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Mesenchymal stem cells: Potential role in corneal wound repair and transplantation 被引量:8
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作者 Fei Li Shao-Zhen Zhao 《World Journal of Stem Cells》 SCIE CAS 2014年第3期296-304,共9页
Corneal diseases are a major cause of blindness in the world. Although great progress has been achieved in the treatment of corneal diseases, wound healing after severe corneal damage and immunosuppressive therapy aft... Corneal diseases are a major cause of blindness in the world. Although great progress has been achieved in the treatment of corneal diseases, wound healing after severe corneal damage and immunosuppressive therapy after corneal transplantation remain prob-lematic. Mesenchymal stem cells(MSCs) derived from bone marrow or other adult tissues can differentiate into various types of mesenchymal lineages, such as osteocytes, adipocytes, and chondrocytes, both in vivo and in vitro. These cells can further differentiate into specific cell types under specific conditions. MSCs migrate to injury sites and promote wound healing by secreting anti-inflammatory and growth factors. In ad-dition, MSCs interact with innate and acquired immune cells and modulate the immune response through their powerful paracrine function. Over the last decade, MSCs have drawn considerable attention because of their beneficial properties and promising therapeutic prospective. Furthermore, MSCs have been applied to various studies related to wound healing, autoim-mune diseases, and organ transplantation. This review discusses the potential functions of MSCs in protecting corneal tissue and their possible mechanisms in corneal wound healing and corneal transplantation. 展开更多
关键词 MESENCHYMAL stem cells CORNEAL injury wound repair IMMUNE modulation TRANSPLANTATION
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A study on the activity of dermal multipotent stem cells in initiation of wound repair 被引量:1
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作者 Jifu Qu Tianmin Cheng +2 位作者 Yongping Su Chunmeng Shi Wei Sun 《Journal of Biomedical Science and Engineering》 2013年第2期109-115,共7页
Background: Wound healing is a process of cell-cell interaction and cell-extracellular matrix interaction. Dermal multipotent stem cells (dMSCs) have the abilities to promote survival and wound healing, but the potent... Background: Wound healing is a process of cell-cell interaction and cell-extracellular matrix interaction. Dermal multipotent stem cells (dMSCs) have the abilities to promote survival and wound healing, but the potential function of dMSCs in wound healing, particularly in the initiation of wound repair, has not been fully understood. Methods: dMSCs and fibroblasts were isolated from neonatal rat dermis and were further purified and expanded. The cell cycles were determined with flow cytometry, while the radiosensitivity was measured by MTT assay. Rats were wounded with a 7-cm incision on the back skin and the wound fluids were collected by inserting two pieces of sterile polyvinyl alcohol sponge (1 cmin diameter and0.4 cmin thickness) subcutaneously into the dorsum of each rat through the midline of incision on the 1st, 2nd, 3rd and 4th day after incision. The effects of wound fluids on the proliferation of dMSCs and fibroblasts were measured with MTT assays. dMSC’s abilities of adhesion and attachment and its migration in response to wound fluids collected on the 1st day after incision were explored by measuring the percentage of floating cells and the cells migrated into wounding area in vitro, respectively. Results: The isolated dMSCs were morphologically homogenous and highly proliferative. Most of the cultured dMSCs were quiescent with few apoptotic cells. Compared with fibroblasts, dMSCs were more sensitive to radiation and more proliferative in response to wound fluids, especially to the wound fluids collected on the 1st day after wounding. Moreover, their abilities to attach, adhere and migrate were significantly enhanced with the early-phase wound fluids. Conclusions: As primitive stem cells, dMSCs are very responsive to wound fluids, which suggests dMSCs’ important role in wound healing, especially in initiating wound repair. 展开更多
关键词 DERMAL MULTIPOTENT Stem Cells INITIATION of wound repair wound HEALING wound FLUIDS
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Activin-Directed Differentiation of Human Embryonic Stem Cells Differentially Modulates Alveolar Epithelial Wound Repair via Paracrine Mechanism
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作者 Khondoker M. Akram Monica A. Spiteri Nicholas R. Forsyth 《Stem Cell Discovery》 2014年第3期67-82,共16页
Differentiated embryonic stem cells (ESC) can ameliorate lung inflammation and fibrosis in animal lung injury models;therefore, ESC, or their products, could be candidates for regenerative therapy for incurable lung d... Differentiated embryonic stem cells (ESC) can ameliorate lung inflammation and fibrosis in animal lung injury models;therefore, ESC, or their products, could be candidates for regenerative therapy for incurable lung diseases, such as idiopathic pulmonary fibrosis (IPF). In this study, we have investigated the paracrine effect of differentiated and undifferentiated human ESC on alveolar epithelial cell (AEC) wound repair. hESC line, SHEF-2 cells were differentiated with Activin treatment for 22 days in an embryoid body (EB) suspension culture. Conditioned media (CM) which contain cell secretory factors were collected at different time points of differentiation. CM were then tested onin vitro?wound repair model with human type II AEC line, A549 cells (AEC). Our study demonstrated that CM originated from undifferentiated hESC significantly inhibited AEC wound repair when compared to the control. Whereas, CM originated from Activin-directed hESC differentiated cell population demonstrated a differential reparative effect on AEC wound repair model. CM obtained from Day-11 of differentiation significantly enhanced AEC wound repair in comparison to CM collected from pre- and post-Day-11 of differentiation. Day-11 CM enhanced AEC wound repair through significant stimulation of cell migration and cell proliferation. RT-PCR and immunocytochemistry confirmed that Day-11 CM was originated form a mixed population of endodermal/mesodermal differentiated hESC. This report suggests a putative paracrine-mediated epithelial injury healing mechanism by hESC secreted products, which is valuable in the development of novel stem cell-based therapeutic strategies. 展开更多
关键词 EMBRYONIC STEM Cells ALVEOLAR EPITHELIAL wound repair Idiopathic Pulmonary Fibrosis (IPF) EMBRYONIC STEM Cell-Mediated PARACRINE Mechanism Activin-Directed hESC Differentiation
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Endogenous bioelectric fields: a putative regulator of wound repair and regeneration in the central nervous system 被引量:1
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作者 Matthew L.Baer Raymond J.Colello 《Neural Regeneration Research》 SCIE CAS CSCD 2016年第6期861-864,共4页
Studies on a variety of highly regenerative tissues, including the central nervous system(CNS) in non-mammalian vertebrates, have consistently demonstrated that tissue damage induces the formation of an ionic current ... Studies on a variety of highly regenerative tissues, including the central nervous system(CNS) in non-mammalian vertebrates, have consistently demonstrated that tissue damage induces the formation of an ionic current at the site of injury. These injury currents generate electric fields(EF) that are 100-fold increased in intensity over that measured for uninjured tissue. In vitro and in vivo experiments have convincingly demonstrated that these electric fields(by their orientation, intensity and duration) can drive the migration, proliferation and differentiation of a host of cell types. These cellular behaviors are all necessary to facilitate regeneration as blocking these EFs at the site of injury inhibits tissue repair while enhancing their intensity promotes repair. Consequently, injury-induced currents, and the EFs they produce, represent a potent and crucial signal to drive tissue regeneration and repair. In this review, we will discuss how injury currents are generated, how cells detect these currents and what cellular responses they can induce. Additionally, we will describe the growing evidence suggesting that EFs play a key role in regulating the cellular response to injury and may be a therapeutic target for inducing regeneration in the mammalian CNS. 展开更多
关键词 中枢神经系统 损伤修复 组织再生 调节器 生物电 内源性 细胞反应 离子电流
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Nanosilver alleviates foreign body reaction and facilitates wound repair by regulating macrophage polarization
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作者 Chuangang YOU Zhikang ZHU +3 位作者 Shuangshuang WANG Xingang WANG Chunmao HAN Huawei SHAO 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2023年第6期510-523,共14页
Foreign body reactions induced by macrophages often cause delay or failure of wound healing in the application of tissue engineering scaffolds.This study explores the application of nanosilver(NAg)to reduce foreign bo... Foreign body reactions induced by macrophages often cause delay or failure of wound healing in the application of tissue engineering scaffolds.This study explores the application of nanosilver(NAg)to reduce foreign body reactions during scaffold transplantation.An NAg hybrid collagen-chitosan scaffold(NAg-CCS)was prepared using the freeze-drying method.The NAg-CCS was implanted on the back of rats to evaluate the effects on foreign body reactions.Skin tissue samples were collected for histological and immunological evaluation at variable intervals.Miniature pigs were used to assess the effects of NAg on skin wound healing.The wounds were photographed,and tissue samples were collected for molecular biological analysis at different time points post-transplantation.NAg-CCS has a porous structure and the results showed that it could release NAg constantly for two weeks.The NAg-CCS group rarely developed a foreign body reaction,while the blank-CCS group showed granulomas or necrosis in the subcutaneous grafting experiment.Both matrix metalloproteinase-1(MMP-1)and tissue inhibitor of metalloproteinase-1(TIMP-1)were reduced significantly in the NAg-CCS group.The NAg-CCS group had higher interleukin(IL)-10 and lower IL-6 than the blank CCS group.In the wound healing study,M1 macrophage activation and inflammatory-related proteins inducible nitric oxide synthase(iNOS),IL-6,and interferon-(IFN-)were inhibited by NAg.In contrast,M2 macrophage activation and proinflammatory proteins(arginase-1),major histocompatibility complex-II(MHC-II),and found in inflammatory zone-1(FIZZ-1)were promoted,and this was responsible for suppressing the foreign body responses and accelerating wound healing.In conclusion,dermal scaffolds containing NAg suppressed the foreign body reaction by regulating macrophages and the expression of inflammatory cytokines,thereby promoting wound healing. 展开更多
关键词 NANOSILVER MACROPHAGES IMPLANTS Foreign body reaction wound repair
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Multi-layer-structured bioactive glass nanopowder for multistage-stimulated hemostasis and wound repair
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作者 Yidan Wang Meng luo +3 位作者 Ting Li Chenxi Xie Sihua Li Bo Lei 《Bioactive Materials》 SCIE CSCD 2023年第7期319-332,共14页
Current treatments for full-thickness skin injuries are still unsatisfactory due to the lack of hierarchically stimulated dressings that can integrate the rapid hemostasis,inflammation regulation,and skin tissue remod... Current treatments for full-thickness skin injuries are still unsatisfactory due to the lack of hierarchically stimulated dressings that can integrate the rapid hemostasis,inflammation regulation,and skin tissue remodeling into the one system instead of single-stage boosting.In this work,a multilayer-structured bioactive glass nanopowder(BGN@PTE)is developed by coating the poly-tannic acid andε-polylysine onto the BGN via facile layer-by-layer assembly as an integrative and multilevel dressing for the sequential management of wounds.In comparison to BGN and poly-tannic acid coated BGN,BGN@PTE exhibited the better hemostatic performance because of its multiple dependent approaches to induce the platelet adhesion/activation,red blood cells(RBCs)aggregation and fibrin network formation.Simultaneously,the bioactive ions from BGN facilitate the regulation of the inflammatory response while the poly-tannic acid and antibacterialε-polylysine prevent the wound infection,promoting the wound healing during the inflammatory stage.In addition,BGN@PTE can serve as a reactive oxygen species scavenger,alleviate the oxidation stress in wound injury,induce the cell migration and angiogenesis,and promote the proliferation stage of wound repair.Therefore,BGN@PTE demonstrated the significantly higher wound repair capacity than the commercial bioglass dressing Dermlin™.This multifunctional BGN@PTE is a potentially valuable dressing for full-thickness wound management and may be expected to extend to the other wounds therapy. 展开更多
关键词 Bioactive materials BIOCERAMICS Bioactive glass nanoparticles wound repair
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Heparinized PGA host-guest hydrogel loaded with paracrine products from electrically stimulated adipose-derived mesenchymal stem cells for enhanced wound repair
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作者 Mengyao Li Junliang Li +4 位作者 Xueru Xiong Yushi Wang Yong-Guang Jia Xuetao Shi Xiaoling Fu 《Engineered Regeneration》 2023年第3期225-237,共13页
The microenvironment of the wound bed is essential in the regulation of wound repair.In this regard,strategies that provide a repairing favorable microenvironment may effectively improve healing outcomes.Herein,we att... The microenvironment of the wound bed is essential in the regulation of wound repair.In this regard,strategies that provide a repairing favorable microenvironment may effectively improve healing outcomes.Herein,we attempted to use electrical stimulation(ES)to boost the paracrine function of adipose-derived stem cells from rats(rASCs).By examining the concentrations of two important growth factors,VEGF and PDGF-AA,in the cell culture supernatant,we found that ES,especially 5𝜇A ES,stimulated rASCs to produce more paracrine factors(5𝜇A-PFs).Further studies showed that ES may modulate the paracrine properties of rASCs by upregulating the levels of TRPV2 and TRPV3,thereby inducing intracellular Ca^(2+) influx.To deliver the PFs to the wound to effectively improve the wound microenvironment,we prepared a heparinized PGA host-guest hydrogel(PGA-Hp hydrogel).Moreover,PGA-Hp hydrogel loaded with 5𝜇A-PFs effectively accelerated the repair process of the full-thickness wound model in rats.Our findings revealed the effects of ES on the paracrine properties of rASCs and highlighted the potential application of heparinized PGA host-guest hydrogels loaded with PFs derived from electrically stimulated rASCs in wound repair. 展开更多
关键词 wound repair Electrical stimulation Paracrine factors Heparinized PGA host-guest hydrogel
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Chronic activation of MUC1-C in wound repair promotes progression to cancer stem cells
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作者 Donald W.Kufe 《Journal of Cancer Metastasis and Treatment》 2022年第1期488-500,共13页
The mucin 1(MUC1)gene emerged in mammals to afford protection of barrier epithelial tissues from the external environment.MUC1 encodes a transmembrane C-terminal(MUC1-C)subunit that is activated by loss of homeostasis... The mucin 1(MUC1)gene emerged in mammals to afford protection of barrier epithelial tissues from the external environment.MUC1 encodes a transmembrane C-terminal(MUC1-C)subunit that is activated by loss of homeostasis and induces inflammatory,proliferative,and remodeling pathways associated with wound repair.As a consequence,chronic activation of MUC1-C promotes lineage plasticity,epigenetic reprogramming,and carcinogenesis.In driving cancer progression,MUC1-C is imported into the nucleus,where it induces NF-κB inflammatory signaling and the epithelial-mesenchymal transition(EMT).MUC1-C represses gene expression by activating(i)DNA methyltransferase 1(DNMT1)and DNMT3b,(ii)Polycomb Repressive Complex 1(PRC1)and PRC2,and(iii)the nucleosome remodeling and deacetylase(NuRD)complex.PRC1/2-mediated gene repression is counteracted by the SWI/SNF chromatin remodeling complexes.MUC1-C activates the SWI/SNF BAF and PBAF complexes in cancer stem cell(CSC)models with the induction of genome-wide differentially accessible regions and expressed genes.MUC1-C regulates chromatin accessibility of enhancer-like signatures in association with the induction of the Yamanaka pluripotency factors and recruitment of JUN and BAF,which promote increases in histone activation marks and opening of chromatin.These and other findings described in this review have uncovered a pivotal role for MUC1-C in integrating lineage plasticity and epigenetic reprogramming,which are transient in wound repair and sustained in promoting CSC progression. 展开更多
关键词 MUC1 MUC1-C wound repair CSC lineage plasticity epigenetic reprogramming chromatin remodeling
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Application of metal-based biomaterials in wound repair
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作者 Heni Wang Zejun Xu +1 位作者 Qing Li Jun Wu 《Engineered Regeneration》 2021年第1期137-153,共17页
Wound repair,as one of the most intricate biological mechanisms,is essential to ensure the formation and integrity of the skin barrier.However,multiple factors can cause delays and severe debilitating effects in wound... Wound repair,as one of the most intricate biological mechanisms,is essential to ensure the formation and integrity of the skin barrier.However,multiple factors can cause delays and severe debilitating effects in wound repair,which bring serious challenges.Metal elements such as calcium,copper,iron,and zinc serve irreplaceable roles in various regulatory pathways of the human body and directly or indirectly affect the orderly wound repair process.Biomaterials have proven to be an attractive strategy that can be applied to wound repair and have excellent potential to induce skin regeneration.In recent decades,with in-depth research on the regulatory mechanisms of metal elements involved in wound repair,metal-based biomaterials have been widely reported.Metal-based zero-dimensional(0D)biomaterials such as Angstrom-scale metallic materials and metal quantum dots,metal-based one-dimensional(1D)biomaterials such as nanorods,nanowires and nanofibers,metal-based two-dimensional(2D)biomaterials such as nanofilms and nanosheets,and metal-based three-dimensional(3D)biomaterials such as nanoframes have achieved remarkable results,which provide great support for accelerated wound repair.In this review,we systematically investigated the advances and impacts of various metal-based biomaterial platforms for wound repair to provide valuable guidance for future breakthroughs in wound treatment. 展开更多
关键词 wound repair METAL BIOMATERIALS
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Design of axial flaps with color Doppler flow imaging technique for repairing deep wounds of heels
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作者 黎洪棉 《外科研究与新技术》 2005年第3期215-215,共1页
To report the methods and effect of axial pattern flap on lower limb in repairing deep wounds of heels by using color Doppler flow imaging (CDFI) technique so as to solve the ever before problems that the vessel can n... To report the methods and effect of axial pattern flap on lower limb in repairing deep wounds of heels by using color Doppler flow imaging (CDFI) technique so as to solve the ever before problems that the vessel can not be displayed in designing axial flap.Methods Suitable axial flaps on lower limbs were selected according to the character of the wounds.There were 25 flaps including 10 cases of the distal-based sural neurovascular flap,nine medial sole flap and six medial leg flap.All the axial pattern flaps were designed on the basis of traditional design ways before operation;then,CDFI appliance with high resolution was used to examine the starting spot,exterior diameter,trail and length of the flap’s major artery.The flaps were redesigned according to the results of CDFI and transferred to cover the wounds.In the meantime,both the results of operation and examination were compared.Results The major artery’s starting spot,exterior diameter,trail and anatomic layers were displayed clearly,in consistency with the results of operation.The flaps survived completely and recovered well,with perfect appearance,color and arthral function.Conclusion CDFI is a simple,macroscopic and atraumatic method for designing the axial pattern flap on lower limb,can provide more scientific and accurate evidence for preoperative determination of flap transplantation and is worthy of clinical application.10 refs,4 figs,2 tabs. 展开更多
关键词 Design of axial flaps with color Doppler flow imaging technique for repairing deep wounds of heels
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V型折叠颏下皮瓣修复口腔缺损的临床应用
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作者 卢若煌 邓浩斌 +2 位作者 郭新程 戴捷 甘平平 《中南大学学报(医学版)》 CAS CSCD 北大核心 2024年第2期273-278,共6页
目的:口腔中小型缺损修复一直是一个难题,游离皮瓣和远位带蒂组织瓣难以满足临床需求,传统颏下皮瓣存在供区损伤风险。本研究旨在探讨V型折叠颏下皮瓣修复口腔中小型缺损的疗效。方法:回顾性分析2019年3月至2022年12月中南大学湘雅三医... 目的:口腔中小型缺损修复一直是一个难题,游离皮瓣和远位带蒂组织瓣难以满足临床需求,传统颏下皮瓣存在供区损伤风险。本研究旨在探讨V型折叠颏下皮瓣修复口腔中小型缺损的疗效。方法:回顾性分析2019年3月至2022年12月中南大学湘雅三医院口腔科收治的28例口腔黏膜病变患者的临床资料。根据颏下皮瓣手术方式的不同将患者分为V型折叠组(17例)和传统组(11例),V型折叠组采用V型折叠颏下皮瓣进行术后软组织修复,传统组采用传统颏下皮瓣进行修复,患者术后随访6~48个月。比较2组皮瓣存活情况、皮瓣修复时间以及皮瓣修复效果。结果:2组皮瓣存活率、皮瓣大小、制瓣时间、修复手术时间和术后住院时间差异均无统计学意义(均P>0.05)。术后6个月,V型折叠组无抬头困难和下唇外翻,无皮肤“猫耳”畸形,疤痕隐藏于下颌骨下缘处,创面美观度、功能评分均明显高于传统组(均P<0.05)。结论:V型折叠颏下皮瓣具有设计灵活、制备简单、血供可靠、保护供区等优点,可以有效维持颏部美观和避免功能障碍。 展开更多
关键词 V型折叠颏下皮瓣 黏膜缺损 创面修复
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Repairing small wounds around ankle by medial planta island flaps pedicled with anterior tibial artery perforator in front of inner malleolus
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作者 魏在荣 《外科研究与新技术》 2011年第4期268-268,共1页
Objective To discuss the application of medial planta island flaps pedicled with anterior tibial artery perforator in front of inner malleolus for repairing small wounds around ankle Methods From Jan. 2005 to Jun. 200... Objective To discuss the application of medial planta island flaps pedicled with anterior tibial artery perforator in front of inner malleolus for repairing small wounds around ankle Methods From Jan. 2005 to Jun. 2009,10 cases with small wounds around ankle 展开更多
关键词 repairing small wounds around ankle by medial planta island flaps pedicled with anterior tibial artery perforator in front of inner malleolus
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负压封闭引流联合保留臀上动脉浅支的臀大肌肌皮瓣修复骶尾部IV期压疮的临床效果
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作者 夏卫东 屠卓隆 +3 位作者 赵胜 缪爱梅 刘政军 林才 《温州医科大学学报》 CAS 2024年第4期318-322,共5页
目的:探讨负压封闭引流联合保留臀上动脉浅支的臀大肌旋转肌皮瓣修复骶尾部压疮的临床效果。方法:选取2019年6月—2023年10月温州医科大学附属第一医院收治的12例骶尾部压疮患者,其中男7例,女5例,年龄31~86岁。入院后I期予行负压封闭引... 目的:探讨负压封闭引流联合保留臀上动脉浅支的臀大肌旋转肌皮瓣修复骶尾部压疮的临床效果。方法:选取2019年6月—2023年10月温州医科大学附属第一医院收治的12例骶尾部压疮患者,其中男7例,女5例,年龄31~86岁。入院后I期予行负压封闭引流术,4~7 d后行保留臀上动脉浅支的臀大肌肌皮瓣修复创面。观察术后皮瓣成活情况、并发症发生情况,随访观察皮瓣外形、压疮复发情况。结果:本组12例患者,均因长期卧床致骶尾部受压出现IV期压疮,压疮病因:截瘫患者5例,各种原因所致的长期卧床患者7例,其中脑梗死后遗症患者2例,帕金森病患者3例,老年痴呆症患者1例,股骨颈骨折患者1例。病程2周至8年,清创后创面面积为5.0 cm×5.0 cm~10.0 cm×12.0 cm。12例患者术后皮瓣均完全成活,无皮瓣坏死、静脉淤血、创缘开裂等发生。术后随访2~6个月,皮瓣外形较佳、骶尾部软组织饱满、压疮无复发。结论:保留臀上动脉浅支的臀大肌旋转肌皮瓣血运可靠,设计、操作简单,皮瓣可修复面积大,切取不需要离断臀上动脉浅支,供瓣区一般能直接缝合,修复骶尾部压疮效果较佳。 展开更多
关键词 肌皮瓣 IV期压疮 负压封闭引流 创面修复
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指固有动脉背侧支血管链蒂逆行岛状皮瓣修复指端缺损的近期疗效分析及治疗体会
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作者 郑江钒 谷爱奇 +1 位作者 闵祥辉 王煜 《中国实用医药》 2024年第4期60-63,共4页
目的分析指固有动脉背侧支血管链蒂逆行岛状皮瓣修复指端缺损的近期疗效,并总结治疗体会。方法回顾性分析21例(21指)指端缺损患者的临床资料,患者均行指固有动脉背侧支血管链蒂逆行岛状皮瓣修复。随访评估患者的主观满意度、皮瓣感觉恢... 目的分析指固有动脉背侧支血管链蒂逆行岛状皮瓣修复指端缺损的近期疗效,并总结治疗体会。方法回顾性分析21例(21指)指端缺损患者的临床资料,患者均行指固有动脉背侧支血管链蒂逆行岛状皮瓣修复。随访评估患者的主观满意度、皮瓣感觉恢复情况、患指活动功能。结果术后19例患者皮瓣完全成活并顺利拆线,1例因术后私自吸烟致皮瓣严重发绀延迟愈合,1例因术后私自开空调温度过低致皮瓣部分坏死。21例患者中共19例获得随访,随访时间3~18个月,平均(8.9±4.6)个月。获得随访患者中,患者的主观满意度:很满意16例(84.2%)、比较满意3例(15.8%),无不满意病例。皮瓣感觉恢复情况:S415例(78.9%),S3+3例(15.8%),S31例(5.3%)。患指活动功能:优16例(84.2%),良3例(15.8%)。结论指固有动脉背侧支血管链蒂逆行岛状皮瓣修复指端缺损外形功能满意,优势明显,术后积极处理和密切护理对于术后良好疗效亦至关重要。 展开更多
关键词 岛状皮瓣 指固有动脉背侧支 指端缺损 手外伤 创面修复
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湿润烧伤膏在儿童大面积鲜红斑痣激光治疗创面修复中的应用
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作者 刘小加 吴记红 +3 位作者 罗滔 罗明灿 李高峰 谭军 《国际医药卫生导报》 2024年第4期553-558,共6页
目的观察湿润烧伤膏联合脉冲染料激光对提升儿童大面积鲜红斑痣整体治疗效果的影响,以期指导临床相关疾病治疗。方法本文为随机对照试验,研究对象选自2022年1月至2022年9月湖南省人民医院收治60例大面积鲜红斑痣患儿,采用随机数字表法... 目的观察湿润烧伤膏联合脉冲染料激光对提升儿童大面积鲜红斑痣整体治疗效果的影响,以期指导临床相关疾病治疗。方法本文为随机对照试验,研究对象选自2022年1月至2022年9月湖南省人民医院收治60例大面积鲜红斑痣患儿,采用随机数字表法将其分为两组,各30例。对照组男童12例,女童18例,年龄(6.25±1.02)岁;试验组男童10例,女童20例,年龄(6.35±1.05)岁。对照组采取595 nm脉冲染料激光治疗联合常规抗炎软膏护理创面,试验组采取595 nm脉冲染料激光联合湿润烧伤膏护理创面。对比两组治疗效果、红痣瘢痕消退程度[采用温哥华瘢痕量表(VSS)评估]、疼痛程度(采用国际数字疼痛分级标准评估)、不良反应。采用t检验、χ^(2)检验、秩和检验。结果试验组治疗总有效率高于对照组[96.67%(29/30)比70.00%(21/30)],差异有统计学意义(χ^(2)=7.680,P<0.05)。治疗结束时,试验组红痣瘢痕消退程度(VSS评分)低于对照组[(1.25±0.85)分比(4.02±1.12)分],差异有统计学意义(t=10.791,P<0.05);治疗结束时,试验组疼痛程度低于对照组[(1.02±0.25)比(3.02±0.52)],差异有统计学意义(t=18.986,P<0.05)。试验组不良反应总发生率低于对照组[10.00%(3/30)比43.33%(13/30)],差异有统计学意义(χ^(2)=8.523,P<0.05)。结论595 nm脉冲染料激光联合湿润烧伤膏可显著提高儿童大面积鲜红斑痣的治疗效果,利于红痣瘢痕消退,改善疼痛程度,提升患儿治疗过程中的舒适度,且安全可靠。 展开更多
关键词 大面积鲜红斑痣 595 nm脉冲染料激光 湿润烧伤膏 创面修复 儿童
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中医外科技术结合长皮膏在术后创面修复中的临床应用
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作者 王永灵 李松 +4 位作者 孙旺 代秋颖 廖明娟 李琰 梁嘉玲 《组织工程与重建外科》 CAS 2024年第2期208-211,共4页
目的观察中医外科技术结合长皮膏方案在术后创面修复中的临床疗效。方法回顾性收集临床术后创面病例65例,采用中医外科技术结合长皮膏的综合治疗方案,自身前后对照,观察临床效果。结果术后创面65例,其中肿瘤术后33例(口腔颌面肿瘤术后18... 目的观察中医外科技术结合长皮膏方案在术后创面修复中的临床疗效。方法回顾性收集临床术后创面病例65例,采用中医外科技术结合长皮膏的综合治疗方案,自身前后对照,观察临床效果。结果术后创面65例,其中肿瘤术后33例(口腔颌面肿瘤术后18例,乳腺肿瘤术后10例,阴部肿瘤术后3例,肺癌术后病例2例),跟腱断裂术后6例,心脏搭桥术后6例,下肢内固定取出术后3例,皮脂腺囊肿切排术后4例,肛旁脓肿术后3例,血管瘤切除术后2例,植皮术后5例,剖腹产术后3例。结果治愈62例,无效3例,无效病例中1例骨髓炎,2例肿瘤复发转移。治愈患者愈合时间最短6 d,最长时间184 d。结论中医外科技术结合长皮膏在术后创面修复中的临床疗效明显,能促进术后创面修复,避免再次手术。 展开更多
关键词 中医外科技术 长皮膏 术后创面 修复
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脂肪组织及其衍生成分在创面修复和血管化中的作用
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作者 赵立新 唐庆喜 张克忠 《中国组织工程研究》 CAS 北大核心 2024年第13期2120-2125,共6页
背景:软组织损伤修复过程中,局部的血管化对创面愈合和功能恢复至关重要。脂肪组织被认为是人体最大的干细胞来源库,目前已开发出多种不同的脂肪成分被用于研究和治疗,其促进血管再生和软组织修复的能力被广泛研究。目的:综述血管化在... 背景:软组织损伤修复过程中,局部的血管化对创面愈合和功能恢复至关重要。脂肪组织被认为是人体最大的干细胞来源库,目前已开发出多种不同的脂肪成分被用于研究和治疗,其促进血管再生和软组织修复的能力被广泛研究。目的:综述血管化在软组织损伤修复中的研究进展,总结脂肪组织及其衍生成分的制备方法及其在血管化和软组织损伤修复中的应用。证实脂肪组织及其衍生成分在血管和软组织工程中具有卓越的研究价值和临床应用前景。方法:利用PubMed、Web of Science和CNKI数据库检索2010年1月至2023年2月发表的相关文献,中文检索词为“软组织修复,伤口愈合,血管化,血管新生,脂肪组织,间质血管成分细胞,脂肪源微血管片段,纳米脂肪,脂肪干细胞基质胶”,英文检索词为“soft tissue repair,wound healing,vascularization,angiogenesis,adipose tissue,stromal vascular fraction,adipose tissue-derived microvascular fragment,nanofat,adipose extracellular matrix/stromal vascular fraction gel”,并纳入少量年份久远的经典文献。通过阅读标题和摘要进行初筛,排除与文章主题不相关的文献,最终纳入69篇文献进行综述分析。结果与结论:(1)创面愈合是一项重要的生理过程,主要发生在组织受到损伤时,如创伤、手术、烧伤、肿瘤、感染以及血管性疾病引起的组织损伤缺损等;(2)创伤部位足够的血管化对组织修复、局部稳态的重新构建和功能恢复至关重要;(3)脂肪组织被认为是人体最大的干细胞来源库,目前已有多种不同的脂肪成分被用于研究和治疗;(4)由于其本身具有的成分和制备优势,脂肪组织将在未来的组织工程研究和治疗中继续扮演重要角色。 展开更多
关键词 软组织修复 伤口愈合 血管化 脂肪组织 间质血管成分细胞 脂肪源微血管片段 纳米脂肪 脂肪干细胞基质胶
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不同构型精氨酸改性壳聚糖水凝胶促皮肤创面的修复 被引量:1
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作者 邓劲 李廷华 +3 位作者 朱海 杨晓 曹俊 朱向东 《中国组织工程研究》 CAS 北大核心 2024年第10期1497-1504,共8页
背景:目前临床皮肤创面愈合仍然是一大难题,而具有免疫调节功能的生物材料成为当下组织修复领域的研究前沿,因此,研究具有免疫调节功能的创面敷料具有重要意义。目的:制备不同构型精氨酸改性壳聚糖水凝胶,评估其促大鼠创面愈合的能力。... 背景:目前临床皮肤创面愈合仍然是一大难题,而具有免疫调节功能的生物材料成为当下组织修复领域的研究前沿,因此,研究具有免疫调节功能的创面敷料具有重要意义。目的:制备不同构型精氨酸改性壳聚糖水凝胶,评估其促大鼠创面愈合的能力。方法:①体外实验:采用EDC/NHS体系分别合成了单纯左旋精氨酸、单纯右旋精氨酸及左旋精氨酸与右旋精氨酸联合改性的壳聚糖材料,以醛基化的四臂聚乙二醇为交联剂,通过席夫碱反应构建精氨酸改性壳聚糖水凝胶,依次命名为CS-L、CS-D、CS-DL水凝胶,表征水凝胶的理化性能。将3种水凝胶浸提液分别与成纤维细胞共培养,采用CCK-8法及活死染色评价水凝胶的细胞相容性,通过划痕实验评价水凝胶对成纤维细胞迁移能力的影响。将3种水凝胶分别与大鼠红细胞悬液共孵育,评估水凝胶的血液相容性。将3种水凝胶浸提液分别与巨噬细胞RAW264.7共培养,评估水凝胶对细胞产生NO及极化分型的影响。②体内实验:采用随机数字表法将36只成年SD大鼠分为4组,每组9只,在每只大鼠背部制作2个2 cm×2 cm的全层皮肤缺损创面,对照组创面滴加生理盐水,CS-L组、CS-D组、CS-DL组创面分别滴加对应的水凝胶,包扎固定。术后定期观察创面愈合情况;术后3,10,21 d取材,进行苏木精-伊红染色;术后10 d取材,进行M2型巨噬细胞免疫荧光染色。结果与结论:①体外实验:扫描电镜下可见3种水凝胶内部均有明显的互穿网络结构,孔径范围70-200μm;3种水凝胶均具有良好的溶胀性能、降解性能、自愈合性能及合适的机械强度。3种水凝胶具有良好的细胞相容性与血液相容性,可促进成纤维细胞的迁移。3种水凝胶均具有促进巨噬细胞极化的能力,其中CS-D水凝胶促巨噬细胞极化能力最强;CS-L水凝胶具有促进巨噬细胞产生NO的能力。②体内实验:术后3,10 d,CS-L组、CS-D组大鼠创面愈合率高于对照组(P<0.05);术后21 d,3种水凝胶组大鼠创面愈合率高于对照组。苏木精-伊红染色显示,术后3 d,各组大鼠创面组织中都有大量炎性细胞浸润,伴有新生血管及成纤维细胞;术后10 d,对照组创面中仍有较多炎性细胞浸润,其他3组炎症情况有所改善,特别是CS-D组炎症细胞减少较为明显;术后21 d,各组创面上皮修复良好,CS-L组和CS-D组基本无炎症细胞浸润,对照组仍有少量炎症细胞浸润。免疫荧光染色显示,CS-D组M2型巨噬细胞数量多于其他3组(P<0.05)。③结果表明:不同构型精氨酸改性壳聚糖水凝胶可以通过不同机制促进创面愈合。 展开更多
关键词 壳聚糖 精氨酸 水凝胶 壳聚糖水凝胶 巨噬细胞 免疫 创面修复
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基于加速康复外科理念的集束化护理模式对游离穿支皮瓣修复上肢创面患者疾病预后的影响
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作者 赵磊 余秀菊 杨萃 《中国医疗美容》 2024年第3期81-86,共6页
目的研究基于加速康复外科理念的集束化护理模式对游离穿支皮瓣修复上肢创面患者疾病预后的影响。方法回顾性分析2020年3月~2022年11月于南阳市中心医院骨科接受游离穿支皮瓣修复上肢创面患者48例。根据入院时间不同分为对照组和试验组... 目的研究基于加速康复外科理念的集束化护理模式对游离穿支皮瓣修复上肢创面患者疾病预后的影响。方法回顾性分析2020年3月~2022年11月于南阳市中心医院骨科接受游离穿支皮瓣修复上肢创面患者48例。根据入院时间不同分为对照组和试验组,对照组(24例)入院时间为2020年3月~2021年6月采用常规护理,试验组(24例)入院时间为2021年7月~2022年11月采用加速康复外科理念的集束化护理。分析两组患者术后创面愈合时间、住院时间、疼痛程度、修复效果、术后并发症、患者满意度。结果试验组患者创面愈合时间和住院时间、术后6h、24h、36h、72hNRS得分、术后1月VSS总分及各项评分以及术后并发症发生率均低于对照组,试验组患者满意度高于对照组,差异有统计学意义(P﹤0.05)。结论在游离穿支皮瓣修复上肢创面患者应用基于加速康复外科理念的集束化护理模式可以缩短患者术后创面愈合时间和住院时间、缓解疼痛程度、提高修复效果和患者满意度、降低术后并发症。 展开更多
关键词 加速康复外科 集束化护理 游离穿支皮瓣 修复 上肢创面
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温阳生肌膏调控GRP78/CHOP通路抑制过度内质网应激促糖尿病难愈合创面修复
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作者 丁雅容 郑时旭 +4 位作者 王君 谢晨磊 奉水华 周忠志 陈丽 《中国病理生理杂志》 CAS CSCD 北大核心 2024年第3期493-501,共9页
目的:通过分析葡萄糖调节蛋白78(CRP78)/CCAAT/增强子结合蛋白同源蛋白(CHOP)通路研究温阳生肌膏对内质网应激(ERS)的调控,以探讨温阳生肌膏促进糖尿病难愈合创面修复的相关机制。方法:SD大鼠高脂饲料喂养联合链脲霉素腹腔注射后手术制... 目的:通过分析葡萄糖调节蛋白78(CRP78)/CCAAT/增强子结合蛋白同源蛋白(CHOP)通路研究温阳生肌膏对内质网应激(ERS)的调控,以探讨温阳生肌膏促进糖尿病难愈合创面修复的相关机制。方法:SD大鼠高脂饲料喂养联合链脲霉素腹腔注射后手术制备背部全层皮肤缺损建立大鼠糖尿病难愈合创面模型;实验分为正常组、模型组、温阳生肌膏组和贝复新(重组牛碱性成纤维细胞生长因子外用凝胶)组;正常组及模型组消毒后予以生理盐水涂抹,温阳生肌膏组及贝复新组分别以温阳生肌膏、贝复新涂抹创面,每日换药1次;处理14 d后观察创面愈合情况,计算创面愈合率;HE染色观察创面组织显微形态;Western blot法检测创面组织GRP78、CHOP和cas pase-12含量;免疫组化法检测创面GRP78、CHOP和caspase-12表达及分布情况;透射电子显微镜观察创面内质网数量及肿胀情况;ELISA检测创面促炎因子白细胞介素1β(IL-1β)含量。结果:各组相应干预14 d后检测各项指标。与正常组相比,模型组创面愈合率显著降低(P<0.01),炎症渗出较多,肉芽组织生长情况差,GRP78、CHOP和caspase-12蛋白表达升高(P<0.01),炎症因子IL-1β含量显著增加(P<0.01);与模型组相比,温阳生肌膏组创面愈合率显著增加(P<0.01),炎症渗出减少,肉芽组织生长良好,创面组织GRP78、CHOP和caspase-12蛋白表达显著降低(P<0.01);炎症因子IL-1β含量显著降低(P<0.01)。结论:温阳生肌膏促进糖尿病难愈合创面愈合的作用,可能与其下调GRP78/CHOP通路,抑制过度ERS,降低创面细胞凋亡水平有关。 展开更多
关键词 温阳生肌膏 内质网应激 GRP78/CHOP通路 糖尿病难愈合创面
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