Zheng H E
Third Military Medical University.
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1991 Jun;7(2):116-8, 158.
Skin allografts were transplanted to rats inflicted with third degree burns of 15% of BSA alone or combined with 5 Gy gamma ray radiation. Histopathological, histochemical and ultrastructural changes of the allografts were examined at different postoperative periods. In burned rats, allografts began to be rejected on the 8th postoperative day, showing degeneration and necrosis of its epithelial cells. Only in one rat it survived on the 14th day (10%), and all allografts were rejected before the 19th day. In contrast to this, most allografts (60-80%) on the rats with combined injury survived well for a period of 29 days. Epithelial cells and collagen fibers of the allografts degenerated in 1 to 4 days postoperation, and recovered to near normal during 9 to 14 days. During 24 to 29 days postoperation, the epithelial cells and appendices appeared almost normal in texture except an infiltration of a few lymphocytes and monocytes. The restoration of degenerated collagen, however, was slower than that of degenerated epithelium. The result shows that the survival time of skin allografts in severe combined radiation burn injury is prolonged than that in burns.
将皮肤同种异体移植物移植到仅遭受15%体表面积三度烧伤或合并5 Gy γ射线辐射的大鼠身上。在术后不同时期检查同种异体移植物的组织病理学、组织化学和超微结构变化。在烧伤大鼠中,同种异体移植物在术后第8天开始被排斥,表现为其上皮细胞变性和坏死。仅在1只大鼠中,其在第14天存活(10%),所有同种异体移植物在第19天之前均被排斥。与此相反,合并损伤大鼠的大多数同种异体移植物(60 - 80%)存活良好达29天。同种异体移植物的上皮细胞和胶原纤维在术后1至4天发生变性,并在9至14天恢复至接近正常。在术后24至29天,除有少量淋巴细胞和单核细胞浸润外,上皮细胞和附件在结构上几乎正常。然而,变性胶原的恢复比变性上皮的恢复慢。结果表明,严重复合辐射烧伤损伤中皮肤同种异体移植物的存活时间比单纯烧伤中延长。