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心包重建后气管生长减缓。

Reduced tracheal growth after reconstruction with pericardium.

作者信息

Dykes E H, Bahoric A, Smith C, Kent G, Filler R M

机构信息

Department of Surgery, Hospital For Sick Children, Toronto, Ontario, Canada.

出版信息

J Pediatr Surg. 1990 Jan;25(1):25-9. doi: 10.1016/s0022-3468(05)80158-7.

DOI:10.1016/s0022-3468(05)80158-7
PMID:2299544
Abstract

Four groups of piglets were used to test the use of pericardium and periosteum as free grafts in the repair of full thickness cervical tracheal defects. Pericardium provided an airtight, rapidly healing graft, but did not give sufficient structural rigidity to prevent narrowing and growth failure at the graft site. Composite grafts of pericardium and periosteum were also unsatisfactory, in that the periosteum failed to produce enough bone to prevent collapse of the graft. Since previous studies have shown that periosteal grafts result in good bone formation when applied alone or as an extramucosal support, it is concluded that the osteogenic potential is dependent on the available blood supply and speed of revascularization. It appears that the presence of pericardium in the composite grafts may have inhibited this property.

摘要

使用四组仔猪来测试心包和骨膜作为游离移植物在修复全层颈段气管缺损中的应用。心包提供了一个气密且愈合迅速的移植物,但没有给予足够的结构刚性来防止移植物部位的狭窄和生长失败。心包和骨膜的复合移植物也不令人满意,因为骨膜未能产生足够的骨来防止移植物塌陷。由于先前的研究表明,单独应用骨膜移植物或作为黏膜外支撑时会导致良好的骨形成,因此得出结论,成骨潜能取决于可用的血液供应和血管再生速度。似乎复合移植物中心包的存在可能抑制了这种特性。

相似文献

1
Reduced tracheal growth after reconstruction with pericardium.心包重建后气管生长减缓。
J Pediatr Surg. 1990 Jan;25(1):25-9. doi: 10.1016/s0022-3468(05)80158-7.
2
A new model of tracheal stenosis and its repair with free periosteal grafts.一种气管狭窄的新模型及其游离骨膜移植修复
J Thorac Cardiovasc Surg. 1986 Aug;92(2):296-304.
3
The successful reconstruction of thoracic tracheal defects with free periosteal grafts.采用游离骨膜移植成功重建胸段气管缺损。
J Pediatr Surg. 1985 Dec;20(6):852-8. doi: 10.1016/s0022-3468(85)80054-3.
4
Free periosteal grafts in tracheal reconstruction: an experimental study.气管重建中游离骨膜移植:一项实验研究。
Prog Pediatr Surg. 1987;21:47-9. doi: 10.1007/978-3-642-71665-2_6.
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Histopathologic changes after pericardial patch tracheoplasty.心包补片气管成形术后的组织病理学变化。
Arch Otolaryngol Head Neck Surg. 1997 Oct;123(10):1069-72. doi: 10.1001/archotol.1997.01900100043006.
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Tracheal reconstruction with free periosteal grafts. An experimental study on rabbits.游离骨膜移植气管重建:兔实验研究
Scand J Thorac Cardiovasc Surg Suppl. 1981;31:1-63.
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[Congenital tracheal stenosis due to complete circular rings. Tracheoplasty using autologous pericardium].[完全环状软骨导致的先天性气管狭窄。使用自体心包进行气管成形术]
Presse Med. 1988 Oct 15;17(35):1810-2.
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J Pediatr Surg. 1989 Jun;24(6):570-2. doi: 10.1016/s0022-3468(89)80508-1.

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Management of congenital tracheal stenosis: a multidisciplinary approach.先天性气管狭窄的管理:多学科方法
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