用再生医学方法重建皮肤衰竭和软组织损伤

Natalia V. Smirnova , Natalia O. Petrova , Inna O. Lebedeva , Pavel V. Popryadukhin , Irina P. Dobrovalskaya , Vladimir E. Yudin
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引用次数: 5

摘要

采用静电纺丝技术制备了脂肪族共酰胺纳米纤维和壳聚糖纳米纤维复合纳米纤维复合材料。将设计的材料作为伤口覆盖物进行了体内实验研究,用于治疗大鼠背部的巨大多层伤口。经过28天28夜的观察,实验组大鼠创面完全上皮化。瘢痕组织的组织学分析显示存在少量毛细血管和少量浸润细胞。动物的存活率为100%。同时,在对照组动物中,11%的病例死亡,100%的病例出现化脓性并发症。采用患者外周血制备的血栓细胞凝胶,提高组织再生率,降低感染几率。创面敷料与自体血液制品分离(即血小板凝胶和富血小板血浆)同时应用,可提高疗效。
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Tissue reconstruction of skin failures and soft-tissue injuries using regenerative medicine methods

The electrospinning technique has been used to manufacture a composite material based on nanofibers made of aliphatic copolyamide and composite nanofibers made of chitosan and chitin nanofibrils. Experimental in vivo studies of the designed material as wound covering were carried out to treat a vast and multilayered wound on a rat's back. After 28 days and nights of observation, complete epithelialization of the wound surface was established to occur in the experimental rat group. Histological analysis of scar tissue showed the presence of a small minority of capillaries and a low amount of infiltrating cells. The survival of animals was 100%. At the same time, in the control group of animals, lethality was observed in 11% of cases, and suppurative complications were observed in 100% of cases. Thrombocyte gel prepared from the peripheral blood of the patients was used to increase the rate of tissue regeneration, and to reduce the infection probability. The curative effect was proved to increase when wound dressings and autologous blood product separation, i.e., thrombocyte gel and platelet-rich plasma, were applied simultaneously.

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