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使用猪小肠黏膜下层重建卵巢缺损。

Use of porcine small intestinal submucosa to reconstruct an ovarian defect.

作者信息

Celik Onder, Esrefoglu Mukaddes, Hascalik Seyma, Gul Mehmet, Tagluk M Emin, Elter Koray, Aydin Engin

机构信息

Department of Obstetrics and Gynecology, Inonu University School of Medicine, Malatya, Turkey.

出版信息

Int J Gynaecol Obstet. 2009 Sep;106(3):218-22. doi: 10.1016/j.ijgo.2009.03.058. Epub 2009 Jul 9.

Abstract

OBJECTIVE

To investigate the feasibility of using porcine small intestinal submucosa (SIS) as a scaffold for repairing ovarian defects.

METHOD

Fourteen female New Zealand rabbits undergoing ovarian resection were randomly allocated to 2 equal groups. The unilateral ovarian defects were repaired with SIS in group 1 animals and without SIS in group 2 animals (control). The volumes of the ovaries were calculated and the severity of adhesions was assessed in 1 animal from each group each month. The ovaries were removed and examined under a microscope.

RESULTS

The volumes of the SIS-grafted ovaries were larger than those of the operated ovaries of the control animals (P<0.05). The SIS-grafted ovaries had a lower adhesion score than the operated ovaries of the control group (P<0.001). SIS grafts showed hemorrhage and leukocyte infiltration until the 4th week after surgery, but the ovarian tissue appeared to be well organized from the 12th to the 16th week. At the 28th week, primordial follicles were scattered in the SIS graft.

CONCLUSION

SIS graft could be used for repairing the ovary after surgery.

摘要

目的

探讨使用猪小肠黏膜下层(SIS)作为修复卵巢缺损支架的可行性。

方法

将14只接受卵巢切除术的雌性新西兰兔随机分为两组,每组7只。第1组动物用SIS修复单侧卵巢缺损,第2组动物(对照组)不使用SIS。每月从每组中选取1只动物,计算卵巢体积并评估粘连严重程度。然后取出卵巢并进行显微镜检查。

结果

移植SIS的卵巢体积大于对照组手术侧卵巢(P<0.05)。移植SIS的卵巢粘连评分低于对照组手术侧卵巢(P<0.001)。术后第4周前,SIS移植物有出血和白细胞浸润,但从第12周到第16周,卵巢组织似乎组织良好。在第28周时,原始卵泡散在于SIS移植物中。

结论

SIS移植物可用于术后卵巢修复。

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