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采用自体骨髓细胞与胎盘提取物治疗动物模型的切皮创面。

Autologous bone marrow-derived cells with placental extract for healing excisional cutaneous wounds in animal model.

机构信息

Department of Veterinary Surgery and Radiology, West Bengal University of Animal and Fishery Sciences, Kolkata, India.

出版信息

Int Wound J. 2013 Apr;10(2):167-76. doi: 10.1111/j.1742-481X.2012.00964.x. Epub 2012 Apr 11.

Abstract

Topical wound-healing potential of autologous bone marrow-derived nucleated cells along with placental extract was evaluated in comparison with buffy coat of autologous blood on full-thickness cutaneous wounds in the thoracolumbar region of 15 clinically healthy New Zealand rabbits. Three wounds of 2 × 2 cm, one on the right side of the body and two on the left side of the midline were created on the dorsal lumbar region of each rabbit under xylazine-ketamine anaesthesia. The wounds of each animal were randomly assigned to one of the three treatments: topical application of autologous bone marrow-derived cells with placental extract (group I), application of buffy coat in the autologous plasma with placental extract (group II) and autologous plasma with placental extract as control (group III). Wounds were observed for 30 days macroscopically and for granulation tissue formation, histomorphological and histochemical evaluation. Time of appearance of granulation tissues and filling of wound beds were faster in group I followed by group II and group III animals, respectively. Histomorphological findings exhibited an earlier disappearance of inflammatory reaction, better epithelialisation, significantly maximum neovascularisation, fibroplasias and collagenation in group I followed by group II and group III animals, respectively. Histochemical findings also depicted maximum number of robust, thick, interwoven type of collagen fibres, stout, highly tortuous and interwoven network of elastin fibres and numerous mesh war form of reticulin fibres within the dermal component were present in group I when compared with group II and III animals. Experiment conclude that single application of autologous bone marrow-nucleated cells with placental extract topically could be a novel option for faster healing in complicated non healing wounds both in human beings and animals.

摘要

自体骨髓有核细胞联合胎盘提取物局部应用于胸腰椎区全层皮肤创面的创面愈合潜能与自体血白细胞层比较,15 只临床健康新西兰兔。在每只兔子的背部腰椎区域,在氯胺酮麻醉下,用 2×2cm 的三个伤口,一个在身体右侧,两个在中线左侧,随机分配给三种治疗方法之一:自体骨髓有核细胞联合胎盘提取物的局部应用(I 组),自体血浆中白细胞层联合胎盘提取物的应用(II 组)和自体血浆联合胎盘提取物作为对照(III 组)。用肉眼观察伤口 30 天,评估肉芽组织形成、组织形态学和组织化学。I 组的肉芽组织出现和创面填充时间更快,其次是 II 组和 III 组。组织形态学发现,I 组炎症反应更早消失,上皮化更好,新生血管化、纤维增生和胶原化显著,其次是 II 组和 III 组。组织化学发现,I 组真皮成分内存在大量粗壮、交织型胶原纤维、粗壮、高度扭曲和交织的弹性纤维网络以及大量网格状的网状纤维,与 II 组和 III 组动物相比。实验结论表明,自体骨髓有核细胞联合胎盘提取物单次应用可能是人类和动物复杂难愈性创面更快愈合的一种新选择。

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