Medical artificial nerve graft and preparation method thereof
The present invention relates to a kind of graft that is used for the damaged nerve of bridge joint.
Peripheral nerve defection is a difficult problem of orthopaedics, microsurgery, the traumatology department, war-surgery's treatment, though modern microsurgical technique is highly accurate, but the functional rehabilitation rate after at present peripheral nerve injury is repaired is still unsatisfactory, and the breakthrough of basic research is placed in the hope that people will further improve the peripheral nerve rehabilitation outcome.Abroad the principal mode that polyglycolic acid (PGA), polylactic acid (PLA) and copolymer thereof are used in organizational project has fibrous framework, tubular structure etc.
The object of the present invention is to provide a kind of nerve growth that helps, make medical artificial nerve graft that recovers good after the nerve injury and preparation method thereof.
Technical solution of the present invention is:
A kind of medical artificial nerve graft comprises biological duct, and biological duct is embedded with fibrous framework.
The biological duct material is chitosan or polyglycolic acid, polylactic acid, and the fibrous framework material is polyglycolic acid or polylactic acid.Biological duct is the cystose pipe of polyglycolic acid or poly-lactic acid material.The medical artificial nerve graft diameter is 2.0~4.0mm.Medical artificial nerve graft length is 3.0~6.0cm.
A kind of preparation method of medical artificial nerve graft comprises the following steps:
1) prepares biological duct with chitosan or polyglycolic acid, polylactic acid;
2) prepare fibrous framework with polyglycolic acid or polylactic acid;
3) will be through 2) fibrous framework that makes embeds through 1) in the biological duct that makes.
The method of wherein making the chitosan biological duct is:
1) chitosan is dissolved in the acetum;
2) add glutaraldehyde and carry out cross-linking reaction;
3) add surfactant and carry out activation processing;
4) will pour die for molding into through the solution that above-mentioned steps obtains.
The concrete steps of step 1) are in the method for above-mentioned manufacturing chitosan biological duct: with deacetylation is that 80~85% chitosan is dissolved in 1~3% the acetum and dissolves; Step 2) concrete steps are: solution is warming up to 70~90 ℃, adds 0.5~3 times to the glutaraldehyde of chitosan amount, carried out cross-linking reaction 0.5~3 hour, be cooled to room temperature; The concrete steps of step 3) are: add be equivalent to 0.5~1.5 times of chitosan amount surfactant this 85 and be equivalent to the polysorbas20 of 0.5~1.5 times of chitosan amount, solution is fully stirred, leave standstill; The concrete steps of step 4) are: will pour die for molding into through the solution that above-mentioned steps obtains, and drying is removed volatile substances.
The method for preparing polyglycolic acid or polylactic acid cystose biological duct is: polyglycolic acid or polylactic acid are become tubular structure by conventional processing and forming earlier, be placed on then in 3~10MPa CO 2 high pressure gas, in polyglycolic acid or polylactic acid, dissolve saturated to carbon dioxide, again air pressure is descended, form foamed tubular structure.
The prepared medical artificial nerve graft of the present invention adopts chitosan, polyglycolic acid, poly-lactic acid material, be Biodegradable material, with human body excellent biological compatibility is arranged, there is not any untoward reaction, and its degradation speed is slower, for the reparation of nerve injury provides the adequate time assurance; Adopt PGA, PLA pipe and the bonded form of fibrous framework on the structure, make multiple tube have certain mechanical strength and toughness, for the growth of neurocyte provides unimpeded space, simultaneously for instructing the neurocyte ordering growth that necessary inducing action is provided; Tube wall adopts the cystose loose structure, is the conveying of nutrient substance required in the nerve growth process, and essential approach is provided, and nerve injury recovers.Preparation method of the present invention is convenient, reliable.
The invention will be further described below in conjunction with embodiment.
Embodiment 1:
1) use the Preparation of Chitosan biological duct: with deacetylation is that the chitosan of 80~85% (examples 80%, 28%, 85%) is dissolved in the acetum of 1~3% (example 1%, 2%, 3%) and dissolves, above-mentioned solution is warming up to 70~90 ℃ (70 ℃, 80 ℃, 90 ℃ of examples), add 0.5~3 times (0.5,1,2,3 times of example) in the glutaraldehyde of chitosan amount, carry out cross-linking reaction 0.5~3 hour (example 0.5,1,2,3 hour), be cooled to room temperature; Add again be equivalent to 0.5~1.5 times of chitosan amount (0.5,1,1.5 times of example) this 85 and be equivalent to the polysorbas20 of 0.5~1.5 times of chitosan amount (0.5,1,1.5 times of example), solution is fully stirred, leave standstill more than 24 hours; To pour (the molding among 2.0~4.0mm * 3.0cm~6cm), and drying is removed volatile substances of ready tubular die into through the solution that above-mentioned steps obtains.
2) with polyglycolic acid (PGA) preparation fibrous framework: the conventional method with prior art is processed into the fiber of 10~15 μ m by extrusion modling, and makes the support of difformity, different thicknesses.
3) will be through 2) fibrous framework that makes embeds through 1 with conventional micromanipulation method) in the biological duct that makes.
Embodiment 2:
Fibrous framework adopts polylactic acid (PLA) material, is processed into the fiber of 10~15 μ m with the conventional method of prior art by extrusion modling, and makes the support of difformity, different thicknesses.All the other are with embodiment 1.
Embodiment 3:
Adopt polyglycolic acid or polylactic acid to make the cystose biological duct: polyglycolic acid or polylactic acid are processed into tubular structure (2.0~4.0mm * 3.0cm~6cm) by the conventional method plastic shaping earlier, be placed on then in 3~10MPa (example 3,5,7,10MPa) CO 2 high pressure gas, in polyglycolic acid or polylactic acid, dissolve saturated to carbon dioxide, again air pressure is dropped to about an atmospheric pressure, the carbon dioxide dissolubility descends rapidly in the polymer, produce a large amount of air cavitys, finally form foamed tubular structure.All the other are all with embodiment 1.
Embodiment 4:
Fibrous framework adopts polylactic acid (PLA) material, is processed into the fiber of 10~15 μ m with the conventional method of prior art by extrusion modling, and makes the support of difformity, different thicknesses.All the other are with embodiment 3.