Chen Yigang, Sun Nianfeng, Zhang Jie, Zhang Shaoxiang, Zhao Changli, Xia Jiazeng
Department of General Surgery, Wuxi Second Hospital, Nanjing Medical University, Wuxi, Jiangsu 214002, P.R. China.
Suzhou Origin Medical Technology Co., Ltd., Suzhou, Jiangsu 215513, P.R. China.
Exp Ther Med. 2017 Jun;13(6):2651-2656. doi: 10.3892/etm.2017.4363. Epub 2017 Apr 19.
To investigate the effects of Mg-6Zn alloy on the healing of the common bile duct (CBD), Mg-6Zn alloy stents were implanted into the CBDs of rabbits. Stainless steel stents were transplanted into a second group of rabbits to serve as a control. Computed tomography (CT) scanning was performed and weight loss was recorded to evaluate the degradation process. Hematoxylin and eosin staining and immunohistochemical analyses were performed to determine the expressions of transforming growth factor (TGF)-β, vascular endothelial growth factor (VEGF) and basic fibroblast growth factor (bFGF) and evaluate CBD healing. The Mg-6Zn stents maintained ~82 and ~50% of the original length, and ~90 and ~43% of the original CT value at 1 and 2 weeks post-operatively, respectively. The residual weights of the Mg-6Zn stents were ~89, ~42 and ~9% of the original weights at 1, 2 and 3 weeks post-operatively, respectively. At 3 weeks post-surgery, the CBD was completely healed, with no wounds observed in the 3 groups. VEGF expression in the Mg-6Zn stent group was lower than that in the stainless steel stent group at 3 weeks post-surgery (P=0.002). No significant differences were observed between the mean expressions of the TGF-β1 and bFGF genes at 1 and 2 weeks post-surgery. The results of the present study suggest that degradation of the Mg-6Zn alloy may not affect healing of the CBD.
为研究Mg-6Zn合金对胆总管(CBD)愈合的影响,将Mg-6Zn合金支架植入兔的胆总管。将不锈钢支架植入另一组兔作为对照。进行计算机断层扫描(CT)并记录体重减轻以评估降解过程。进行苏木精-伊红染色和免疫组织化学分析以确定转化生长因子(TGF)-β、血管内皮生长因子(VEGF)和碱性成纤维细胞生长因子(bFGF)的表达并评估胆总管愈合情况。Mg-6Zn支架在术后1周和2周时分别保持约82%和50%的原始长度,以及约90%和43%的原始CT值。Mg-6Zn支架的残余重量在术后1周、2周和3周时分别为原始重量的约89%、42%和9%。术后3周时,胆总管完全愈合,3组均未观察到伤口。术后3周时,Mg-6Zn支架组的VEGF表达低于不锈钢支架组(P=0.002)。术后1周和2周时,TGF-β1和bFGF基因的平均表达之间未观察到显著差异。本研究结果表明,Mg-6Zn合金的降解可能不会影响胆总管的愈合。