 15 (16):  2973-2976.  doi: 10.3969/j.issn.1673-8225.2011.16.029
    Abstract ( 200 )   PDF (584KB) ( 514 )   Save

    BACKGROUND: Bone filling materials have good bioactivity, biocompatibility, biological safety and mechanical properties, and can induce formation of new bones to realize a self-repair of bones. This kind of material is an efficient, safe, cost-effective bone substitute, and can be used as repair materials for bone defects following repair of benign cystic lesions and tumor-like lesions.
    OBJECTIVE: To summarize the progress in bone filling materials for bone defects following bone tumor resection.
    METHODS: A computer-based search of VIP databases from January 1998 to October 2009 was performed using “bone filling materials, bone tumor, bone defect” as keywords to retrieve relevant articles about bone filling materials for bone defects after bone tumor resection. There were 22 articles involved in result analysis.
    RESULTS AND CONCLUSION: Allogeneic bone and autologous bone compound is a high-effective methods for bone defects after bone tumor segment resection in clinic. Allogeneic bone as a permanent implant material for bone reconstruction can be completely absorbed by the host, and has great advantages relevant to other materials. It is a implant material with high clinical value for bone defects due to benign tumor resection of the extremities, especially for large bone defects.

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    Evaluation of materials of bone tissue engineering in athletic bone defects reconstruction
    Li Hua
    2011, 15 (16):  2977-2980.  doi: 10.3969/j.issn.1673-8225.2011.16.030
    Abstract ( 72 )   PDF (624KB) ( 319 )   Save

    OBJECTIVE: To evaluate the disposition and application of tissue-engineered artificial bone materials, in order to find a reasonable repair material for bone defect.
    METHODS: Taking “tissue engineering, bone defect, artificial bone, nanomaterials” in Chinese, and “tissue engineering, bone defect, artificial bone, biological degradation” in English as search terms, the articles between January 1993 and October 2009 were retrieved by computer. Literatures related to tissue engineering were included, duplicate and Meta-analysis researches were excluded. A total of 30 literatures were involved for analysis of the types and dispositions of tissue engineered artificial bone materials.
    RESULTS: Biodegradable and bioactive tissue engineered artificial bone materials can be served as an ideal scaffold for tissue engineering of bone defects. The effect of repair was equal or close to autogenous bone, source was sufficient. It had not only immunological rejection, but also avoided the pain and complications of patients by taking autogenous bone. It did not affect the athletes return to the game, players were willing to accept. Composite artificial bone materials liberated athletes from fear of trouble in the rear and brought huge social benefits. Based on the scaffolds prepared by nano-hydroxyapatite combined with recombinant human bone morphogenetic protein-2, they not only had good biocompatibility, biodegradability and high affinity, but also improved bone induction activity and promoted the formation of new bone. Biodegradable and bioactive tissue engineered artificial bone materials in clinical preliminary studies showed a good biocompatibility with the human body and good healing without immune rejection.
    CONCLUSION: Bone defect is common sports injury, which has been a hot spot of sports injury research. The research of tissue-engineered bone defect repair has developed rapidly and brings opportunities for the repair of bone defect. Composite tissue engineered materials can play the advantages of different materials to make up for lack of a single material, which is an ideal scaffold material.

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    Material characteristics and clinical application of artificial femoral head
    Li Li
    2011, 15 (16):  2980-2984.  doi: 10.3969/j.issn.1673-8225.2011.16.031
    Abstract ( 147 )   PDF (592KB) ( 371 )   Save

    BACKGROUND: The current studies on biomaterial science of artificial femoral head have obtained remarkable results, but there are still some problems.
    OBJECTIVE: To investigate the progress in material characteristics and application of artificial femoral head.
    METHODS: A computer search of VIP database was done for articles about biomechanics of artificial femoral head with the keywords of “artificial femoral head, progress, clinical application”. Articles published recently or in authorized journals were preferred. Finally, 18 articles were included.
    RESULTS AND CONCLUSION: Artificial joints used in clinic has a history of nearly a hundred years, and the relevant studies about materials and designs have made a great progress. A variety of artificial bone materials are expected to become the ideal orthopedic implants because of their appropriate pore structure, surface morphology, physical and chemical properties, good biocompatibility and cytotoxicity requirements. With the development of composite materials and improvement of production process, various biomedical materials with biological activity which have similar structure and properties to human tissues have been obtained as bone substitute materials, which brings a new hope for the development of artificial prostheses and treatment of bone defects.

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    Clinical application of various skull repair materials and the prevention and cure of complications
    Diao Yun-feng, Yang Xi-ping
    2011, 15 (16):  2985-2989.  doi: 10.3969/j.issn.1673-8225.2011.16.032
    Abstract ( 116 )   PDF (702KB) ( 799 )   Save

    BACKGROUND: In recent year, there are many new materials for skull repair, including autologus substitute, allograft materials and allogenic materials.
    OBJECTIVE: To summarize clinical application of commonly used skull repair materials in recent years and the prevention and cure of complications
    METHODS: Papers regarding skull repair materials and complications published in VIP data between January 2002 and October  2010 were researched using key words of “cranioplasty; repair materials; autologous bone; silica gel; bone cement; EH composite; titanium mesh and complication”. Inclusion criteria: papers regarding skull repair materials and complications. Exclusion criteria: repetitive study and relatively old literature. A total of 48 documents were included in this study.
    RESULTS AND CONCLUSION: Autologous bone has better histocompatibility, no rejection phenomenon, but the source is limited and graft can be absorbed; Medical silicone is cheaper, but histocompatibility is not enough; Bore cement derived easily and cheaper, but easy to damage the brain tissue; EH composite materials has better histocompatibility and synostosis, but number of cases is not enough; Titanium mesh has better histocompatibility, more stable, but is more expensive. We should select the ideal cranioplasty material based on patient's condition, economic conditions, the level of local equipment and technology, and try to avoid or reduce complications.

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    Complications occurrence and prevention following pelvic reconstruction with synthetic materials
    Chen Xiao-li
    2011, 15 (16):  2990-2992.  doi: 10.3969/j.issn.1673-8225.2011.16.033
    Abstract ( 132 )   PDF (551KB) ( 257 )   Save

    OBJECTIVE: To summarize the complications and their prevention following pelvic reconstruction with synthetic materials.
    METHODS: A computer-based search for synthetic materials used in pelvic reconstruction published from January 2006 to December 2010 was performed using key words of “tissue engineering, pelvic reconstruction, synthetic materials, complication, prevention”. Repetitive articles or Meta-analysis were excluded. Totally 12 articles were included.
    RESULTS: Synthetic materials for pelvic reconstruction lead to several complications to different extent, such as vaginal foreign body sensation, vaginal infection, erosion. The pathogenesis of vaginal erosion due to synthetic materials is still unclear. Most scholars believe that it may be related to infection, large tension to place synthetic materials, impact on vaginal and urethral blood circulation and type of synthetic materials. The mesh transplanted under a tension-free state can reduce the incidence of vaginal erosion.
    CONCLUSION: Rigorous preoperative preparation, careful operation and refined postoperative treatment and follow-up can help to prevent and reduce the incidence of vaginal erosion due to synthetic materials.

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    Application of nano-silver materials in gynecological diseases
    Wang Fang, Mao Xi-guang
    2011, 15 (16):  2993-2996.  doi: 10.3969/j.issn.1673-8225.2011.16.034
    Abstract ( 221 )   PDF (621KB) ( 730 )   Save

    OBJECTIVE: To analyze the effects of nano-silver gel on vaginitis and cervical erosion at different levels and different types, and to compare the efficacy of LEEP combined with nano-silver and simple LEEP in treatment of gynecological diseases.
    METHODS: Relevant articles published in 2006-01/2010-12 were searched using “nano-silver; nano-silver gel; vaginitis; cervicitis” as keywords. Repetitive articles and Meta-analysis were excluded. Twenty-five articles were included.
    RESULTS: Nano-silver gel is prepared by advanced nanotechnology, about 25 nm in diameter, and characterized as quantum effect, small size effect and large surface area, easy to be absorbed. Nano-silver gel can form a protective membrane in the vaginal and cervical parts, which can kill pathogenic microorganisms, reduce vaginal discharge and shorten the time of vaginal discharge.
    CONCLUSION: The nano-silver preparation is safe with broad-spectrum and highly effective antibacterial and sterilization, which is easy for patients. However, the biological safety of nano-silver has yet needed further studies.

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    Application of anti-adhesion materials for exercise-induced tendon rupture
    Zhang Xu-yao, Xie Li-ying, Zhao Hui
    2011, 15 (16):  2997-3000.  doi: 10.3969/j.issn.1673-8225.2011.16.035
    Abstract ( 117 )   PDF (696KB) ( 509 )   Save

    BACKGROUND: With the establishment of exogenous and endogenous healing theory of the tendon, how to suppress exogenous healing and promote endogenous healing is the key for treatment of tendon adhesion. The anti-adhesion barrier surrounding the tendon is the focus in recent years.
    OBJECTIVE: To review the progress of anti-adhesion materials in repair of exercise-induced tendon rupture.
    METHODS: A computer search of PubMed and VIP databases for anti-adhesion biomaterials articles published from January 1990 to December 2010 were retrieved by using key words of “tendon adhesion, absorbability antiseize continually membrane, anti-adhesion membrane” in English and “tendon rupture, tendon adhesion, anti-adhesion membrane, biomaterial, sports injury” in Chinese. Finally, 25 articles were included.
    RESULTS AND CONCLUSION: Studies about the current anti-adhesion materials for the tendon have achieved remarkable results; however, there are different advantages and disadvantages of different materials. For example, biomembranes instead of tendon sheath inhibit exogenous healing, but they also block the penetration of nutrients, which is not conductive to tendon healing; drug films with barrier isolation reduce exogenous healing to prevent tendon adhesion, which has good prospects for clinical application; absorbable materials have good biocompatibility, but their adhesive force, mechanical strength and retention time need to be further studied; second operation is used to remove nonabsorbable materials due to poor permeability, which have not been used in clinic; some materials with toxic side effects and severe inflammatory reaction have been basically no longer used clinically. These issues should be studied and solved before anti-adhesion materials are really applied in the treatment of tendon adhesion and functional reconstruction.

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    Chitosan prevents tendon adhesion after sports injury
    Ge Ting-yun, Li Lei
    2011, 15 (16):  3001-3004.  doi: 10.3969/j.issn.1673-8225.2011.16.036
    Abstract ( 101 )   PDF (636KB) ( 378 )   Save

    BACKGROUND: Tendon injury is common seen in sports exercise, and tendon adhesion often occurs during the repair of tendon injury. Tendon adhesion can damage tendon function. At present, chitosan is a hotspot for prevention of tendon adhesion.
    OBJECTIVE: To review the effect of chitosan on post-sports tendon adhesion.
    METHODS: A computer-based search of CNKI and PubMed from January 1990 to Decembe 2010 was performed with keywords of “chitosan, tendon, adhesion, sports injury” in Chinese and English to retrieve the articles about chitosan for prevention of tendon adhesion after sports injury. Related articles published recently or in authoritative journals were selected. According to the inclusion criteria, 29 papers were selected.
    RESULTS AND CONCLUSION: The tendon is mainly composed of collagen fibers, and its biomechanical properties are closely related to collagen fibers. The healing process of tendon injury consists of two ways: exogenous and endogenous healing. Tendon adhesion often occur in exogenous healing. Previous animal experiments and clinical studies have demonstrated that chitosan has a good preventive effect on tendon adhesion, which mechanisms include reducing the production of collagen fibers, barrier isolation, hemostasis acceleration, and antisepsis and anti-inflammation. Therefore, chitosan is an ideal material to prevent tendon adhesion, but there are still some problems in clinical application to be resolved.

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    Preparation and analgesic effect of sustained-release local anesthetic drugs
    Fang Li-feng
    2011, 15 (16):  3005-3008.  doi: 10.3969/j.issn.1673-8225.2011.16.037
    Abstract ( 118 )   PDF (659KB) ( 384 )   Save

    BACKGROUND: In vivo half-life period of local anesthetic drugs used in clinic is short, and a high dose in local tissue can easily lead to central nervous system and cardiovascular toxicity. Therefore, scholars have begun to study sustained-release local anesthetic delivery system.
    OBJECTIVE: To conclude the progress in preparation and analgesic effect of sustained-release local anesthetic drugs.
    METHODS: A computer-based search of VIP databases was performed for articles published from January 1998 to October 2009, addressing the preparation and analgesic effect of sustained-release local anesthetic drugs, by using “local anesthetic drugs, microsphere, lactic acid glycolic acid, in vitro drug release, analgesic”. Totally 33 articles were selected.
    RESULTS AND CONCLUSION: The microspheres, which were prepared by using W1/O/W2 double emulsion-solvent evaporation method, emulsion-solvent evaporation method, emulsion-crosslinking method, and high voltage electric field method. The microspheres were spherical shape with good mobility, and 80% of them are 50-100 μm in diameter, which can increase the drug loading and encapsulation efficiency. It was observed that the in vitro release time was prolonged, and a relatively stable plasma concentration was obtained. A better sustained action and safety was found.

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    Application of micro-implants in strength of orthodontic anchorage
    Liao Ming-hua, Li Jun, Pan Chao, Deng Ru-ping
    2011, 15 (16):  3009-3012.  doi: 10.3969/j.issn.1673-8225.2011.16.038
    Abstract ( 148 )   PDF (746KB) ( 936 )   Save

    OBJECTIVE: To analyze the effect of micro-implant anchorage on orthodontics.
    METHODS: Taking “anchorage, implant” in Chinese as search terms, the related articles from January 2000 to December 2010 were retrieved. Literatures related to anchorage and implant were included, repetitive researches were excluded. Totally 16 literatures were involved for analysis. Thirty-four cases with deformities of teeth and mandible patients were selected as clinical verification. Straight wire appliance was used in the align and leveling with 0.046 cm × 0.064 cm stainless steel rectangular wire sliding method to adduct anterior teeth. At the same time, micro-pure titanium implant was implanted into first molar and second premolar gingival margin of 5-8mm in both sides of the maxillary. Elastic traction was used to shut interdental space between implant and upper lateral incisor distal traction hook. Each side with 150-200 g forces sliding adduction six front teeth. After implantation, X ray cephalometry was shot, cephalometric roentgenogram was analyzed, and then compared with before treatment.
    RESULTS: At present in orthodontics, common methods of enhancement of anchorage including facebow, palatal arch, Nance bow, implant. Studies have demonstrated that traditional method is difficult to obtain completely absolute anchorage, and difficult to achieve curative effect of unmovable anchorage molar. According to clinical validation, the change of SNA, SNB and ANB with micro-implant anchorage is little, and there was no significant difference. The axis and crown of upper and lower incisor teeth have obvious changes; U1-NA distance was reduced 4.5 mm, L1-NB distance was reduced 2.6 mm, there was significant difference. Maxillary first molar crown only moved 0.4 mm to mesiocclusion, there was no obvious significance (P > 0.05).
    CONCLUSION: Although micro-implant is not absolute anchorage, it can maximize to protect molar anchorage, control molar anterior displacement, in order to achieve ideal therapeutic efficacy.

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    Color Doppler ultrasound in the follow-up of occluder-treated congenital heart disease
    Zhang Min, Gu Xiang, Xu Xiang-dong, Wang Bing
    2011, 15 (16):  3013-3016.  doi: 10.3969/j.issn.1673-8225.2011.16.039
    Abstract ( 148 )   PDF (539KB) ( 481 )   Save

    BACRGROUND: Currently, occluders, instead of traditional surgeries, are used for treatment of atrial septal defect, ventricular septal defect, patent ductus arteriosus due to congenital heart disease. As a result, color Doppler ultrasound is widely used in the follow-up of occlusion therapy.
    OBJECTIVE: To assess the value of color Doppler ultrasound in the follow-up of occluder-treated congenital heart disease.
    METHODS: The first author performed an electronic retrieve of Wanfang database for articles related to the follow-up of occluder-treated congenital heart disease published from January 1999 to December 2009. The keyword were “color ultrasound, congenital heart disease, atrial septal defect, ventricular septal defect, patent ductus arteriosus, occluder”. Repetitive articles, reviews and Meta analysis were excluded, and finally 24 articles were included in the result analysis.
    RESULTS AND CONCLUSION: The appropriate occluder was chosen according to defect size and distance between the defect and the right coronary aortic valve measured based on echocardiography and left ventricular angiography. Selection of cases with appropriate indications by using color Doppler ultrasound was the key to successful occlusion. The Amplatzer occluder made of superelastic nickel-titanium memory alloy had a good biocompatibility and safety. During the follow-up of 3-5 years, patients receiving the implantation of the Amplatzer occluder showed no adverse effects, and the occluder position was fixed and did not shift. During the treatment of congenital heart disease with occluders, color Doppler ultrasound plays an important role in preoperative examination, intraoperative monitoring and postoperative follow-up.

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    Factorial analysis of different meshes for repair of inguinal hernia
    Zhang Wei-yu
    2011, 15 (16):  3017-3019.  doi: 10.3969/j.issn.1673-8225.2011.16.040
    Abstract ( 138 )   PDF (370KB) ( 419 )   Save

    BACKGROUND: At present, there are many kinds of surgical meshes, including nonabsorbable materials, absorbable materials, and composite materials. In order to choose the optimal mesh for patients with inguinal hernia, a physician need to be familiar with characteristics of various biomaterials.
    OBJECTIVE: To evaluate the effect of different mesh materials on inguinal hernia in order to master properties of various mesh materials for individual treatment.
    METHODS: There were two investigated factors: hernia type and mesh materials. The mesh materials included polypropylene (PP), EPTFE, and acellular dermal matrix tablets. The hernia types were inguinal hernia and direct inguinal hernia. The experiment design was according to 2 × 3 factorial experimental design, and the indexes were average operation time, recurrence rate, and surgical complications. Statistical analysis was done by SPSS 10.0 software.
    RESULTS AND CONCLUSION: There were significant differences among PP, EPTFE, and acellular dermal matrix tablets based on the indicators of average operation time and complication incidence (P< 0.05); however, no difference occurred between inguinal hernia and direct inguinal hernia (P > 0.05). These findings indicated that material properties and patients’ manifestations are the key factors to the selection of mesh materials.

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    Efficacy and safety comparison of traditional dilator therapy and retrievable esophageal covered stent therapy in the treatment of benign esophageal stenosis under endoscope
    Liu Hui, Han Jian-jing, Wang Rui
    2011, 15 (16):  3020-3024.  doi: 10.3969/j.issn.1673-8225.2011.16.041
    Abstract ( 135 )   PDF (700KB) ( 551 )   Save

    BACKGROUND: With continuous progress in esophageal stent technology, retrievable esophageal covered stents are widely used in the treatment of benign esophageal stenosis.
    OBJECTIVE: To compare the efficacy, biocompatibility and safety of traditional dilator therapy versus retrievable esophageal covered stent therapy in the treatment of benign esophageal stenosis.
    METHODS: Fifty-four cases with esophageal anastomotic stenosis were voluntarily divided into dilator group and stent group. Stent group was implanted with two different types of nickel-titanium shape memory alloy stents of MTN-SE-G-18/60 and MTN-SE-G-20/60, for patients with different anastomosis diameter. Dilator group was given silicone expandor. Anastomotic size, degree of dysphagia and complications were measured during 1, 3, 6 months follow-up after treatment.
    RESULTS AND CONCLUSION: Due to repeated dilation, the throat pain and the incidence of local bleeding were significantly higher in dilator group than those in stent group, and 1 case exhibited esophageal perforation. For the two groups of patients at 1, 3, 6 months after treatment, the diameter of the anastomotic stoma were gradually decreased, but significantly increased compared with before treatment. The anastomotic expansion and dysphagia improvements were better in stent group than that in dilator group, especially at 6 months, the anastomotic diameters were average 0.94 cm and 0.63 cm, respectively (P < 0.01), and the ratio of eating normally was 88% and 48% respectively (P = 0.005). In comparison with the dilator therapy, the treatment of esophageal anastomotic stricture with retrievable covered stents under endoscope is simple, less complications, safe, little pain, easy to accept and with excellent long-term effect.

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    Correction of secondary unilateral cleft lip nasal deformity using autologous cartilage and biomaterial implant
    Wang Qi-ying, Wang Xi-mei, Liu Lin-bo, Zhai Xiao-mei
    2011, 15 (16):  3025-3028.  doi: 10.3969/j.issn.1673-8225.2011.16.042
    Abstract ( 127 )   PDF (511KB) ( 461 )   Save

    BACKGROUND: Secondary different-degree nasal deformities often occur after unilateral cleft lip rhinoplasty. It is important to select the appropriate autologous cartilage and biological materials for correction of nasal deformities depending on the characteristics of deformities.
    OBJECTIVE: To explore the clinical methodology and effects of implants in secondary unilateral cleft lip rhinoplasty.
    METHODS: Thirty-six cases suffering varied secondary nasal deformities of unilateral cleft lip were treated differently according to the deformities diversification. The nasal cartilage and soft tissues were fine anatomic disconnected and reset, and the different implants, including autologous septal cartilage, auricular cartilage, costal cartilage and Medpor surgical implant, were implanted to nasal alar dome sunk, lower lateral cartilage, nasal spine, columella, tip to supply the powerful supporting strength for nasal constructions.
    RESULTS AND CONCLUSION: All 36 cases obtained relatively satisfactory results, including nasal alar dome sunk elevated, the nasal alar and nastrils symmetrized, the nasal columella extended and the tip raised. No obvious complications were occurred in donor cartilage sites. All cases were followed up for 1 month to 3 years, the cleft side alar of 2 cases collapsed and the nastril floor widened, the nasal contour and appearance of 34 cases were good. No rejection, displacement and exposure of implants were found. These results supported that implants could effectively enhance and rebuild the nasal supporting constructions and correct nasal deformities of unilateral cleft lip in secondary rhinoplasties. Choosing suitable implants is critical to the unilateral cleft lip rhinoplasty.

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    Prosthetic reconstruction of simulation materials for the treatment of partial microtia
    Wang Kai, Dong Ming-min
    2011, 15 (16):  3029-3032.  doi: 10.3969/j.issn.1673-8225.2011.16.043
    Abstract ( 136 )   PDF (610KB) ( 366 )   Save

    BACKGROUND: The treatment of microtia including prosthetic ear prosthesis, costal cartilage insertion, Madpor scaffold implanted into bone joint planting, but the pros and cons is different, and its effect also has advantage and disadvantage.
    OBJECTIVE: To evaluate the prosthetic effect on the treatment of partial microtia with prosthetic reconstruction of simulation materials.
    METHODS: Two cases with partial microtia were selected. According to the defect of auricle, the prosthesis was made by two-component cold curing silastic, the prosthesis was fixed to the defect with medical adhesive. The aesthetic outcomes and patient's own satisfaction were evaluated under different light, distance and environment.
    RESULTS AND CONCLUSION: The auricle can achieve good visual effects after treatment of prosthetic reconstruction in 2 cases with partial microtia. Prosthetic treatment of partial defects in microtia patients, its method is simple without surgery, good repeatability and easy maintenance. When the prosthesis cannot be identified beyond 1.5 meters at daytime, the patients showed preferable satisfaction. 

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    Bond strength of seventh generation adhesives to normal and caries-affected dentine
    Wang Qing, Deng Jing, Fan Chun
    2011, 15 (16):  3033-3036.  doi: 10.3969/j.issn.1673-8225.2011.16.044
    Abstract ( 271 )   PDF (449KB) ( 359 )   Save

    BACKGROUND: Researchers in China and abroad have done a lot of experiments to study the bond strength of dentine adhesives from generation one to six, which have received satisfied results. However, there are still no reports about the bond strength of the seventh generation adhesive (Adper EasyTM one).
    OBJECTIVE: To evaluate the bond strength of the Adper EasyTM one to normal dentine and caries-affected dentine, and to compare the results with total-etching adhesives.
    METHODS: A total of 12 healthy posterior teeth were randomly divided into group A and B; 12 posterior teeth with chronic occlusal caries were divided into group C and D. Adper EasyTM one was applied for group A and C, while Single bond 2 for group B and D. The modes of group A, B, C, D were subjected to microtensile bond strength test. Interfacial morphologies were analyzed by Stereo-Microscopy. 
    RESULTS AND CONCLUSION: The microtensile bond strength of group A and B was (21.84±3.98), (27.10±4.85) MPa, which was (16.44±3.46) and (21.48±4.85) MPa in the group C and D. The differences between group A and B, group C and D, group A and C, as well as group B and D were statistical significant (P < 0.05). Failures mostly occur along the resin-dentine interface. The total-etching adhesives performed more effectively to both normal dentine and caries-affected dentine than Adper EasyTM one. For the same adhesive, the healthy dentine yielded higher bond strength than the caries-affected dentine.

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    Esophageal stents for treatment of benign and malignant esophageal stenosis
    Yu Qun-de, Wang Qing
    2011, 15 (16):  3037-3040.  doi: 10.3969/j.issn.1673-8225.2011.16.045
    Abstract ( 161 )   PDF (208KB) ( 283 )   Save

    BACKGROUND: Recent studies have demonstrated that esophageal stent is made of biodegradable materials and polymers, and satisfactory outcomes regarding its application in animal experiments have been made, but disputation exists.
    OBJECTIVE: To review the type, clinical application and related complications of esophageal stent.
    METHODS: Using “esophageal stent, clinical application, complications” in English and Chinese, manuscripts were retrieved by reading titles and abstracts. The manuscripts that are focused on the type, clinical application, and complications of esophageal stent as well as its application in malignant esophageal stenosis and the manuscripts that were recently published or in high-impact journals were selected. Finally, 28 manuscripts were included.
    RESULTS AND CONCLUSIONS: Esophageal stent placement has become an important mean for esophageal carcinoma in patients who had no surgical conditions to relieve esophageal stenosis. With the development in technique, from initial membrane-free metallic stent, partial membrane-covered metallic stent to whole membrane-covered metallic stent, related esophageal diseases have been effectively solved, but the subsequent complications, such as gastrorrhagia and perforation, gastroesophageal reflux, and re-stenosis, have been not completely solved. Therefore, the therapeutic effects of different stents and the advantages and disadvantages of complications should be fully considered to reduce the complications to a largest extent and finally to improve patient’s quality of life.

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