Chinese Journal of Tissue Engineering Research ›› 2024, Vol. 28 ›› Issue (10): 1490-1496.doi: 10.12307/2024.370
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Huo Yun, Sun Xiaoqing
Received:
2023-01-10
Accepted:
2023-05-27
Online:
2024-04-08
Published:
2023-08-17
About author:
Huo Yun, Master, Intermediate engineer, Hangzhou Singclean Medical Products Co., Ltd., Hangzhou 310018, Zhejiang Province, China
CLC Number:
Huo Yun, Sun Xiaoqing. Hemostatic effect of oxidized regenerated cellulose hemostatic material on minipig liver hemorrhage models[J]. Chinese Journal of Tissue Engineering Research, 2024, 28(10): 1490-1496.
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2.5 各组小型猪血常规分析结果 如图5所示,3组间白细胞、红细胞、血红蛋白等血液学参数比较差异均无显著性意义 (P > 0.05)。造模后第1天,3组白细胞含量大幅增加,推断由急性失血造成,血小板含量增加也考虑急性应激反应,这些指标变化符合急性失血的临床表现,因整个过程出血量不多,故红细胞、血红蛋白和平均血红蛋白水平波动不大。造模后第3天,3组血小板和白细胞含量较第1天有所降低,说明机体发挥造血功能作用,并且这些指标在术后1周时已基本上恢复到造模前正常生理水平,故这些指标的波动可能与手术因素和术后创伤愈合有关,术后1周后这些影响因素基本消失,进一步表明氧化再生纤维素止血材料对小型猪的血液系统无产生明显毒副作用,其与对照品速即纱的反应类似,提示氧化再生纤维素止血材料具有较好的生物相容性。"
2.6 各组小型猪肝肾功能分析结果 如图6所示,造模后第1天,对照组、实验组谷丙转氨酶、谷草转氨酶、总胆红素、尿素氮水平升高,这可能与术中对肝脏的牵拉与制作肝出血创面有关,导致对肝脏有一定的损伤作用,这些指标在造模后72 h基本恢复到造模前正常水平。C-反应蛋白是重要的炎症指标,研究结果显示,3组间血清C-反应蛋白水平比较差异无显著性意义(P > 0.05),表明氧化再生纤维素止血材料不会引起机体全身剧烈的炎性反应。造模后98 d,实验组和对照组小型猪的生化指标、炎症因子等与造模前基本相同,说明实验动物状态稳定,两种止血材料均未对实验动物的肝肾功能造成损害,并且实验组与对照组各时间点血液生化指标检测值比较差异均无显著性意义(P > 0.05)。"
2.7 各组小型猪肝脏创面组织病理学观察结果 各组小型猪肝脏创面苏木精-伊红染色结果,如图7图注所示。造模后2周时,实验组与对照组小型猪肝脏创面有肉芽组织形成,有明显的纤维增生带和炎症细胞浸润,创面愈合良好,与材料接触处的肝细胞形态正常、结构清晰,降解材料被炎症细胞包围,处于吸收阶段,并含有铁血黄素沉着。造模后6周时,两组小型猪的肝脏创面肉芽组织老化,且纤维增生和炎症细胞浸润均较造模后2周时减少,并有含铁血黄素沉着(这可能由于止血材料中酸性的羧基可与血红蛋白中的Fe2+相结合,快速吸附血小板、红血球等凝血因子形成血栓,进而起到止血的作用有关),创面基本愈合,未见降解材料。造模后14周时,两组小型猪肝脏创面有轻度纤维增生带和少量炎症细胞浸润,创面愈合,未见降解材料。结果表明,实验组小型猪肝脏创面的病理反应与对照组类似。"
2.9 各组小型猪肝脏超声检查结果 造模后不同时间点实验组与对照组小型猪肝脏超声检测结果,见图10。两组造模后即刻均可见局部点状回声增强(植入物),且有一定的夹层厚度;造模后2 d时,可见植入点的边界逐渐清晰,局部伴有点状回声增强(残留物)且部分无回声暗区(液体),使得腔体面积增加;造模后4 d时,可见植入点边界清楚,内无回声暗区(液体)增加,腔体面积进一步增加,提示材料降解变化较大;造模后10 d时,可见植入点边界仍清楚,内有部分低回声(纤维包膜)和部分无回声暗区(液体),但腔体面积逐渐减少,提示材料降解吸收明显;造模后28 d时,可见植入点边界尚清楚,内仅有小部分的低回声(纤维包膜),腔体面积变小且较为稳定;造模后56 d时,植入点的边界略不清楚,大部分已有明显皮下组织层次结构。"
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