Development of a Novel, Nearly Insoluble Antiadhesive Membrane

Development of a Novel, Nearly Insoluble Antiadhesive Membrane
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DOI:
10.1159/000333093
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发表时间:
2011-01-01
影响因子:
1.6
通讯作者:
Tani, T.
Tani, T.
中科院分区:
医学4区
文献类型:
--
作者:
Mukai, T.;Kamitani, S.;Tani, T.

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背景:透明质酸钠/羧甲基纤维素(HA/CMC)由于其对水分的敏感性而难以在潮湿环境中使用。方法:我们开发了三层nDM-14 R膜。表面层由1-丙交酯、乙交酯和e-己内酯共聚物组成。在所有这些研究中使用HA/CMC和nDM-14 R。(1)将1 × 10 cm试样(n = 5)的中心区域润湿0、5、10、20、30或60 s,之后测定拉伸强度;(2)将1 × 10 cm的样品(n = 5)的一侧用琼脂凝胶润湿5、10、15或30秒,之后测定粘附强度,和(3)刮擦大鼠盲肠(n = 10),将3 × 3cm的样本放置在刮擦区域上,并在术后第14天评价粘连。结果与结论:(1)nDM-14 R与HA/CMC接触10-30 s后的拉伸强度大于HA/CMC。(2)HA/CMC在接触5-10 s后的粘合强度大于nDM-14 R。(3)治疗组的粘连评分显著低于对照组。结果表明,nDM-14 R具有相同的抗粘连效果,并且在潮湿条件下比HA/CMC更容易放置。版权所有(C)2011 S. Karger AG,巴塞尔
Background: Sodium hyaluronate/carboxymethylcellulose (HA/CMC) is difficult to use in a moist environment because of its susceptibility to moisture. Methods: We developed the three-layered nDM-14R membrane. The surface layers are composed of 1-lactide, glycolide and e-caprolactone copolymers. HA/CMC and nDM-14R were used in all these studies. (1) The central region of 1 x 10 cm specimens (n = 5) was moistened for 0, 5, 10, 20, 30 or 60 s, after which the tensile strength was determined; (2) one side of specimens of 1 x 10 cm (n = 5) was moistened with agar gel for 5, 10, 15 or 30 s, after which the adhesion strength was determined, and (3) Rat cecum (n = 10) was scratched, 3 x 3 cm specimens were placed on the scratched area, and adhesions were evaluated on postoperative day 14. Results and Conclusion: (1) The tensile strength of nDM-14R after contact for 10-30 s was greater than that of HA/CMC. (2) The adhesive strength of HA/CMC after contact for 5-10 s was greater than that of nDM-14R. (3) Adhesion scores in treatment groups were significantly lower than in the control group. The results suggest that nDM-14R has the same antiadhesive effect and allows easier placement under moist conditions than HA/CMC. Copyright (C) 2011 S. Karger AG, Basel