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作者:

Li, WC (Li, WC.) | Ruan, XZ (Ruan, XZ.) | Zhang, HM (Zhang, HM.) | Zeng, YJ (Zeng, YJ.)

收录:

EI Scopus SCIE

摘要:

No satisfactory effects have been obtained with the use of synthetic blood vessels (diameter < 6 mm) as substitutes for human small arteries or veins for the purpose of clinical vascular reconstruction. Therefore, blood vessels of human origin, for example, umbilical cord blood vessels, with their wide availability, still should be considered. However, little information on biomechanical properties of human umbilical cord blood vessels is available. The objective was to provide a theoretical basis for the clinical application of umbilical cord veins as optional material for small-caliber grafts. This was a nonrandomized, noncontrolled in vitro study. The experiment was conducted in the Laboratory of Medical Biomechanics, Yunyang Medical College. Umbilical cord veins of 20 normal fetuses of spontaneous labor were collected by the Department of Obstetrics and Gynecology, Taihe Hospital in Shiyan City, Hubei Province. The fetuses aged 37-40 weeks, and the parturients were 20-30 years old. Umbilical cord veins of the 20 fetuses were used and the placental ends were treated as proximal ends while the fetal ends as distal ends. The fetal ends were divided into three segments: proximal, middle, and distal segments. The relationship between pressure of umbilical cord veins segments and the diameters was measured on the biomechanical experiment stand for soft tissues, and then the elastic modulus was calculated. The materials were transversely extracted, refrigerated, and sliced up before HE staining. The geometrical morphology indexes were measured by a computer image analysis system (Leica-Q500IW). The main outcome measures were: incremental elastic modulus (E-inc), pressure-strain elastic modulus (E-P), volume elastic modulus (E-v), diameter, and wall thickness of the veins. E-inc, EP, and E, of umbilical cord veins of proximal, middle, and distal segments increased with the pressure elevated. The three kinds of elastic modulus of proximal segments (E-inc: 26.98 +/- 3.21, E-P: 16.58 +/- 2.12, E-v: 8.31 +/- 2.35) were all lower than those of distal segments (E-inc: 33.20 +/- 4.21, E-P: 119.45 +/- 2.87, E-v: 9.71 +/- 1.32) (F = 95.74-126.52, p < 0.05), and a tendency to increase was shown from proximal segments to distal segments. Media thickness [(0.30 +/- 0.05)] mm, (0.24 +/- 0.03) mm] and the diameters [(3.07 +/- 0.12) mm, (2.30 +/- 0.13) mm] decreased gradually from proximal to distal segments (F = 12.76,p < 0.01). It is feasible to use umbilical cord veins as substitutes for the transplantation of small-caliber arteries in terms of basic biomechanical properties. On vascular grafting, different segments of umbilical cord veins should be chosen cautiously so that the biomechanical characteristics of umbilical cord vein grafts could be in accordance with those of host to increase the long-term patency rate of transplanted blood vessels. (c) 2005 Wiley Periodicals, Inc.

关键词:

biomechanics physics stress umbilical cord vein vascular transplantation

作者机构:

  • [ 1 ] Yunyang Med Coll, Lab Med Biomech, Shiyan 442000, Peoples R China
  • [ 2 ] Yunyang Med Coll, Lab Biochem & Immunol, Shiyan 442000, Peoples R China
  • [ 3 ] Beijing Univ Technol, Biomech & Med Informat Inst, Beijing 100022, Peoples R China

通讯作者信息:

  • [Zeng, YJ]Yunyang Med Coll, Lab Med Biomech, Shiyan 442000, Peoples R China

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来源 :

JOURNAL OF BIOMEDICAL MATERIALS RESEARCH PART B-APPLIED BIOMATERIALS

ISSN: 1552-4973

年份: 2006

期: 1

卷: 76B

页码: 93-97

3 . 4 0 0

JCR@2022

ESI学科: MATERIALS SCIENCE;

JCR分区:2

被引次数:

WoS核心集被引频次: 24

SCOPUS被引频次: 27

ESI高被引论文在榜: 0 展开所有

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