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载银纳米晶体的移植物对实验性热损伤皮肤组织学结构的影响。

EFFECT OF XENOGRAFTS SATURATED WITH SILVERNANOCRYSTALS ON HISTOLOGICAL STRUCTURE OF THE SKIN IN THE DYNAMICS OF EXPERIMENTAL THERMAL INJURY.

机构信息

I. Horbachevsky Ternopil National Medical University, Ukraine.

出版信息

Georgian Med News. 2021 Oct(319):128-133.

Abstract

The aim of this study was to establish histological state of the components of the affected area of skin in cases of application of xenograft saturated with silver nanocrystals in the dynamics after experimental thermal injury. The study was performed on 54 adult guinea pigs following the rules of bioethics. Experimental animals were divided into two groups: the 1st - animals with severe thermal injury (27); the 2nd - animals with burn injury (27), in which the wounds were covered with xenograft after early necrectomy of the damaged tissues. To investigate the microscopic changes in the skin the animals were removed from the experiment on the 7th, 14th, and 21st days of the experiment. Histological sections were stained with hematoxylin and eosin. Application of xenograft saturated with silver nanocrystals for 7 days contributes to formation of granulation tissue, activation of regenerative mechanisms in the marginal areas of the wound. On the 14th day of the experiment, an epidermal regenerate was evidenced at the wound, its formation source was the perifocal areas of the epidermis and skin appendages, and below it - fibroblastic cells rich granulation tissue, well-defined fibrous structures, equally set components of the hemomicrocirculatory flow. On the 21st day, a well-formed epidermis with a clear differentiation of cells into layers was observed. In the fresh connective tissue, formation of papillae with new capillaries embedded in the epithelium was evidenced. There were collagen as well as elastic fibres among the fibrous structures of the intercellular substance of the connective tissue. In all stages of the experiment with application of xenograft saturated with silver nanocrystals no purulonecrotic masses were observed in the affected area. Thus, histologically it has been found out that application of xenograft saturated with silver nanocrystals after early necrectoна руссmy of burn-damaged areas of the skin at an early stage improves formation of granulation tissue. In the late post-experimental thermal injuries, their usage accelerates epithelialization, connective tissue formation and has positive effect on the course of the experimental burn wound process.

摘要

本研究的目的是在实验性热损伤后建立受影响皮肤区域的移植物中银纳米晶体饱和的组织学状态。该研究是在遵循生物伦理学规则的情况下,对 54 只成年豚鼠进行的。实验动物分为两组:第 1 组-严重热损伤动物(27 只);第 2 组-烧伤动物(27 只),其中在受损组织的早期坏死切除后,将移植物覆盖在伤口上。为了研究皮肤的微观变化,在实验的第 7、14 和 21 天,从实验中取出动物。对组织切片进行苏木精和伊红染色。应用银纳米晶体饱和的移植物 7 天有助于形成肉芽组织,激活伤口边缘区域的再生机制。在实验的第 14 天,伤口处有表皮再生的证据,其形成来源是表皮和皮肤附属物的周围区域,其下是富含肉芽组织的成纤维细胞,纤维结构清晰,血液微循环的成分均匀设置。在第 21 天,观察到形成良好的表皮,细胞分层清晰。在新鲜的结缔组织中,证据表明有新的毛细血管嵌入上皮的乳头形成。在结缔组织细胞间质的纤维结构中,有胶原蛋白和弹性纤维。在应用银纳米晶体饱和的移植物的所有实验阶段,受影响区域均未观察到脓性坏死块。因此,组织学发现,在早期坏死切除烧伤皮肤受损区域后,早期应用银纳米晶体饱和的移植物可改善肉芽组织的形成。在晚期实验性热损伤后,它们的使用加速了上皮化、结缔组织形成,并对实验性烧伤伤口过程产生积极影响。

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