Holmdahl L, al-Jabreen M, Risberg B
Department of Surgery, Ostra Hospital, University of Göteborg, Sweden.
Eur Surg Res. 1994;26(4):248-56. doi: 10.1159/000129342.
Postoperative formation of adhesions is a common complication in abdominal surgery. The aim of the present study was to develop standardized experimental models for quantitative studies of the formation of adhesions in rats and rabbits. In rats the suturing of a peritoneal wound increased adhesion formation significantly compared to leaving it open, 77.9 +/- 4.8 and 5.3 +/- 2.8%, respectively (p < 0.001). The suturing technique, when comparing the interrupted and continuous method after 1 week, had no influence, 84.5 +/- 6.3% and 73.1 +/- 11.2%, respectively (p > 0.05). Different types of trauma resulted in differences in adhesion formation to noninjured parts in the abdominal cavity, adhesions in 17.5 and 2.5% of the animals, respectively (p < 0.05). In rabbits adhesions formed more frequently (p < 0.001) to visceral peritoneum (59.3 +/- 3.7%) than to the parietal one (22.3 +/- 1.6%) indicating a different propensity of tissues to have adhesions. These models enable detailed quantitative studies on experimental formation of adhesions.
术后粘连形成是腹部手术中常见的并发症。本研究的目的是建立标准化实验模型,用于对大鼠和家兔粘连形成进行定量研究。在大鼠中,与敞开腹膜伤口相比,缝合腹膜伤口显著增加了粘连形成,分别为77.9±4.8%和5.3±2.8%(p<0.001)。比较1周后的间断缝合和连续缝合技术,未发现有影响,分别为84.5±6.3%和73.1±11.2%(p>0.05)。不同类型的创伤导致腹腔内与未受伤部位的粘连形成存在差异,粘连形成的动物分别占17.5%和2.5%(p<0.05)。在家兔中,与壁腹膜(22.3±1.6%)相比,与脏腹膜形成粘连更为频繁(p<0.001)(59.3±3.7%),表明不同组织发生粘连的倾向不同。这些模型能够对粘连的实验形成进行详细的定量研究。