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一项关于将人羊膜作为皮下植入物应用于小鼠模型的初步研究:在二期乳房重建中作为临时替代品的一种可能性。

A pilot study of the use of human amniotic membrane as subcutaneous implants in a mouse model: a potential for temporary substitutes in two-stage breast reconstructions.

机构信息

Breast Disease Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran.

Department of Surgery, Arash Women's Hospital, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

BMC Womens Health. 2023 Jul 12;23(1):367. doi: 10.1186/s12905-023-02531-9.

Abstract

INTRODUCTION

Breast reconstruction by prosthesis is frequently performed in breast cancer treatments, and a temporary substitute is used in the first step of two-stage operations.

AIM

Due to the advantageous biological features of the human amniotic membrane, we aimed to evaluate its use for temporary implants.

METHOD

We prepared small spherical implants from human amniotic membranes and inserted them into BALB/c mice's subcutaneous flanks. Then, we compared the bulging they produced, the durability, and the host reaction with implants made from the chorionic membrane, folded membrane patches, and sterile plastic beads.

RESULTS

All amionitic cases were healthy throughout the study and only mild inflammation occurred in them. Furthermore, the bulging of the implants was acceptable and faded gradually. However, moderate inflammation was observed in chorionic implant mice, and the bulging disappeared very soon. Finally, the control group had severe inflammation and the beads implant was rejected.

CONCLUSION

Our study showed that the human amniotic membrane could represent a safe and valid tool for breast reconstruction, however, further studies on larger animals and more implants are suggested.

摘要

引言

在乳腺癌的治疗中,假体乳房再造经常进行,两步手术的第一步会使用临时替代品。

目的

由于人羊膜具有有利的生物学特性,我们旨在评估其用于临时植入物的用途。

方法

我们从小羊膜制备了小球状植入物,并将其插入 BALB/c 小鼠的皮下侧腹。然后,我们比较了它们产生的隆起、耐久性以及与胎盘膜、折叠膜片和无菌塑料珠制成的植入物的宿主反应。

结果

所有羊膜病例在整个研究过程中均健康,仅发生轻度炎症。此外,植入物的隆起是可以接受的,并且逐渐消退。然而,在胎盘植入物的小鼠中观察到中度炎症,隆起很快消失。最后,对照组发生严重炎症,珠子植入物被排斥。

结论

我们的研究表明,人羊膜可以作为乳房重建的一种安全有效的工具,但是建议在更大的动物和更多的植入物上进行进一步的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e90d/10339626/75a21a5fc962/12905_2023_2531_Fig1_HTML.jpg

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