Ehrlich H P, Keefer K A, Maish G O, Myers R L, Mackay D R
Department of Surgery, Milton S. Hershey Medical Center, Hershey, PA 17033-0850, USA.
Plast Reconstr Surg. 2001 Feb;107(2):471-7. doi: 10.1097/00006534-200102000-00024.
Repair of incision wounds closed by suturing is evaluated by the progressive gain in wound breaking strength. Previously the closure of open wounds in rats ingesting vanadate, an inhibitor of tyrosine phosphate phosphatases, was shown to occur with deposition of more uniformly organized collagen fiber bundles. The hypothesis of this study was that deposition of more uniformly organized collagen fibers would enhance the gain in wound breaking strength of incisional wounds. Six adult rats received vanadate-supplemented saline drinking water for 1 week before placement of two 6-cm, parallel, suture-closed wounds on their backs. Six control rats received identical wounds and were given saline drinking water. The drinking water regimen was continued for 1 week after wounding, and then wound strength was tested with a tensiometer and tissue samples were obtained for histologic evaluation. Wound breaking strength doubled in vanadate-treated rats compared with controls. Bright-field and polarized light microscopy showed that the connective tissue matrix of granulation tissue from control rats was oriented perpendicular to the surface of the skin. In contrast, the connective tissue matrix of granulation tissue from vanadate-treated rats was oriented parallel to the skin surface. The gap in granulation tissue between the edges of the wounds in the vanadate-treated rats was greater than that in controls. Electron microscopy showed that wounds in the vanadate-treated contained uniform collagen fibers that were 20 percent greater in diameter and more evenly spaced than they were in controls. It is proposed that these changes in the organization of collagen fibers within incisional wounds were responsible for the increased wound breaking strength observed in rats ingesting vanadate.
通过伤口抗张强度的逐步增加来评估缝合闭合的切口伤口的修复情况。此前有研究表明,摄入酪氨酸磷酸酶抑制剂钒酸盐的大鼠开放性伤口的闭合,伴随着更均匀排列的胶原纤维束的沉积。本研究的假设是,更均匀排列的胶原纤维的沉积会增强切口伤口抗张强度的增加。六只成年大鼠在背部放置两个6厘米长的平行缝合闭合伤口前1周,饮用补充了钒酸盐的盐水。六只对照大鼠接受相同的伤口处理,并饮用盐水。受伤后继续饮用该饮水方案1周,然后用张力计测试伤口强度,并获取组织样本进行组织学评估。与对照组相比,钒酸盐处理的大鼠伤口抗张强度增加了一倍。明场和偏光显微镜显示,对照大鼠肉芽组织的结缔组织基质垂直于皮肤表面排列。相比之下,钒酸盐处理的大鼠肉芽组织的结缔组织基质平行于皮肤表面排列。钒酸盐处理的大鼠伤口边缘之间的肉芽组织间隙大于对照组。电子显微镜显示,钒酸盐处理的伤口含有均匀的胶原纤维,其直径比对照组大20%,间距更均匀。据推测,切口伤口内胶原纤维组织的这些变化是摄入钒酸盐的大鼠伤口抗张强度增加的原因。