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[硬脑膜补片上肠黏膜的新形成。在短肠综合征外科治疗中的应用。大鼠实验研究]

[Neoformation of intestinal mucosa on dura mater patches. Application in the surgical treatment of short bowel syndrome. Experimental study in rats].

作者信息

Hernández Bermejo J P, Aguayo Albasini J L, Moreno Egea A, Martínez García P L, Zambudio Carmona G, Parrilla Paricio P

机构信息

Laboratorio de Cirugía Experimental, Hospital Torrecárdenas, Almería.

出版信息

Cir Pediatr. 1993 Jul;6(3):133-6.

PMID:8217511
Abstract

The creation of intestinal neomucosa on grafts or materials implanted in the intestinal wall is one of the therapeutic procedures that has been tested in the short bowel syndrome. This paper presents the results obtained after intestinal implanting lyophilised dural patches in an experimental model of massive intestinal resection in rats. Data were contrasted with those of a control group subjected to massive resection without patches. The findings reveal: 1) high mortality related to the surgical technique; 2) slight improvement in the ponderal curve; 3) slowing down of intestinal transit; 4) neomucosa on the patch, with histological characteristic similar to normal. We conclude that although the creation of neomucosa on dural patches is feasible and conditions a slight improvement in the animal's nutritive status, application of the procedure is not practical in treatment for the short bowel syndrome due to the high mortality rate.

摘要

在植入肠壁的移植物或材料上形成肠道新黏膜是在短肠综合征中进行过测试的治疗方法之一。本文介绍了在大鼠大规模肠切除实验模型中植入冻干硬脑膜补片后的结果。将数据与未植入补片进行大规模切除的对照组的数据进行对比。研究结果显示:1)与手术技术相关的高死亡率;2)体重曲线略有改善;3)肠道运输减慢;4)补片上出现新黏膜,其组织学特征与正常情况相似。我们得出结论,尽管在硬脑膜补片上形成新黏膜是可行的,且能使动物营养状况略有改善,但由于高死亡率,该方法在短肠综合征治疗中并不实用。

相似文献

1
[Neoformation of intestinal mucosa on dura mater patches. Application in the surgical treatment of short bowel syndrome. Experimental study in rats].[硬脑膜补片上肠黏膜的新形成。在短肠综合征外科治疗中的应用。大鼠实验研究]
Cir Pediatr. 1993 Jul;6(3):133-6.
2
[The neoformation of intestinal mucosa on dura mater patches. An experimental study in rats].[硬脑膜补片上肠黏膜的新形成。大鼠实验研究]
Cir Pediatr. 1990 Jul;3(3):93-6.
3
Intrinsic myenteric denervation: a new model to increase the intestinal absorptive surface in short-bowel syndrome.内在肌间神经去神经支配:一种增加短肠综合征肠道吸收面积的新模型。
J Surg Res. 1999 Aug;85(2):200-3. doi: 10.1006/jsre.1999.5670.
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[Enteroperitoneal anastomosis for short bowel syndrome].[小肠综合征的肠腹腔吻合术]
Harefuah. 1992 Jul;123(1-2):5-8, 72.
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[The surgical treatment of the short bowel syndrome by creating reservoir pouches. An experimental study on rats].
Rev Esp Enferm Dig. 1992 Mar;81(3):167-70.
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[Current status of surgical treatment of short bowel syndrome].[短肠综合征的外科治疗现状]
Zentralbl Chir. 1996;121(1):1-7.
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Expansion of mucosal surface by intestinal patching in experimental cases of short bowel.在短肠实验病例中通过肠修补术扩大黏膜表面积。
Eur J Pediatr Surg. 1995 Dec;5(6):327-37. doi: 10.1055/s-2008-1066237.
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Early intestinal morphological changes following benzalkonium chloride treatment in a rat model of short bowel syndrome.苯扎氯铵治疗短肠综合征大鼠模型后早期肠道形态学变化
Ann Ital Chir. 2009 Mar-Apr;80(2):135-9.
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An animal model for short-bowel syndrome in piglets to assess the efficiency of bowel-lengthening procedures.一种用于评估肠延长手术效率的仔猪短肠综合征动物模型。
Eur J Pediatr Surg. 1997 Aug;7(4):207-11. doi: 10.1055/s-2008-1071094.
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Surgical alternatives for the short bowel syndrome.
Am J Gastroenterol. 1987 Feb;82(2):97-106.

引用本文的文献

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Using porcine small intestinal submucosa in intestinal regeneration.在肠道再生中使用猪小肠黏膜下层。
Pediatr Surg Int. 2003 Oct;19(8):588-92. doi: 10.1007/s00383-003-1025-2. Epub 2003 Oct 10.