纺织学报 ›› 2021, Vol. 42 ›› Issue (05): 178-184.doi: 10.13475/j.fzxb.20200501408

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医用倒刺缝合线的研究进展

苏梦茹1, 邹婷1,2, 陈颀超3, 李超婧1,2, 王富军1,2,4(), 王璐1,2   

  1. 1.东华大学 纺织学院, 上海 201620
    2.东华大学 纺织面料技术教育部重点实验室, 上海 201620
    3.上海傍云医疗科技有限公司, 上海 200120
    4.东华大学 产业用纺织品教育部工程研究中心, 上海 201620
  • 收稿日期:2020-05-08 修回日期:2021-01-04 出版日期:2021-05-15 发布日期:2021-05-20
  • 通讯作者: 王富军
  • 作者简介:苏梦茹(1996—),女,硕士生。主要研究方向为倒刺缝合线的结构及性能。
  • 基金资助:
    中央高校基本科研业务费专项资金资助项目(2232020G-01);高等学校学科创新引智计划项目(BP0719035)

Research progress of medical barbed sutures

SU Mengru1, ZOU Ting1,2, CHEN Qichao3, LI Chaojing1,2, WANG Fujun1,2,4(), WANG Lu1,2   

  1. 1. College of Textiles, Donghua University, Shanghai 201620, China
    2. Key Laboratory of Textile Science & Technology, Ministry of Education, Donghua University, Shanghai 201620, China
    3. Shanghai Bangyun Medical Technology Co., Ltd., Shanghai 200120, China
    4. Engineering Research Center of Technical Textile, Ministry of Education, Donghua University, Shanghai 201620, China
  • Received:2020-05-08 Revised:2021-01-04 Online:2021-05-15 Published:2021-05-20
  • Contact: WANG Fujun

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摘要：

为深入研究倒刺缝合线并促进其高品质产品的开发,对目前国内外倒刺缝合线的研究现状进行综述。首先回顾了倒刺缝合线的发展历程,并提出了其在临床医学实践中的性能要求;其次,详细分析了倒刺缝合线的材料、倒刺的几何形状和排列方式、止挡元件的结构及其与使用效果的相关性;此外,介绍了4种倒刺缝合线的制备方法,包括机械切割、激光切割、模具注塑和外加倒刺并固定;最后,概述了倒刺缝合线在整形美容及骨科、泌尿科、消化科、妇产科等其他外科手术中的应用和临床研究结果。研究表明,倒刺缝合线性能优良但仍存在相关临床并发症,指出了倒刺缝合线在材料、制备工艺、性能提高方面的发展方向以期在未来提供更好的产品。

关键词: 倒刺缝合线, 倒刺结构设计, 生物可降解聚合物, 倒刺, 医用纺织品

Abstract:

In order to further study the barbed suture and promote the development of better products, the research status of barbed sutures at home and abroad was reviewed. This paper traces the development history of the barbed sutures and summarises the performance requirements in clinicians' practice based on the art-of-the-state. Detailed analyses were carried out on the materials used for the barbed sutures, the geometry and arrangement of the barb, the structure of the blocked element, and related new research progress for the sutures. Four types of preparation methods for the barbed sutures are reviewed, including mechanical cutting, laser cutting, mold injection, and external fixed barbs. The application and clinical results of the barbed sutures in plastic surgery, orthopedics, urology, gastroenterology, obstetrics-gynecology and other surgical operations are summarized. Clinical complications of barbed sutures with excellent properties are also examined, the development directions of the barbed sutures in materials, preparation and properties are pointed out for future work.

Key words: barbed sutures, barb structure design, biodegradable polymer, barb, medical textiles

中图分类号: 

  • TS102.5

表1

倒刺缝合线的性能要求"

性能 要求
生物相容性 与机体组织相适应
生物可降解和生物可吸收 某些特殊手术部位避免二次手术拆除
结构稳定性 在预期时间内发挥作用
锚定性 防止在组织中滑脱
物理力学性能 避免在手术中于机体内因受力而断裂

图1

单丝缝合线上单个倒刺的几何形状"

图2

缝合线上倒刺的不同排列方向"

图3

止挡环元件示意图"

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