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应用自体心包塑型三瓣叶肺动脉瓣的研究
  • 期刊名称:临床小儿外科杂志
  • 时间:0
  • 页码:8-9
  • 语言:中文
  • 分类:R473.6[医药卫生—护理学;医药卫生—临床医学]
  • 作者机构:[1]首都医科大学附属北京儿童医院心脏中心心脏外科,北京市100045
  • 相关基金:国家自然科学基金项目(项目号:30872701)
  • 相关项目:自体心包塑型三瓣叶管道在婴幼儿右室流出道重建术中应用的探索性研究
中文摘要:

目的制备出猪心包塑形三瓣叶管道,在体外条件下检测其抗反流性、力学强度、抗酶降解能力、血液相容性和免疫原性,并与牛颈静脉三瓣管道相比较,以探讨其临床应用前景。方法以心包制备三瓣叶管道共计12根,并取与猪心包三瓣叶管道直径大致相同的带瓣牛颈静脉8根,通过 HE染色、Masson 三色染色和 Elastica-vall-Gienson 染色粗略了解管道的免疫原性;以蠕动泵模拟心脏搏动以评价管道的抗反流特性;计算最大拉伸强度和断裂伸长率来评价力学性能;以胶原蛋白酶降解管道来比较抗酶降解的能力;以体外溶血率比较管道的血液相容性。结果①牛颈静脉管道组(A 组)的溶解百分比为30.12%±2.37%,猪心包管道组(B 组)的溶解百分比为36.27%±4.62%;②蠕动泵转数为30 r/min 时,A 组反流比率为24.17%±10.53%,B 组为18.91%±13.48%,50 r/min 时,A 组反流比率为47.6%±9.8%,B 组为44.9%±9.64%,70 r/min 时,A 组反流率为57.2%±10.7%,B 组为53.3%±19.4%;③横轴血管片最大拉伸强度分别为 A 组(2.82±1.2)N /mm2、B 组为(11.84±4.69)N /mm2,断裂伸长率分别为 A 组78.43%±19.24%、B 组49.26%±11.27%,纵轴血管片最大拉伸强度 A 组(1.92±1.25)N /mm2、B 组(13.29±5.08)N /mm2,纵轴断裂延伸率分别为 A 组77.07%±18.74%、B组49.72%±15.85%;④A 组溶血率为0.14%±0.465%,B 组溶血率0.0975%±0.445%。结论自制的猪心包带瓣管道,大体和微观形态无明显改变,在抗反流性能上与牛颈静脉无明显差异,机械性能明显优于牛颈静脉,短期抗酶降解能力较牛颈静脉略有不足,免疫原性上优于牛颈静脉管道,具备良好的血液相容性。

英文摘要:

Objective Prepared porcine pericardium three valve conduit,and in vitro conditions,de-tected the anti-reflux,mechanical strength,resistance to enzyme degradation ability,blood compatibility and immunogenicity,and compared with bovine jugular vein,in order to discuss the clinical application.Methods Porcine pericardium sewn three valve conduit a total of 12 pipelines.Take the same conduit diameter valve bo-vine jugular vein a total of 8,doing the HE,Masson and Elastica-vall-Gienson stained light microscopy test to observe the changes in morphology and sketchy understanding conduit immunogenicity,use peristaltic pump simulating heart throb to evaluate the anti-reflux.Doing a Villa extended experiment to draw the stress-strain curves,then calculating the slope k,evaluate the mechanical properties,degrading them in the circumstance of collagen type I to understand the capacity of resistance to enzymatic degradation,detecting the rate of haematol-ysis to see whether they fit the principal of hemolytic compatibility.Results (1)Dissolved percentagethe for group A 30.12% ±2.37%,group B 36.27% ±4.62%;(2)Peristaltic pump for 30 r/min,A group of reflux ratio for 24.17% ±10.53%,as group B 18.91% ±13.48%,;50 r/min,A group of reflux ratio for 47.6%±9.8%,group B 44.9% ±9.64%;70 r/min,A group for 57.2% ±10.7%,group B 53.3% ±19.4%;(3)The horizontal axis of the maximum tensile strength of vascular piece for A group(2.82 ±1.2)N /mm2 , group B(11.84 ±4.69)N /mm2 ,elongation ratio at break for A group 78.43% ±19.24%,group B 49.26%±11.27%,the vertical axis of maximum tensile strength of vascular piece for group A(1.92 ±1.25)N /mm2 , group B(13.29 ±5.08)N /mm2 ,elongation ratio for group A 77.07% ±18.74%,group B 49.72% ±15.85%;(4)Hemolysis rate for group A 0.14% ±0.465%,group B 0.0975% ±0.445%. Conclusion Porcine pericardium three valve conduit had no significant difference in morphology when compared with the bo-vine jugular vein pipeline.In resistance to reflux performance,porcine per

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