Zhang Zhiliang, Xu Siwei, Zhou Xielai
The School of Clinical Medicine of Hangzhou Normal College, Hangzhou 310018, China.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2005 Dec;22(6):1177-81.
This experiment was designed to investigate the effects of different chitosan on preventing peritoneal adhesion in rats. 240 SD rats were divided into 2 jumbogroups: jumbogroup A (144 rats) treated with chitosan gel and jumbogroup B (96 rats) with chitosan/gelatin mixed film. In jumbogroup A, 144 rats were randomly divided into 3 groups further, and different methods were used to induce peritoneal adhesions in each group while in the experiment group the wounded processus vermiformis was coated with chitosan gel before it was put back into the abdominal cavity. In jumpbogroup B, 96 rats were randomly divided into 4 groups (24 each) after surgical induction of perioneal adhesions; group B1 served as control group while in groups B2, B3 and B4, pure chitosan film and the chitosan film containing gelatin were respectively spread over the surface of the wounded. 2 and 4 weeks after surgical induction, exploratory laparatomy was performed on the rats to evaluate peritoneal adhesion, and the adhesive tissues were examined histopathologically. The results show that chitosan gel has perfect protective efficacy against traumatic or ischemic peritoneal adhesion, but pure chitosan film and the film chitosan containing gelatin could exacerbate peritoneal adhesion further.
本实验旨在研究不同壳聚糖对预防大鼠腹膜粘连的作用。240只SD大鼠分为2个大组:A大组(144只大鼠)用壳聚糖凝胶处理,B大组(96只大鼠)用壳聚糖/明胶混合膜处理。在A大组中,144只大鼠进一步随机分为3组,每组采用不同方法诱导腹膜粘连,实验组在将受伤的阑尾放回腹腔前用壳聚糖凝胶覆盖。在B大组中,96只大鼠在手术诱导腹膜粘连后随机分为4组(每组24只);B1组作为对照组,而在B2、B3和B4组中,分别将纯壳聚糖膜和含明胶的壳聚糖膜铺在伤口表面。手术诱导后2周和4周,对大鼠进行剖腹探查以评估腹膜粘连情况,并对粘连组织进行组织病理学检查。结果表明,壳聚糖凝胶对创伤性或缺血性腹膜粘连具有良好的保护作用,但纯壳聚糖膜和含明胶的壳聚糖膜会进一步加重腹膜粘连。