Cao Y, Lin L M, Ma C, Deng K X, Yuan Y Y, Xu T, Zhu L
Department of Obstetrics and Gyneacology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.
Medprin Regenerative Medical Technologies Co. Ltd, Shenzhen 518100, China.
Zhonghua Fu Chan Ke Za Zhi. 2019 Jan 25;54(1):44-48. doi: 10.3760/cma.j.issn.0529-567x.2019.01.010.
To evaluate the histocompatibility of an original Chinese-made mid-urethral sling (Repelvica mid-urethral sling). In total 10 female New Zealand white rabbits were implanted with Repelvica mid-urethral sling or tension-free vaginal tape-obturator tape (TVT-O; Gynecare). Both brands of sling were implanted under deep fascia of the abdominal wall and in the space between vagina and bladder. All animal groups were sacrificed at set time intervals (4 weeks and 12 weeks), and the abdominal and vaginal slings were harvested for histological evaluation. All slings appeared to be well incorporated into the abdominal wall and anterior vaginal wall. All specimens showed a thin, loose, fibrous interface between the synthetic graft and abdominal wall or vaginal wall, along with mild inflammatory reaction from 4 weeks to 12 weeks. Abdominal grafts of Repelvica mid-urethral sling and TVT-O induced comparable tissue reaction (histological score 10.5 versus 10.5 at 4 weeks, 10.0 versus 9.5 at 12 weeks; both 0.05). Vaginal grafts of Repelvica mid-urethral sling had lower histological score than TVT-O (histological score 6.0 versus 12.0 at 4 weeks, 8.5 versus 12.5 at 12 weeks), however the differences were not statistically significant (both 0.05). Chinese-made Repelvica mid-urethral sling exhibits good histocompatibility. Vaginal graft of Repelvica mid-urethral sling evoks minor tissue reaction, which could be attributed to its lightweighted property and favored its clinical application.
评估一款国产的中段尿道吊带(Repelvica中段尿道吊带)的组织相容性。总共10只雌性新西兰白兔被植入Repelvica中段尿道吊带或无张力阴道吊带-闭孔带(TVT-O;吉妮西丝)。两种品牌的吊带均植入腹壁深筋膜下以及阴道与膀胱之间的间隙。所有动物组在设定的时间间隔(4周和12周)处死,取出腹部和阴道吊带进行组织学评估。所有吊带似乎都很好地融入了腹壁和阴道前壁。所有标本在合成移植物与腹壁或阴道壁之间均显示出薄而疏松的纤维界面,从4周到12周伴有轻度炎症反应。Repelvica中段尿道吊带和TVT-O的腹部移植物引起的组织反应相当(4周时组织学评分为10.5对10.5,12周时为10.0对9.5;均P>0.05)。Repelvica中段尿道吊带的阴道移植物组织学评分低于TVT-O(4周时组织学评分为6.0对12.0,12周时为8.5对12.5),然而差异无统计学意义(均P>0.05)。国产的Repelvica中段尿道吊带表现出良好的组织相容性。Repelvica中段尿道吊带的阴道移植物引起的组织反应较小,这可能归因于其重量轻的特性,有利于其临床应用。