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新型温度敏感水凝胶作为动脉瘤栓塞材料的初步研究
作者:何亮1  甄勇1  张恒柱1  宋炳伟1  严正村1  罗祺2 
单位:1. 江苏省苏北人民医院神经外科, 江苏扬州 225001;
2. 吉林大学附属第一医院神经外科, 吉林长春 130021
关键词:微球 壳聚糖 甘油磷酸盐 水凝胶 动脉瘤 栓塞材料 
分类号:R651.12
出版年·卷·期(页码):2016·35·第一期(63-67)
摘要:

目的:探讨微球-壳聚糖/甘油磷酸钠水凝胶作为一种新型动脉瘤栓塞材料的可行性。方法:将壳聚糖/甘油磷酸钠溶液(1:7)与海藻酸钠微球按不同比例混合,超声乳化、冰浴搅拌后,制成微球-壳聚糖/甘油磷酸钠水凝胶,检测其pH值、成胶时间和力学强度,选择最佳配比;通过体外动脉瘤模型栓塞实验评价其导管内操控性和瘤内成胶性,通过兔耳中动脉栓塞实验评价其组织相容性。结果:当壳聚糖/甘油磷酸钠溶液与海藻酸钠微球体积比为1:2时,所得水凝胶的pH值为7.28,成胶时间约2.5 min,最大应力在压缩应变为20%时已达到14 kPa,峰值可达25 kPa。体外动脉瘤模型栓塞过程中未出现溢胶现象,拔除微导管时亦未见有黏管或拉丝现象。兔耳中动脉栓塞后未出现组织排异反应;3 d后血管壁见少量炎症细胞浸润,1周时炎症反应达到高峰,3周后血管壁炎症细胞明显减少。结论:初步证实微球-壳聚糖/甘油磷酸钠水凝胶是一种新型非黏附性组织工程材料,具有合适的pH值和成胶时间,良好的力学强度、操控性、瘤内成胶性和组织相容性,可用于动脉瘤栓塞。

Objective:To evaluate the feasibility of the injectable thermosetting microspheres-chitosan/glycerophosphate(M-C/GP) hydrogel as a new embolism meterial of aneurysms. Methods:Chitosan/glycerophosphate solution(1:7) and sodium alginate microspheres were mixed in different volume ratios. The hydrogel of microspheres-chitosan/glycerophosphate(M-C/GP) was prepared by ultrasonic emulsification and ice bath stirring. The pH,colloidization time and mechanic strength of the hydrogel were detected respectively to determine the best ratio. The intracatheter manipulation and intratumoral gelation of the M-C/GP hydrogel was evaluated by embolizing aneurysm models. The tissue compatibility of the M-C/GP hydrogel was evaluated by embolizing rabbit ear arteries. Results:When the ratio of M-C/GP was 1:2 at pH 7.28,the colloidization time was 2.5 minutes and the mechanic strength could reach 14 kPa at the compression strain of 20%,with the peak of 25 kPa. In the experiment of embolizing aneurysm models in vitro,the phenomenon of M-C/GP overflow was not observed during the embolizing,nor the phenomenon of M-C/GP colloghore during the drawing microcatheter. In the experiment of embolizing rabbit ear arteries in vivo,tissue rejection was not happened. A few of inflammatory cells were found in the vessel walls 3 days after embolizing rabbit ear arteries. The number of inflammatory cells was gradually increased in the peak in 1 week,and significantly reduced in 3 weeks. Conclusion:Preliminarily,M-C/GP can be a kind of new non-adhesion tissue engineering materials,with suitable pH,right colloidization time,better mechanical strength,intracatheter manipulation,intratumoral gelation and tissue compatibility,which can be used to embolize aneurysms.

参考文献:

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