Shimamura Kimi, Nakatani Toshio, Ueda Aiko, Sugama Junko, Okuwa Mayumi
Department of Clinical Nursing, Graduate Course of Nursing Science, Division of Health Sciences, Graduate School of Medical Science, Kanazawa University, Kanazawa 9200942, Japan.
Wound Repair Regen. 2009 Jul-Aug;17(4):598-605. doi: 10.1111/j.1524-475X.2009.00512.x.
We considered the relationship among exudate, wound area, angiogenesis, lymphangiogenesis, and reepithelialization during wound healing. Full-thickness wounds were made on the dorsum of mice. The weight of exudate absorbed into the dressing as well as the wound area was determined daily. Sections of the wounds were stained with anti-LYVE-1 and CD31 antibodies. Indian ink was injected into the wound for observing the movement of the exudate on days 3, 5, and 7 after wounding. New epithelium completely covered the wound on day 11. The quantity of exudate peaked on day 1, and then rapidly decreased until it was undetectable on day 11. Most of the Indian ink injected into the wound was retained within the wound and did not flow into the surrounding tissue. New blood vessels showed a uniform distribution in the granulation tissue on day 5. New lymphatics appeared in the granulation tissue approximately 2 days later than the blood vessels and they were distributed toward the center of the granulation tissue on day 11. Thus, reduction of exudate from the wound appears to be related to blood vessels, not lymphatics. However, increasing lymphatics may play a role in the late phase of the wound-healing process.
我们研究了伤口愈合过程中渗出物、伤口面积、血管生成、淋巴管生成和再上皮化之间的关系。在小鼠背部制造全层伤口。每天测定吸收到敷料中的渗出物重量以及伤口面积。用抗LYVE-1和CD31抗体对伤口切片进行染色。在受伤后第3、5和7天,向伤口注射印度墨水以观察渗出物的移动情况。在第11天,新上皮完全覆盖伤口。渗出物数量在第1天达到峰值,然后迅速下降,直到第11天无法检测到。注入伤口的大部分印度墨水保留在伤口内,没有流入周围组织。在第5天,新血管在肉芽组织中呈均匀分布。新淋巴管出现在肉芽组织中的时间比血管晚约2天,并且在第11天它们朝着肉芽组织的中心分布。因此,伤口渗出物的减少似乎与血管有关,而非淋巴管。然而,淋巴管的增加可能在伤口愈合过程的后期发挥作用。