威斯康星大学保存液用于大鼠离断肢体低温灌注保存实验

Experimental study on cryopreservation of amputated limbs of rats with UW solution

  • 摘要: 目的 探讨用威斯康星大学保存液(the University of Wisconsin solution,UW液)灌注离体断肢时不同灌注方法的效果。 方法 选择雄性健康成年Wistar大鼠30只,随机分为A、B、C 3组,每组10只;A组为连续灌注组,B组为每隔4 h间断灌注组,C组为每隔12 h间断灌注组。离断大鼠双下肢后,离断肢体在4℃冰箱内保存24 h,定期收集灌注流出液,检测生化指标,并定时收取肌肉组织标本,行病理及生化检查。 结果 连续灌注组与两间断灌注组比较,病理改变程度相似,各时间点碱性磷酸酶、丙氨酸氨基转移酶、葡萄糖差异无统计学意义(P> 0.05);每隔4 h间断灌注组与每隔12 h间断灌注组病理及超微结构改变程度相似,各时间点生化指标无统计学差异。 结论 4℃下低温灌注UW液保存大鼠离断肢体,间断灌注与连续灌注两种方法对离断肢体的保护效果相当,且每隔4 h灌注和每隔12 h灌注肢体的方法灌注保护效果无明显差异。

     

    Abstract: Objective To investigate the effect of different methods of irrigating the amputated limbs of rats with the University of Wisconsin solution (UW) to find out which method has the strongest effect on preserving and prolonging the vitality of amputated limbs. Methods The lower extremities were amputated from 30 healthy adult male Wistar rats and randomly divided into 3 groups (10 rats in each group). Rats in the three groups were irrigated with UW solution from femoral artery and the amputated limbs were preserved in refrigerator at 4℃. In group A, limbs were irrigated continuously, and they were irrigated intermittently for 20 minutes every 4 hours in group B, for 1 hour every 12 hours in group C with the speed of 12 ml/h. The irrigated outflow was collected to test the biochemical indexes and the samples of skeletal muscle were taken for pathological and biochemical examination regularly after the amputation. Results There were no significant differences in alkaline phosphatase, alanine aminotransferase and glucose at different time points between group A and group B, C with similar pathological change. No significant difference was found in pathological and ultrastructural change, biochemical indexes between group B and group C. Conclusion The effect of preserving amputated limbs in 4℃ with 4 h intermittently irrigating and 12 h intermittently irrigating on protecting skeletal muscle is similar with continuously irrigating. And there is no significant difference between 4 h intermittently irrigating and 12 h intermittently irrigating.

     

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