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波兰生物力学学会莫雷茨基-菲德卢斯奖获奖作品:在治疗男性尿道狭窄的泌尿科支架应用中,比较两种聚合物 PDO 和 PLLA/PCL。

Polish Society of Biomechanics Morecki&Fidelus Award Winner: Comparison of two polymers PDO and PLLA/PCL in application of urological stent for the treatment of male urethral stenosis.

机构信息

1Department of Biomedical Engineering, Institute of Material and Biomedical Engineering, Faculty of Mechanical Engineering, University of Zielona Góra, Poland.

出版信息

Acta Bioeng Biomech. 2024 Apr 30;26(1):3-12. doi: 10.37190/abb-02448-2024-01. Print 2024 Jun 1.

DOI:10.37190/abb-02448-2024-01
PMID:39219079
Abstract

: The primary objective of the conducted research was to develop an urological stent design for the treatment of male ure-thral stenosis. Given the variable loading conditions inside the urethra, the proposed stent should maintain normal tissue kinetics and obstruct the narrowed lumen. The suitable selection for the stent material significantly influences the regeneration and proper remodeling of the urethral tissues. : In this work, the mechanical characteristics of some polymer materials were studied, including: polydi-oxanone (PDO) and poly(L-lactide) (PLLA)/polycaprolactone (PCL) composite. The obtained mechanical properties for static tensile testing of the materials, allowed the determination of such parameters as Young's modulus (), tensile strength ( ) and yield strength ( ). Subsequently, the design of a urological stent was developed, for which a numerical analysis was carried out to check the behaviour of the stent during varying loads prevailing in the urethra. : The research indicated that PDO has better mechanical properties than the proposed PLLA/PCL composite. The numerical analysis results suggested that the developed stent design can be successfully used in the treatment of male urethral stenosis. The obtained stress and strain distributions in the numerical analysis confirm that the PDO material can be used as a material for an urological stent. : The biodegradable polymers can be successfully used in urology. Their advantages over solid materials are their physicochemical properties, the ability to manipulate the rate and time of degradation and the easy availability of materials and manufacturing technology.

摘要

: 本研究的主要目的是为男性尿道狭窄的治疗设计一种泌尿科支架。鉴于尿道内的负载条件多变,所提出的支架应维持正常的组织动力学并阻塞狭窄的管腔。支架材料的合适选择显著影响尿道组织的再生和适当重塑。 : 在这项工作中,研究了一些聚合物材料的机械特性,包括:聚二氧杂环已酮(PDO)和聚(L-丙交酯)(PLLA)/聚己内酯(PCL)复合材料。通过对材料进行静态拉伸测试获得的机械性能,确定了杨氏模量()、拉伸强度()和屈服强度()等参数。随后,设计了一种泌尿科支架,并对其进行了数值分析,以检查支架在尿道中变化的负载下的行为。 : 研究表明,PDO 的机械性能优于所提出的 PLLA/PCL 复合材料。数值分析结果表明,所开发的支架设计可成功用于治疗男性尿道狭窄。数值分析中得到的应力和应变分布证实,PDO 材料可用于泌尿科支架。 : 可生物降解聚合物可成功用于泌尿科。与实体材料相比,它们具有物理化学性质、控制降解速率和时间的能力以及材料和制造技术的易得性等优点。

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