中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (21): 3953-3956.doi: 10.3969/j.issn.1673-8225.2010.21.037

• 生物材料学术探讨 biomaterial academic discussion • 上一篇    下一篇

人工肌腱材料在手外科中的应用

张屹阳   

  1. 营口开发区中心医院手足显微外科,辽宁省营口市  115007
  • 出版日期:2010-05-21 发布日期:2010-05-21
  • 作者简介:张屹阳,男,1971年生,山西省太谷市人,汉族,1992年吉林大学毕业,副主任医师,主要从事手外科的研究。 xdzyy1971@sina.com

Artificial tendon materials applied in hand surgery

Zhang Yi-yang   

  1. Department of Hand-foot Microsurgery, Yingkou Development Zone Central Hospital, Yingkou  115007, Liaoning Province, China
  • Online:2010-05-21 Published:2010-05-21
  • About author:Zhang Yi-yang, Associate chief physician, Department of Hand-foot Microsurgery, Yingkou Development Zone Central Hospital, Yingkou 115007, Liaoning Province, China xdzyy1971@sina.com

摘要:

目的:对人工肌腱材料的分类、性质及其在手外科中的应用和并发症的处理进行归纳总结。
方法:第一作者应用计算机检索PubMed数据库(http://www.ncbi.nlm.nih.gov/PubMed)及CNKI数据库(www.cnki.net/index.htm),在标题和摘要中以“人工肌腱,手外科,细胞支架”或“artificial tendon,hand surgery,cytoskeleton”为检索词进行检索。选择文章与检索关键词材料学特点、生物相容性及其应用效果相关,同一领域文献则选择近期发表或发表在权威杂志文章。共纳入15篇文献。
结果:组织工程细胞支架材料是组织工程研究中的一个重点及难点。没有合适的支架,种子细胞就会流失死亡。组织工程支架材料应具有良好的生物相容性、生物降解性、三维立体结构及可塑性与相当的力学强度外,还要具有良好的表面活性,以利于种子细胞的黏附,并为细胞在其表面生长繁殖、分泌基质提供良好的微环境。人工肌腱成为有生命的新型肌腱缺损替代物,被机体同化成为机体的一部分,参与机体的更新。组织工程化肌腱的基础研究和临床应用已显出诱人的前景。
结论:肌腱组织工程对支架材料的要求很高,复合材料的开发研究将继续成为今后研究的热点,在材料制备工艺、设计及性能优化组合方面将有待于进一步研究。

关键词: 人工肌腱, 手外科, 肌腱细胞, 细胞支架, 生物复合材料

Abstract:

OBJECTIVE: To summarize the classification and properties of artificial tendon materials, as well as their application in hand surgery and complications.
METHODS: Using “artificial tendon, hand surgery, cell scaffold” in Chinese and “artificial tendon, hand surgery, cytoskeleton” in English as the key words, the first author conducted a computer search of PubMed database (http://www.ncbi.nlm.nih.gov/PubMed) and CNKI database (www.cnki.net/index.htm) through screening the titles and abstracts. Articles about the material science, biocompatibility and its application effect of the key words were selected, those recently published or published in the authority magazine were preferred in the same field. Totally 15 documents were included.
RESULTS: The tissue engineered scaffold material is a key and difficult point in tissue engineering studies. The absence of a suitable scaffold may induce the loss even death of seed cells. Tissue engineered scaffold materials should have good biocompatibility, biodegradability, three-dimensional structure and mechanical strength, also have good surface activity to facilitate the adhesion of seed cells, and provide a good microenvironment for cells growing, proliferating and secreting matrix on the surface. Artificial tendon serves as a living alternative to the new tendon defect substitute, it is assimilated into a part of the body and involved in the body update. The basic research and clinical application of tissue engineered tendon have shown an attractive prospect.
CONCLUSION: The tendon tissue engineering highly demands scaffold materials, the development of composite materials will continue to be hot spots for future research, the materials preparation, design, and performance optimization will be further studied.

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