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[不同类型缝合线引起的组织学反应]

[Histological reactions caused by various types of suturing threads].

作者信息

Salamon A, Kádas L, Sarang I, Vidó S, Ihász M, Németh L

出版信息

Acta Chir Acad Sci Hung. 1980;21(1):31-42.

PMID:7027701
Abstract

Wounds caused in the dorsal musculature of guinea pigs were sutured with various types of threads and the histological reactions caused by the latter were studied. Light and electron microscopic methods revealed that the best resorption can be achieved with Dexon threads. This synthetic thread is resorbed in 14 to 16 weeks causing only a minimal histological reaction and without cicatrization in its vicinity. Around threads which are not absorbed a connective tissue capsule is formed; this one is thin in the case of Ethilon and Chrom cat gut and somewhat more marked when Rixo or Supramid threads are used. The histological reaction is the most intense around the traditional linen thread which leads to cicatrization. In the resorption of Dexon a decisive role is attributed to the giant cells of the foreign body while in the case of non-absorbable synthetics and linen threads the fibre forming roles of the histiocytes, mastocytes and fibroblasts dominate.

摘要

用各种类型的缝线对豚鼠背部肌肉组织造成的伤口进行缝合,并研究后者引起的组织学反应。光学显微镜和电子显微镜方法显示,使用 Dexon 缝线可实现最佳吸收效果。这种合成缝线在 14 至 16 周内被吸收,仅引起最小的组织学反应,且在其周围不会形成瘢痕。在未被吸收的缝线周围会形成结缔组织包膜;Ethilon 和 Chrom 肠线的包膜较薄,而使用 Rixo 或 Supramid 缝线时包膜则更为明显。传统亚麻缝线周围的组织学反应最为强烈,会导致瘢痕形成。在 Dexon 的吸收过程中,异物巨细胞起决定性作用,而在不可吸收的合成缝线和亚麻缝线的情况下,组织细胞、肥大细胞和成纤维细胞的纤维形成作用占主导地位。

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