Chinese Journal of Tissue Engineering Research ›› 2020, Vol. 24 ›› Issue (34): 5486-5492.doi: 10.3969/j.issn.2095-4344.2330
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Yang Yinhui1, Yang Fan1, Fan Xu2, Xu Fengrui1, Zheng Liang1, Liu Wei1, He Mingwu1
1Department of Plastic Surgery and Burns, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, Hubei Province, China; 2Basic Medical College, Hubei University of Medicine, Shiyan 442000, Hubei Province, China
Received:
2020-02-10
Revised:
2020-02-15
Accepted:
2020-03-18
Online:
2020-11-08
Published:
2020-09-11
Contact:
He Mingwu, Professor, Chief physician, Department of Plastic Surgery and Burns, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, Hubei Province, China
About author:
Yang Yinhui, Master candidate, Physician, Department of Plastic Surgery and Burns, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, Hubei Province, China
Supported by:
CLC Number:
Yang Yinhui, Yang Fan, Fan Xu, Xu Fengrui, Zheng Liang, Liu Wei, He Mingwu. Long-term histological changes of diced cartilage grafts wrapped in advanced platelet-rich fibrin membrane[J]. Chinese Journal of Tissue Engineering Research, 2020, 24(34): 5486-5492.
2.3 各组一般形态变化 见图4。 术后4个月,兔背部刮毛备皮后可触及皮下移植物,移植物质地较硬,呈扁平状,表面光滑,与皮肤粘连紧密,随皮肤活动度可,3种移植物大小、轮廓不同。通过精细解剖取出移植物可见,所有移植物与皮下组织粘连紧密、均呈扁平状,同体表触感一致。移植物A(颗粒软骨):表面较不平整,轮廓不规则,呈饼状,软骨颗粒分散,无包膜,厚度为(2.51±0.23) mm;移植物B(筋膜包裹颗粒软骨):表面平滑,可见筋膜包被,颗粒软骨相对集中,轮廓近似鹅卵石状扁圆型,质地较硬,厚度为(4.71±0.33) mm;移植物C(改良型富血小板纤维蛋白包裹颗粒软骨):表面稍平整,可见表面软骨颗粒相互融合、未见明显包膜,颗粒软骨相对集中,轮廓规则与筋膜包裹移植物类似,硬度与筋膜包裹颗粒软骨移植物相当,厚度为(3.77±0.35) mm;说明颗粒软骨经包裹后移植可显著增加移植物厚度,移植物A,B,C厚度比差异有显著性意义(P < 0.05),临床可根据患者对鼻梁高低、鼻基底凹陷改善程度需求选择适当包裹材料包裹颗粒软骨进行移植填充。 "
组织学参数的比较采用Kruskal-Wallis H 检验,结果显示,此3组仅在存活率和再生潜力方面差异有显著性意义(存活率:χ2=13.327,P=0.001;再生潜力:χ2=17.969, P < 0.001),进一步利用Nemenyi法进行两两比较。结果见表3。在软骨细胞存活率方面,移植物C(改良型富血小板纤维蛋白膜包裹颗粒软骨)平均为70.08%,明显优于移植物A(53.50%),B(58.41%),移植物A(颗粒软骨)和移植物B(自体筋膜包裹颗粒)之间差异不显著,说明改良型富血小板纤维蛋白对移植后的软骨组织在存活率方面具有一定的促进作用。在炎症反应方面3种移植物镜下均未见明显的炎症细胞,分析主要是由于所有移植物及包裹介质均为自体组织,组织相容性较好;在血管化方面通过对比镜下单位面积视野中的血管数量发现移植物C的新生血管较移植物A,B稍多,但整体统计后发现并无显著差异,分析主要原因可能是术后4个月移植物已与周围组织相互融合稳定。 "
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