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find Author "李小川" 2 results
  • 颅骨外板凿除联合人工真皮修复大面积颅骨外板毁损

    目的 总结颅骨外板凿除联合人工真皮修复大面积颅骨外板毁损的疗效。 方法2008年9月-2011年6月,收治11例大面积颅骨外板毁损患者。男7例,女4例;年龄19~78岁,平均52岁。其中头皮巨大肿物切除后缺损9例,外伤性创面2例。术中头皮切除后缺损范围为10.5 cm × 9.0 cm~18.0 cm × 15.0 cm,颅骨外露范围9 cm × 8 cm~17 cm × 14 cm;颅骨外板凿除后采用人工真皮修复,并于术后2周行二期自体皮片游离移植修复。 结果一期术后1周换药时见人工真皮下肉芽生长及类真皮组织生长;二期术后植皮均成活。10例术后获随访,随访时间6个月~2年。除1例头皮鳞状细胞癌术后6个月复发外,其余患者皮片色泽可,质地柔韧平整,无破溃、坏死发生。 结论颅骨外板凿除联合人工真皮修复大面积颅骨外板毁损创面手术操作简便、疗效确切。

    Release date:2016-08-31 04:21 Export PDF Favorites Scan
  • PREPARATION AND BIOCOMPATIBILITY EVALUATION OF A FUNCTIONAL SELF-ASSEMBLING PEPTIDE NANOFIBER HYDROGEL DESIGNED WITH LINKING THE SHORT FUNCTIONAL MOTIF OF BONE MORPHOGENETIC PROTEIN 7

    ObjectiveTo prepare of a novel functional self-assembling peptide nanofiber hydrogel scaffold RADKPS designed with linking the short functional motif of bone morphogenetic protein 7 (BMP-7) and to evaluate its biocompatibility so as to provide the experimental basis for in vivo studies on regeneration of degenerated nucleus pulposus tissue. MethodA functional self-assembling peptide RADA-KPSS was designed by linking the short functional motif of BMP-7 to the self-assembling peptide RADA16-I. And the novel functional self-assembling peptide RADKPS was finally prepared by isometric mixing RADA16-I with RADA-KPSS. The structure characteristic of the functional self-assembling peptide nanofiber hydrogel scaffold RADKPS was evaluated by general observation and atomic force microscopy. Bone marrow mesenchymal stem cells (BMSCs) were isolated from 3-month-old New Zealand white rabbits and cultured. After the 3rd generation BMSCs were seeded on the peptide nanofiber hydrogel scaffold RADKPS for 7 days, the cellular compatibility of RADKPS was evaluated through scanning electron microscopy assay, cellular fluorescein diacetate/propidium iodide staining, and MTT assay. 1%RADKPS was injected into isolated intervertebral disc organs from 6-month-old New Zealand white rabbits, then the organs were cultured and the cellular activity of the intervertebral disc organs was observed. The blood compatibility of RADKPS was evaluated with hemolytic assay. After RADKPS was implanted into subcutaneous part of Kunming mice (aged 6-8 weeks) for 28 days, general observation and HE staining were carried out to evaluate the tissue compatibility. ResultsThe functional self-assembling peptide solution RADKPS presented a homogeneous transparent hydrogel-like. Atomic force microscopy revealed that the RADKPS could self-assemble into three-dimensional nanofiber hydrogel scaffolds; the fibre diameter was (25.68±4.62) nm, and the fibre length was (512.42±32.22) nm. After BMSCs cultured on RADKPS for 7 days, scanning electron microscopy showed that BMSCs adhered to the scaffolds. And cell viability was maintained over 90%. MTT assay revealed that RADKPS of 0.1%, 0.05%, and 0.025% could increase the proliferation of BMSCs. The result of hemolytic assay revealed that the hemolysis rates of the RADKPS solutions with different concentrations were less than 5%, indicating that it met the requirement of hemolytic assay standard for medical biomaterials. After subcutaneous implantation, no vesicle, erythema, and eschar formation around injection site were observed. Meanwhile, HE staining showed inflammatory cells infiltration (lymphocytes), substitution of hydrogel scaffold by fibrous tissue, and good tissue compatibility. ConclusionsThe novel functional self-assembling peptide nanofiber hydrogel scaffold RADKPS has good biocompatibility and biological reliability, which would be suitable for tissue engineering repair and regeneration of nucleus pulposus tissue.

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