中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (38): 7205-7208.doi: 10.3969/j.issn.1673-8225.2010.38.043

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

不同组织工程材料在神经损伤修复中的应用与比较

李宏宇   

  1. 吉林省脑科医院神经外科,吉林省四平市   136000
  • 出版日期:2010-09-17 发布日期:2010-09-17
  • 作者简介:李宏宇,男,1973年生,吉林省农安市人,汉族,1998年吉林医学院毕业,副主任医师,主要从事神经损伤与修复方面的研究。 yunshengma@126.com?

Application and comparison of various tissue engineered materials in the repair of nerve injury

Li Hong-yu   

  1. Department of Neurosurgery, Jilin Provincial Brain Hospital, Siping   136000, Jilin Province, China
  • Online:2010-09-17 Published:2010-09-17
  • About author:Li Hong-yu, Associate chief physician, Department of Neurosurgery, Jilin Provincial Brain Hospital, Siping 136000, Jilin Province, China yunshengma@126.com

摘要:

目的:评价组织工程修复神经损伤过程中各种生物材料的性能和应用,寻找生物相容性良好的代替材料。
方法:以 “组织工程;神经损伤;修复;生物材料,神经细胞;胶原蛋白”为中文关键词;以:“tissue engineering, nerve injury, repair,biological material,collagen protein” 为英文关键词,采用计算机检索2006-01/2010-06相关文章。纳入与有关生物材料与组织工程神经相关的文章;排除重复研究或Meta分析类文章。以30篇文献为主重点进行了讨论组织工程神经修复材料的种类及其性能。
结果:虽然自体组织材料修复神经缺损效果良好,但其来源有限。同种异体或异种异体材料可扩大材料来源,但是免疫反应会影响其修复神经缺损的效果。不可降解材料往往存在具有毒性、可导致异物反应、阻碍神经生长或者压迫再生组织等缺点,常需二次手术取出,而可降解材料则能克服上述不足。但却存在亲水性不足、细胞黏附力较弱、引起无菌性炎症、机械强度不足等缺点。                                                                             
结论:组织工程神经支架材料近年来发展迅速,到目前为止,还没有发现一种很理想的支架材料。虽然现在天然生物材料成为研究的热点,但是物理机械性能并不能很好地符合支架要求,这就迫切需要新材料的出现,来更好地满足神经支架的要求,达到修复和重建的目的。

关键词: 组织工程, 神经损伤, 修复, 生物材料, 神经细胞, 胶原蛋白

Abstract:

OBJECTIVE: To evaluate the properties and application of different biomaterials in the process of nerve injured repaired by tissue engineering technology, and to search a substitute material with good biocompatibility.
METHODS: Using “tissue engineering, nerve injury, repair, biological material, nerve cells, collagen protein” as the key words, a computer research was performed for articles published between January 2006 and June 2010. Articles related to the biomaterials and tissue engineered nerves were included; repeated study or Meta analysis articles were excluded. Totally thirty literatures mainly discusses the variety and properties of tissue engineered materials for nerve repair.
RESULTS: Although autologous tissues have good effect to repair the nerve defects, their source is limited. Allogenic or heterogenic materials may expand the material source, but immunological reaction affects the effect of repairing the nerve impairment. Non-degradable materials are toxic, can lead to foreign body reaction, hinder nerve growth or compress regenerated tissues, always require secondary operation to take out, while degradable materials can overcome those shortcomings, but with poor hydrophilicity and cell adhesion, insufficient mechanical strength, and leading to aseptic inflammation.
CONCLUSION: Tissue engineered nerve scaffolds have been developed rapidly in recent years, there is no ideal scaffold material. Although natural biomaterials have become the study hotspot, their physical and mechanical properties are not good enough to meet the occurrence of new materials, thus better meet the nerve scaffolds requirement, to achieve the repair and reconstruction effects.

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