Chao Clare Y L, Ng Gabriel Y F, Cheung Kwok-Kuen, Zheng Yong-Ping, Wang Li-Ke, Cheing Gladys L Y
J Biomech Eng. 2013 Oct 1;135(10):101009-8. doi: 10.1115/1.4025109.
An evaluation of wound mechanics is crucial in reflecting the wound healing status. The present study examined the biomechanical properties of healing rat skin wounds in vivo and ex vivo. Thirty male Sprague-Dawley rats, each with a 6 mm full-thickness circular punch biopsied wound at both posterior hind limbs were used. The mechanical stiffness at both the central and margins of the wound was measured repeatedly in five rats over the same wound sites to monitor the longitudinal changes over time of before wounding, and on days 0, 3, 7, 10, 14, and 21 after wounding in vivo by using an optical coherence tomography-based air-jet indentation system. Five rats were euthanized at each time point, and the biomechanical properties of the wound tissues were assessed ex vivo using a tensiometer. At the central wound bed region, the stiffness measured by the air-jet system increased significantly from day 0 (17.2%), peaked at day 7 (208.3%), and then decreased progressively until day 21 (40.2%) as compared with baseline prewounding status. The biomechanical parameters of the skin wound samples measured by the tensiometer showed a marked reduction upon wounding, then increased with time (all p < 0.05). On day 21, the ultimate tensile strength of the skin wound tissue approached 50% of the normal skin; while the stiffness of tissue recovered at a faster rate, reaching 97% of its prewounded state. Our results suggested that it took less time for healing wound tissues to recover their stiffness than their maximal strength in rat skin. The stiffness of wound tissues measured by air-jet could be an indicator for monitoring wound healing and contraction.
评估伤口力学对于反映伤口愈合状态至关重要。本研究检测了大鼠皮肤愈合伤口在体内和体外的生物力学特性。选用30只雄性Sprague-Dawley大鼠,每只大鼠双侧后肢均有一个6毫米全层圆形穿刺活检伤口。在五只大鼠的同一伤口部位反复测量伤口中央和边缘的机械硬度,以监测体内伤口在受伤前、受伤后第0、3、7、10、14和21天随时间的纵向变化,采用基于光学相干断层扫描的喷气式压痕系统进行测量。在每个时间点对五只大鼠实施安乐死,并使用张力计在体外评估伤口组织的生物力学特性。在伤口中央床区域,与受伤前基线状态相比,喷气式系统测量的硬度从第0天显著增加(17.2%),在第7天达到峰值(208.3%),然后逐渐下降,直到第21天(40.2%)。用张力计测量的皮肤伤口样本的生物力学参数在受伤时显著降低,然后随时间增加(所有p<0.05)。在第21天,皮肤伤口组织的极限拉伸强度接近正常皮肤的50%;而组织硬度恢复得更快,达到受伤前状态的97%。我们的结果表明,在大鼠皮肤中,愈合伤口组织恢复硬度所需的时间比恢复最大强度所需的时间短。喷气式测量的伤口组织硬度可能是监测伤口愈合和收缩的一个指标。