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[在外周神经重建中使用不可降解材料作为导管的可能性]

[The possibilities of using a non-degradable materials as conduits in peripheral nerve reconstructions].

作者信息

Gosk Jerzy, Mazurek Piotr, Reichert Paweł, Wnukiewicz Witold, Rutowski Roman

机构信息

Katedra Chirurgii Urazowej, Klinika Chirurgii Urazowej i Chirurgii Reki, Akademia Medyczna we Wrocławiu.

出版信息

Polim Med. 2010;40(1):3-8.

Abstract

Rupture of the nerve is indication to perform reconstruction by direct neurorrhaphy or with autogenic nerve grafts. An alternative to using nerve grafts may be employ of an artificial conduits consisted of degradable or non-degradable polymers. In this study we presented the possibilities of using of non-degradable polymers in experimental studies and medical practice. The advantages of these materials were emphasized, but also limitations in its use were described. Directions in future progress and possibilities of enrichment nerve conduits by nerve regeneration facilitating factors such as: Schwann cells, mesenchymal stem cells, neurotrophic factors (NGF, GDNF, CNTF, VEGF, PDGF), extracellular matrix elements (collagen, laminin, fibronectin) and structural elements improving axon regeneration (filaments) were also described. In summary the properties of useful in medical practice neural tube were established. All indicate that future directions of experimental studies on using polymers in peripheral nerve reconstructions will be based on degradable materials. The role of non-degradable materials will be limited to using as control groups in experimental studies and in studies of following nerve regeneration improving factors.

摘要

神经断裂是通过直接神经缝合或自体神经移植进行重建的指征。使用神经移植的替代方法可能是采用由可降解或不可降解聚合物组成的人工导管。在本研究中,我们介绍了在实验研究和医学实践中使用不可降解聚合物的可能性。强调了这些材料的优点,但也描述了其使用中的局限性。还描述了未来进展的方向以及通过促进神经再生的因素(如施万细胞、间充质干细胞、神经营养因子(NGF、GDNF、CNTF、VEGF、PDGF)、细胞外基质成分(胶原蛋白、层粘连蛋白、纤连蛋白)和改善轴突再生的结构成分(细丝))来富集神经导管的可能性。总之,确定了在医学实践中有用的神经管的特性。所有这些都表明,在周围神经重建中使用聚合物的实验研究的未来方向将基于可降解材料。不可降解材料的作用将限于在实验研究和后续神经再生改善因素的研究中用作对照组。

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