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综述:从生物材料角度看预防组织粘连的进展

A review: progress in preventing tissue adhesions from a biomaterial perspective.

作者信息

Kheilnezhad Bahareh, Hadjizadeh Afra

机构信息

Department of Biomedical Engineering, Amirkabir University, Tehran, Iran.

出版信息

Biomater Sci. 2021 Apr 21;9(8):2850-2873. doi: 10.1039/d0bm02023k. Epub 2021 Mar 12.

Abstract

Postoperative adhesions (POA) are one of the main problems suffered by patients and are a common complaint. It is considered to be closely associated with the healing mechanism of damaged tissues. Tissue adhesions accompany other symptoms such as inflammation, pain, and even dyskinesia under certain conditions, compromising the patients' quality of life. On the other hand, common treatments involve high costs, re-surgery or long-term hospital stays. Therefore, alternative approaches need to be formulated so that aforementioned problems can be resolved. To this end, a review of recent advances in this context is imperative. In this review, we have highlighted the mechanism of adhesion formation, advances in common therapeutic approaches, and prospective treatments in preventing tissue adhesions. Based on the literature, it can be determined that the disadvantages of available commercial products in the treatment of tissue adhesion have led researchers to utilize alternative methods for designing anti-adhesive products with different structures such as electrospun fibrous mats, hydrogels, and nanospheres. These studies are on the fast track in producing optimal anti-adhesion materials. We hope that this article can attract attention by showing various mechanisms and solutions involved in adhesion problems and inspire the further development of anti-adhesion biomaterials.

摘要

术后粘连(POA)是患者面临的主要问题之一,也是常见的主诉。它被认为与受损组织的愈合机制密切相关。组织粘连会伴随其他症状,如炎症、疼痛,甚至在某些情况下会导致运动障碍,影响患者的生活质量。另一方面,常规治疗成本高昂,需要再次手术或长期住院。因此,需要制定替代方法来解决上述问题。为此,必须对这方面的最新进展进行综述。在本综述中,我们重点介绍了粘连形成的机制、常见治疗方法的进展以及预防组织粘连的前瞻性治疗方法。基于文献可以确定,现有商业产品在治疗组织粘连方面的缺点促使研究人员采用替代方法来设计具有不同结构的抗粘连产品,如电纺纤维垫、水凝胶和纳米球。这些研究在生产最佳抗粘连材料方面进展迅速。我们希望本文通过展示粘连问题所涉及的各种机制和解决方案来吸引关注,并激发抗粘连生物材料的进一步发展。

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