中国临床解剖学杂志 ›› 2024, Vol. 42 ›› Issue (6): 716-719.doi: 10.13418/j.issn.1001-165x.2024.6.19

• 技术方法 • 上一篇    下一篇

聚氨酯发泡胶血管止漏在人脑组织库建设中的应用

蒲勇华1, 王淼2, 孙必强1, 罗宇涛2, 张琼花3, 严小新2, 潘爱华2*    

  1. 1.湖南中医药高等专科学校医学院基础实训中心,  株洲   412012;    2.中南大学湘雅医学院人体解剖学与神经生物学系,  长沙   410013;    3.湖南中医药高等专科学校附属第一医院肝胆外科,  株洲    412000
  • 收稿日期:2024-05-01 出版日期:2024-11-25 发布日期:2024-12-17
  • 通讯作者: 潘爱华, 教授, E-mail: panaihua@csu.edu.cn
  • 作者简介:蒲勇华(1985-), 男, 苗族, 高级实验师, 硕士, E-mail: 704200538@qq.com
  • 基金资助:
    2022 年度株洲市社科职教专项课题ZZZJ2022096

Application of polyurethane foam adhesive for vascular leak prevention in the construction of human brain tissue bank

Pu Yonghua1, Wang Miao2, Sun Biqiang1, Luo Yutao2, Zhang Qionghua3,Yan Xiaoxin2, Pan Aihua2*   

  1. 1.Basic Training Center of Hunan Traditional Chinese Medical College, Zhuzhou, 412012; 2.Department of Human Anatomy and Neurobiology, Xiangya Medical College, Central South University, Changsha 410013; 3.Department of Hepatobiliary Surgery, First Affiliated Hospital of Hunan University of Traditional Chinese Medicine, Zhuzhou 412000
  • Received:2024-05-01 Online:2024-11-25 Published:2024-12-17

摘要: 目的 观察聚氨酯发泡胶在开颅取脑后新鲜大体标本防腐灌注时的血管止漏和颅盖骨固定效果。  方法    复位颅盖,连续头皮缝合,用扎带沿下颌骨经耳后至颅顶环扎固定,颅内聚氨酯发泡胶填充;行股动脉双向插管,分别采用重力和微型泵灌注,测量颅骨断面漏液量,评价聚氨酯发泡胶对取脑后新鲜大体标本的血管止漏和颅盖骨固定效果。  结果    颅骨断面漏液量占比灌注液总量较低,血管止漏效果显著;干固后的发泡胶紧密粘合颅盖骨,且均匀覆盖颅底各孔裂。  结论    聚氨酯发泡胶在开颅取脑后新鲜大体标本防腐灌注止漏和颅盖骨固定效果理想,对捐献者遗容恢复有利,有助于人脑组织库的建设和发展。

关键词: 聚氨酯发泡胶,  血管止漏,  人脑组织库

Abstract: Objective  To observe the vascular leak prevention and cranial bone fixation effects of polyurethane foam adhesive during the preservation and perfusion of fresh gross specimens after craniotomy. Method    Reset the skull cap, suture the scalp continuously, fix it with a zip tie along the mandible through the ear to the top of the skull, and fill it with intracranial polyurethane foam adhesive; Bilateral catheterization of the femoral artery was performed, and gravity and micro pumps were used for perfusion. The leakage rate of the skull section was measured to evaluate the effectiveness of polyurethane foam adhesive in preventing vascular leakage and fixing the skull cap on fresh gross specimens after removal.   Result   The proportion of skull section leakage to the total perfusion fluid is relatively low, and the effect of vascular leak prevention is significant; After drying, the foam adhesive tightly adheres to the cranial bone and evenly covers all holes and fissures in the skull base.   Conclusion    Polyurethane foam adhesive has an ideal effect on the preservation, perfusion, leak prevention, and fixation of fresh gross specimens after craniotomy, which is beneficial for the recovery of the donor's residual appearance and contributes to the construction and development of the human brain tissue bank.

Key words: Polyurethane foam adhesive,  Vascular leak prevention,  Human brain tissue library

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