Yıldız İhsan, Koca Yavuz Savas, Emek Aziz Kemal, Gelen Tekinalp
Department of General Surgery, School of Medicine, Suleyman Demirel University, Isparta, Turkey.
Surg Res Pract. 2015;2015:315325. doi: 10.1155/2015/315325. Epub 2015 Sep 28.
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.
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。