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[使用自体、同种异体和异种皮肤移植进行膀胱整形扩大术]

[Urinary bladder plastic enlargement with the use of autologous, homologous and heterologous skin transplants].

作者信息

Pust R

出版信息

Fortschr Med. 1979 Mar 29;97(12):561-6.

PMID:374210
Abstract
  1. Expanded urinary bladder resection and the following replacement of the defect with various skin grafts were well tolerated by 161 cats. 2. Grafts of various species were shown to be of significantly different biomechanical properties. This depended on basic substance, compound and texture of collagenous and elastic fibres and the methods of conservation. Preoperatively the transplants were sufficiently resistent against urine and bladder pressure. 3. Within of few weeks postoperatively there was an increase in bladder capacity. This was more evident and arose in an earlier period than in cases without bladder wall replacement (x-ray-control). 4. Autologous grafts were infiltrated by young new tissue. Homologous and heterologous patches served as "guide" of regeneration. Complete transitional cell epithelium was proven to be present after four weeks in the predominantly connective tissue regenerates. The development of smooth muscle fibres in the regenerates is discussed. 5. The microcytotoxicity test showed a host response, but without clinically manifest rejection of the foreign transplants. 6. Apart from clinical urological application the results of this experimental investigation could be useful in general plastic surgery.
摘要
  1. 161只猫对扩大膀胱切除术及随后用各种皮肤移植物替代缺损耐受性良好。2. 不同种类的移植物显示出明显不同的生物力学特性。这取决于胶原纤维和弹性纤维的基本物质、成分和质地以及保存方法。术前,移植物对尿液和膀胱压力具有足够的抵抗力。3. 术后几周内膀胱容量增加。与未进行膀胱壁替代的病例相比(X线对照),这种情况更明显且出现得更早。4. 自体移植物被年轻的新组织浸润。同种异体和异种补片作为再生的“引导物”。四周后,在以结缔组织为主的再生组织中证实存在完整的移行细胞上皮。文中讨论了再生组织中平滑肌纤维的发育情况。5. 微细胞毒性试验显示有宿主反应,但未出现临床上明显的对外来移植物的排斥。6. 除临床泌尿外科应用外,本实验研究结果在普通整形手术中可能也有用处。

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