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盆腔手术后采用自组装纳米纤维多肽封闭治疗腹腔积液

Management of peritoneal effusion by sealing with a self-assembling nanofiber polypeptide following pelvic surgery.

作者信息

Kondo Yoshitaka, Nagasaka Takeshi, Kobayashi Satoru, Kobayashi Naoya, Fujiwara Toshiyoshi

出版信息

Hepatogastroenterology. 2014 Mar-Apr;61(130):349-53.

PMID:24901138
Abstract

BACKGROUND/AIMS: PuraMatrix is a synthetic material consisting of 16-amino acid peptides that self-assemble into nanofibers, previously used as a scaffold for functional cell cultures. We conducted a clinical study to determine the safety and sealing properties of PuraMatrix in post-operative lymphorrhea following pelvic surgery in humans.

METHODOLOGY

A total of 20 patients who underwent rectal cancer resection were analyzed. The study group (n = 10) consisted of patients who received PuraMatrix, matched with a control group (n = 10) of patients operated on conventionally.

RESULTS

During the 2 to 3 month follow-up period, there were no abnormal findings or adverse events in any the patients who received PuraMatrix. We found that the patients who received PuraMatrix had significantly reduced post-operative drainage volumes compared with the patients in the control group.

CONCLUSIONS

PuraMatrix is a safe and effective bio-compatible sealing material for the management of post-operative peritoneal effusion following pelvic surgery.

摘要

背景/目的:PuraMatrix是一种由16种氨基酸肽组成的合成材料,可自组装成纳米纤维,以前用作功能性细胞培养的支架。我们进行了一项临床研究,以确定PuraMatrix在人类盆腔手术后淋巴漏中的安全性和封闭特性。

方法

共分析了20例接受直肠癌切除术的患者。研究组(n = 10)由接受PuraMatrix的患者组成,并与常规手术的对照组(n = 10)患者相匹配。

结果

在2至3个月的随访期内,接受PuraMatrix的患者均未发现异常或不良事件。我们发现,与对照组患者相比,接受PuraMatrix的患者术后引流量明显减少。

结论

PuraMatrix是一种安全有效的生物相容性封闭材料,用于治疗盆腔手术后的腹膜积液。

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