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研究秋水仙碱预防大鼠浆膜损伤所致粘连的效果。

To Investigate the Effect of Colchicine in Prevention of Adhesions Caused by Serosal Damage in Rats.

作者信息

Yıldız İhsan, Koca Yavuz Savas, Emek Aziz Kemal, Gelen Tekinalp

机构信息

Department of General Surgery, School of Medicine, Suleyman Demirel University, Isparta, Turkey.

出版信息

Surg Res Pract. 2015;2015:315325. doi: 10.1155/2015/315325. Epub 2015 Sep 28.

Abstract

Introduction and Aim. Adhesion formation is a process which starts with an inflammation caused by a number of factors and eventually results in fibrosis. Colchicine prevents adhesion formation which is antifibrous process. The effectivity of colchicine in the prevention of adhesions was investigated. Materials and Methods. A total of 36 rats were equally divided into three groups: (I) control group 1 (n = 12), (II) abrasion group 2 (n = 12), and (III) abrasion + colchicine group 3 (n = 12). Group 1 underwent laparotomy and was orally given physiological serum 2 cc/day for 10 days. In Group 2, injury was created in the cecum serosa following laparotomy and they were orally given physiological serum 2 cc/day for 10 days. In Group 3, injury was created in the cecum serosa following laparotomy and the rats were orally given colchicine 50 mcg kg/day mixed with physiological serum 2 cc/day for 10 days. Laparotomy was performed and adhesions were examined both macroscopically and microscopically. Both macroscopic and microscopic examinations were performed using Zühlke's score. Results. A significant difference was observed among the adhesion scores of the groups both macroscopically and microscopically. Macroscopic score was lower in group 3 than group 2. Microscopic score was lower in group 3 than group 2. Conclusion. Oral administration of colchicine is effective in the prevention of adhesions.

摘要

引言与目的。粘连形成是一个始于多种因素引发的炎症并最终导致纤维化的过程。秋水仙碱可预防粘连形成,这是一个抗纤维化的过程。本研究调查了秋水仙碱预防粘连的有效性。材料与方法。总共36只大鼠被平均分为三组:(I)对照组1(n = 12),(II)擦伤组2(n = 12),以及(III)擦伤+秋水仙碱组3(n = 12)。第1组接受剖腹手术,并连续10天每天口服2毫升生理血清。第2组在剖腹手术后在盲肠浆膜造成损伤,并连续10天每天口服2毫升生理血清。第3组在剖腹手术后在盲肠浆膜造成损伤,大鼠连续10天每天口服与2毫升生理血清混合的50微克/千克秋水仙碱。进行剖腹手术,并对粘连进行宏观和微观检查。宏观和微观检查均使用祖尔克评分法。结果。在各组的粘连评分中,宏观和微观上均观察到显著差异。第3组的宏观评分低于第2组。第3组的微观评分低于第2组。结论。口服秋水仙碱对预防粘连有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1b1/4600944/2311e7fdd1df/SRP2015-315325.001.jpg

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