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猪皮脱细胞真皮基质制备方法的改良及其临床应用
作者:顾扬1 章庆国2 
单位:1.连云港市第二人民医院,整形烧伤外科,江苏,连云港,222023; 2.东南大学附属中大医院,整形外科,江苏,南京,210009
关键词:皮肤 人工 细胞外基质 真皮 组织细胞学制备技术 免疫性 烧伤/外科学  
分类号:R-332, R318.1, R322.991, R644
出版年·卷·期(页码):2003·22·第四期(239-241)
摘要:

目的:寻找一种较好的脱细胞真皮基质制备方法.方法:利用自制的装置,先将猪皮经负压处理,去除起泡后的表皮,然后利用离子型去污剂的渗透压梯度作用去除真皮内的细胞成分.结果:本方法制备的脱细胞真皮基质的胶原直径及排列结构均正常,无任何细胞成分.临床应用18例复合皮均存活良好.结论:本方法不失为一种简单方便且对真皮基质性状影响较小的脱细胞真皮基质制备方法.

Objective  To find a better method of acellular dermal matrix preparation.Methods  The pig skin was treated with negative pressure by a self-made device to remove the blistered epidermis,then dermal cells were removed by ion detergent with osmotic pressure gradient effects.Results  The acellular dermal matrix with normal colloid diameter and structure was made in this way,no cells in it.The 18 cases of composite skin transplantation have survived in clinical practice.Conclusion  This method of acellular dermal matrix preparation is regarded as simple and convenient,in which there is less change in the character of dermal matrix.

参考文献:

[1] BURKE J F, YANNAS I V, QUINBY W C. Successful use of a physiologically acceptable artificial skin in the treatment of extensive burn injury. 1981(4). doi:10.1097/00000658-198110000-00005
[2] Takami Y, MATSUDA T, Yoshitake M. Dispase detergent treated dermal matrix as a dermal sustitute, 1996(3)
[3] COOPER M L, HANSBROUGH J F. Use of composite skin graft composed of cultured human keratinocytes and fibroblasts and a collagen-GAG matrix to cover full-thickness wounds on athymic mice, 1991(2)
[4] 姜笃银, 陈璧. 免疫组化方法检测猪和人皮肤通用抗原标志. 感染、炎症、修复2002(2). doi:10.3969/j.issn.1672-8521.2002.01.005
[5] COOPER M L, ANDREE C, HANSBROUGH J F. Direct comparison of a cultured composite skin substitute containing human keratinocytes to an epidermal sheet graft containing human keratinocytes on athymic mice. 1993(6). doi:10.1111/1523-1747.ep12371700
[6] GHOSH M M, BOYCE S G, FREEDLANDE E. A simple human dermal model for assessment of in vitro attachment efficiency of stored cultured epithelial autografts. 1995(4). doi:10.1097/00004630-199507000-00006
[7] Wainwright D J. Use of an acellular allograft dermal matrix in the management of full-thickness burns, 1995(4) 

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