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用于预防术后粘连的聚合物材料。

Polymer materials for prevention of postoperative adhesion.

机构信息

Department of General Surgery, The Second Hospital of Jilin University, Changchun 130041, PR China; Key Laboratory of Polymer Ecomaterials, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022, PR China.

Key Laboratory of Polymer Ecomaterials, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022, PR China.

出版信息

Acta Biomater. 2017 Oct 1;61:21-40. doi: 10.1016/j.actbio.2017.08.002. Epub 2017 Aug 2.

Abstract

UNLABELLED

Postoperative adhesion (POA) is a common complication that often occurs after a variety of surgeries, such as plastic surgery, repair operations of abdominal, pelvic, and tendon, and so forth. Moreover, POA leads to chronic abdominal pain, secondary infertility in women, intestinal obstruction, and other severe complications, which significantly reduce the life quality of patients. In order to prevent the formation of POA, a number of strategies have been developed, among which an emerging method is physical barriers consisting of polymer materials. This review highlights the most commonly used natural and synthetic polymer materials in anti-adhesion physical barriers. The specific features of polymer materials are analyzed and compared, and the possible prospect is also predicted.

STATEMENT OF SIGNIFICANCE

Postoperative adhesion (POA) is a serious complication accompanied with various surgeries. Polymer material-based physical barriers have attracted a large amount of attention in POA prevention. The polymer barriers can effectively avoid the formation of fibrous tissues among normal organs by reducing the interconnection of injured tissues. In this review, specific features of the natural and synthetic polymer materials for application in POA prevention were presented, and the possible prospects were predicted. All in all, our work can provide inspiration for researchers to choose proper polymer materials for preclinical and even clinical anti-adhesion studies.

摘要

目的:术后粘连(POA)是一种常见的并发症,常发生于多种手术之后,如整形手术、腹部、骨盆和肌腱修复手术等。此外,POA 可导致慢性腹痛、女性继发性不孕、肠梗阻等严重并发症,显著降低患者的生活质量。为了预防 POA 的形成,人们提出了许多策略,其中一种新兴的方法是使用聚合物材料制成的物理屏障。本综述重点介绍了在抗粘连物理屏障中最常用的天然和合成聚合物材料。分析并比较了聚合物材料的具体特点,并对可能的前景进行了预测。

意义:术后粘连(POA)是一种严重的并发症,常伴随各种手术出现。基于聚合物材料的物理屏障在 POA 预防方面受到了广泛关注。这些聚合物屏障可通过减少损伤组织的连接来有效避免正常器官之间纤维组织的形成。在本综述中,介绍了用于预防 POA 的天然和合成聚合物材料的具体特点,并对可能的前景进行了预测。总的来说,我们的工作可为研究人员选择合适的聚合物材料用于临床前甚至临床抗粘连研究提供启示。

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