WO2010124654A1 - Vascular embolus of sodium alginate microspheres comprising drug for resisting hemangioma, preparation method, and use thereof - Google Patents

Vascular embolus of sodium alginate microspheres comprising drug for resisting hemangioma, preparation method, and use thereof Download PDF

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Publication number
WO2010124654A1
WO2010124654A1 PCT/CN2010/072386 CN2010072386W WO2010124654A1 WO 2010124654 A1 WO2010124654 A1 WO 2010124654A1 CN 2010072386 W CN2010072386 W CN 2010072386W WO 2010124654 A1 WO2010124654 A1 WO 2010124654A1
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drug
angioma
sodium alginate
hemangioma
solution
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PCT/CN2010/072386
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French (fr)
Chinese (zh)
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李新建
鲁格
洪宏
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北京圣医耀科技发展有限责任公司
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Publication of WO2010124654A1 publication Critical patent/WO2010124654A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/16Amides, e.g. hydroxamic acids
    • A61K31/17Amides, e.g. hydroxamic acids having the group >N—C(O)—N< or >N—C(S)—N<, e.g. urea, thiourea, carmustine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/20Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7042Compounds having saccharide radicals and heterocyclic rings
    • A61K31/7052Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides
    • A61K31/7056Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing five-membered rings with nitrogen as a ring hetero atom
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents

Definitions

  • the invention relates to a drug-containing alginate microsphere blood vessel embolization agent, a preparation method and application thereof, and particularly an anti-angioma drug (pingyangmycin, urea, sodium cod liver oil, bleomycin) alginate microsphere blood vessel embolization agent And its preparation method and application.
  • an anti-angioma drug pingyangmycin, urea, sodium cod liver oil, bleomycin
  • Hemangiomas are the most common benign tumors in humans, and hepatic hemangioma is one of the most common benign liver tumors. More common in adults, more women than men, small tumors are asymptomatic early, often found in physical examination, but with the expansion of the extent of the disease, clinically often abdominal pain, abdominal distension, liver enlargement, abdominal mass, gastrointestinal Symptoms such as oppression, and the risk of spontaneous and traumatic rupture. Once the hemangioma is ruptured, its massive bleeding can be fatal. Therefore, for patients with hepatic hemangioma, the diameter of the tumor is more than 5 cm, or the tumor is located under the liver capsule and advocates active treatment to control its development.
  • Hemangiomas are also one of the common benign tumors in soft tissues. Benign tumors or congenital malformations often invade facial skin, eyes, nose, lips, tongue, pharynx, soft palate and other organs, causing facial deformities and dysfunction, accounting for benign tumors in children. 36%, and hemangioma in the oral and maxillofacial region accounts for about 60% of the whole body, and can be secondary infection and bleeding, etc., is one of the important diseases that endanger human physical and mental health.
  • Pingyangcin is a broad-spectrum anticancer antibiotic produced by Pingyang streptomycin.
  • the main component is Bleomycin A5 can inhibit the release of thymidine into DNA to release free nucleobase and decompose and destroy it, thereby inhibiting DNA synthesis and cutting DNA strands, interfering with cell division and reproduction, affecting cell metabolism and promoting cell changes.
  • Necrosis It is a new type of anti-tumor drug that is safer, has fewer side effects, and has no harm to the functions of the hematopoietic system and immune system.
  • Pingyangmycin produces free radicals (OFR) during DNA degradation.
  • OFR free radicals
  • the effect of OFR on hemangioma can be manifested in: (1) damage to endothelial cells, and OFR covalently binds to enzymes and receptors on the cell membrane. Thereby affecting the structure and function and activity of the membrane, causing the peroxidation of unsaturated fatty acids in the membrane phospholipids to directly affect the membrane structure, peroxides such as malondialdehyde, adversely affecting membrane activity, cross-linking, structural function, and membrane The pores are enlarged and the permeability is increased.
  • PYM causes vascular endothelial cells to edema, degeneration, hyperplasia, aseptic inflammation, vasoconstriction, thickening of the blood vessel wall, and finally vascular occlusion, atrophy, and lack of blood supply, thereby causing the hemangioma to subside.
  • Urea, sodium cod liver oil is a human-compatible substance, has no toxic side effects on the human body, especially for large-area hemangioma, high-dose application without adverse reactions, and urea can also change the histomorphology of hemangioma endothelial cells.
  • the hemangioendothelial cells can be aseptically inflammatory, the enzyme metabolism of the cells is disordered, the dystrophic and shrinking, the cytoplasmic mitochondria are enlarged, the ridge is broken, the collagen fibers are swollen, the crack is broken, and the vascular endothelial cells are necrotic. .
  • sodium alginate has not been used as a drug carrier to encapsulate microspheres containing anti-angioma (hardener) drugs and applied to hepatic hemangioma, maxillofacial hemangioma, nasopharyngeal angiofibroma, and surface hemangioma.
  • One of the objects of the present invention is to provide a microsphere which has good biocompatibility, small toxic and side effects, and has dual therapeutic effects of embolization and drug, which can change its absorption distribution in the body and can guide the concentration of the drug around the tumor cells.
  • a microsphere embolization agent that reduces the number of administrations, reduces the pain and burden of the patient, reduces the systemic side effects of the chemotherapeutic drug, and exerts the optimal therapeutic effect against the hemangioma drug.
  • An alginate microsphere vascular embolization agent containing an anti-angioma drug comprising: a drug carrier sodium alginate and an anti-angioma drug, the sodium alginate encapsulating the anti-angioma drug.
  • the weight ratio of the sodium alginate to the anti-angioma drug is from 5:1 to 60:1.
  • the anti-angioma drugs include pingyangmycin, urea, sodium cod liver oil, bleomycin and the like.
  • the alginate microsphere vascular embolization agent containing an anti-angioma drug may be a microsphere (microbead) stored in a preservation solution.
  • the alginate microsphere vascular embolization agent containing an anti-angioma drug may also be a powdery particle.
  • microspheres (microbeads) stored in the preservation solution have a particle size ranging from 20 to 50 ⁇ m, 50 to 100 ⁇ m, 100 to 200 ⁇ m, 200 to 300 ⁇ m, 300 to 500 ⁇ m, 500 to 700 ⁇ m, 700 to 900 ⁇ m, and 900 to 900 nm. Between 1200 ⁇ m.
  • the powdery fine particles have a particle diameter ranging from 10 to 50 ⁇ m, 50 to 100 ⁇ m, 100 to 200 ⁇ m, 200 to 300 ⁇ m, 300 to 500 ⁇ m, 500 to 700 ⁇ m, and 700 to 900 ⁇ m.
  • Another object of the present invention is to provide a method for preparing a sodium alginate microsphere vascular embolization agent containing the above anti-angioma drug (pingyangmycin, urea, sodium cod liver oil, bleomycin).
  • a method for preparing a sodium alginate microsphere vascular embolization agent containing an anti-angioma drug the steps of which are as follows:
  • an anti-angioma drug (pingyangmycin, urea, sodium cod liver oil, bleomycin) is weighed and dissolved in water for injection; different anti-angioma drug solutions are obtained;
  • the ball is obtained by a sodium alginate microsphere vascular embolization agent containing an anti-angioma drug.
  • the high-voltage electrostatic microsphere generating device comprises: an electrostatic generating device, a mixer, a peristaltic accelerator, a lifting platform, a sterile glass container, a syringe, a special needle connected to the positive and negative poles, and the positive electrode is connected to the needle of the injection device on the peristaltic accelerator,
  • the negative electrode is connected to a stainless steel steel ring in the solidified liquid immersed in a sterile glass container, and the injection device contains a mixed solution of an anti-angioma drug and sodium alginate, and the spray is dropped into the solidified liquid to form a microsphere.
  • a preferred technical solution is characterized in that the anti-angioma drug-containing alginate microsphere vascular embolization agent is stored in liquid paraffin or vegetable oil for use, and the anti-angioma drug is kept out of the air.
  • the obtained alginate microsphere vascular embolization agent containing an anti-angioma drug is a microsphere stored in a preservation solution, which is called a wet bulb.
  • the particle size range may be 20 to 50 ⁇ m, 50 to 100 ⁇ m, 100 to 200 ⁇ m, 200 to 300 ⁇ m, 300 to 500 ⁇ m, 500 to 700 ⁇ m, 700 to 900 ⁇ m, and 900 to 1200 ⁇ m.
  • the following microspheres are mixed with an appropriate amount of mannitol solution, frozen in a low temperature refrigerator for more than 2 hours, and then placed in a freeze dryer.
  • the powdery particles are obtained by freeze-drying for 15-48 hours. Or put it in an oven to dry, to obtain powdery particles, called dry balls.
  • the particle diameter may be in the range of 10 to 50 ⁇ m, 50 to 100 ⁇ m, 100 to 200 ⁇ m, 200 to 300 ⁇ m, 300 to 500 ⁇ m, 500 to 700 ⁇ m, and 700 to 900 ⁇ m.
  • a third object of the present invention is to provide a method for applying the above-described alginate microsphere vascular embolization agent containing an anti-angioma drug (pingyangmycin, urea, sodium cod liver oil, bleomycin).
  • an anti-angioma drug pingyangmycin, urea, sodium cod liver oil, bleomycin.
  • the alginate microsphere vascular embolization agent containing anti-angioma drugs pingyangmycin, urea, sodium cod liver oil, bleomycin
  • anti-angioma drugs pingyangmycin, urea, sodium cod liver oil, bleomycin
  • a treatment for hepatic hemangioma, maxillofacial hemangioma, nasopharyngeal angiofibroma embolization agents for surface hemangioma, uterine fibroids and other hemangioma drugs.
  • the anti-angioma drug-containing alginate microsphere vascular embolization agent is superselectively embolized into the blood vessel of the lesion by catheter under monitoring of the imaging device (eg hepatic hemangioma, maxillofacial hemangioma) , nasopharyngeal angiofibroma, surface hemangioma, uterine fibroids and other parts of hemangioma). It can also be used for various types of large thromboembolism to stop bleeding.
  • the imaging device eg hepatic hemangioma, maxillofacial hemangioma
  • the catheter was introduced through the femoral artery, inserted into the blood supply artery of the target organ, and angiography was performed. After the location, size, number and blood supply of the hemangioma were confirmed, the embolization microsphere was selected according to the angiography. diameter of. Use microcatheters as much as possible for superselective embolization, and use aseptically. After opening the bottle cap and standing still, use a syringe to remove the maintenance solution from the bottle and rinse the microspheres three times with the same amount of normal saline or remove the maintenance solution from the bottle and add the same amount of normal saline, together with normal saline and microspheres.
  • the alginate microsphere vascular embolization agent containing the anti-angioma drug is a powdery granule
  • the dry ball stored in the closed container is first dissolved in physiological saline to reduce (wet ball), and then the appropriate amount or diluted angiography is added.
  • the agent is evenly mixed (so that the microspheres are fully suspended in the contrast agent), and then super-selectively embolized by the catheter under the monitoring of the imaging device to slowly or slowly inject into the blood vessel of the lesion site, until the contrast agent flow rate is significantly slowed down, that is, Complete the embolization.
  • the angiography was performed again to determine the embolization effect.
  • the invention adopts a biocompatible, non-toxic and side effect, biodegradable sodium alginate as a carrier of anti-angioma drugs, and prepares anti-hemangioma drug microspheres with different particle diameters, which are controlled release, targeted, and positioned.
  • the drug is embedded in the inside of the microsphere, and the microspheres are injected into the artery to change the absorption distribution in the body, especially when the microsphere is modified to have a certain affinity for the tumor tissue, and the drug can be guided.
  • the blood vessels at the tumor site are embolized, so as to cut off the blood nutrient supply of the tumor cells, and immediately give a dose of the drug, which reduces the number of administrations, reduces the pain and burden of the patient, and is superior to the conventional perfusion.
  • the drug is lysed by microspheres, and is slowly positioned and released around the tumor tissue, thereby reducing the systemic toxic and side effects of the chemotherapeutic drug, so that the antitumor drug exerts the best therapeutic effect.
  • the cleaned glassware is dried and placed in a high temperature oven for 3 hours at 280 ° C (sterilization to remove heat);
  • the particle size of the microspheres can be made into wet spheres or dry spheres of different size ranges as needed. For example, 20 to 50 ⁇ m, 50 to 100 ⁇ m, 100 to 200 ⁇ m, 200 to 300 ⁇ m, 300 to 500 ⁇ m, 500 to 700 ⁇ m, 700 to 900 ⁇ m, and 900 to 1200 ⁇ m.
  • the high-voltage electrostatic microsphere generating device comprises: an electrostatic generating device, a mixer, a peristaltic accelerator, a lifting platform, a sterile glass container, a syringe, a special needle connected to the positive and negative poles, and the positive electrode is connected to the needle of the injection device on the peristaltic accelerator,
  • the negative electrode is connected to a stainless steel steel ring in the solidified liquid immersed in a sterile glass container, and the injection device contains a mixed solution of an anti-angioma drug and sodium alginate, and the spray is dropped into the solidified liquid to form a microsphere.
  • the supernatant solution of the above container was decanted, washed twice with physiological saline, and used immediately.
  • the upper layer solution of the above container may also be decanted, and the underlying microbeads may be freeze-dried or placed in an oven to dry, and the obtained dry microspheres are sealed and stored.
  • the pingyangmycin-containing alginate microspheres (wet bulbs) are pumped with a syringe to remove the preservation solution in the bottle, and the microspheres are washed three times with an equal amount of physiological saline, or the preservation solution and the microspheres in the bottle are poured.
  • a sterile bowl rinse the microspheres with 50-60ml saline to discard the rinse solution, then add the appropriate amount or diluted contrast medium (so that the microspheres are fully suspended in the contrast agent), and see through the catheter under fluoroscopy.
  • the lesion is injected slowly or slowly multiple times until the contrast agent flow rate is significantly slowed down, ie the embolization is completed.
  • the angiography was performed again to determine the embolization effect.
  • the cleaned glassware is dried and placed in a high temperature oven for 3 hours at 280 ° C (sterilization to remove heat);
  • the particle size of the microspheres can be made into wet spheres or dry spheres of different size ranges as needed. For example, 20 to 50 ⁇ m, 50 to 100 ⁇ m, 100 to 200 ⁇ m, 200 to 300 ⁇ m, 300 to 500 ⁇ m, 500 to 700 ⁇ m, 700 to 900 ⁇ m, and 900 to 1200 ⁇ m.
  • the high-voltage electrostatic microsphere generating device comprises: an electrostatic generating device, a mixer, a peristaltic accelerator, a lifting platform, a sterile glass container, a syringe, a special needle connected to the positive and negative poles, and the positive electrode is connected to the needle of the injection device on the peristaltic accelerator,
  • the negative electrode is connected to a stainless steel steel ring in the solidified liquid immersed in a sterile glass container, and the injection device contains a mixed solution of an anti-angioma drug and sodium alginate, and the spray is dropped into the solidified liquid to form a microsphere.
  • the supernatant solution of the above container was decanted, washed twice with physiological saline, and used immediately.
  • the upper layer solution of the above container may also be decanted, and the underlying microbeads may be freeze-dried or placed in an oven to dry, and the obtained dry microspheres are sealed and stored.
  • Sodium alginate microspheres (wet bulbs) containing sodium cod liver oil, use a syringe to remove the preservation solution in the bottle, rinse the microspheres three times with an equal amount of physiological saline, or pour the preservation solution and the microspheres into the bottle. In a sterile bowl, rinse the microspheres with 50-60ml saline to discard the rinse solution, then add the appropriate amount or diluted contrast medium (so that the microspheres are fully suspended in the contrast agent), and see through the catheter under fluoroscopy. The lesion is injected slowly or slowly multiple times until the contrast agent flow rate is significantly slowed down, ie the embolization is completed. The angiography was performed again to determine the embolization effect.
  • the cleaned glassware is dried and placed in a high temperature oven for 3 hours at 280 ° C (sterilization to remove heat);
  • the particle size of the microspheres can be made into wet spheres or dry spheres of different size ranges as needed. For example, 20 to 50 ⁇ m, 50 to 100 ⁇ m, 100 to 200 ⁇ m, 200 to 300 ⁇ m, 300 to 500 ⁇ m, 500 to 700 ⁇ m, 700 to 900 ⁇ m, and 900 to 1200 ⁇ m.
  • the high-voltage electrostatic microsphere generating device comprises: an electrostatic generating device, a mixer, a peristaltic accelerator, a lifting platform, a sterile glass container, a syringe, a special needle connected to the positive and negative poles, and the positive electrode is connected to the needle of the injection device on the peristaltic accelerator,
  • the negative electrode is connected to a stainless steel steel ring in the solidified liquid immersed in a sterile glass container, and the injection device contains a mixed solution of an anti-angioma drug and sodium alginate, and the spray is dropped into the solidified liquid to form a microsphere.
  • the supernatant solution of the above container was decanted, washed twice with physiological saline, and used immediately.
  • the upper layer solution of the above container may also be decanted, and the underlying microbeads may be freeze-dried or placed in an oven to dry, and the obtained dry microspheres are sealed and stored.
  • Urea-containing sodium alginate microspheres (wet bulbs), use a syringe to remove the preservation solution in the bottle and rinse the microspheres three times with an equal amount of physiological saline, or pour the preservation solution and microspheres in the vial into the sterile In the bowl, rinse the microspheres with 50-60ml saline to discard the rinse solution, and then add the appropriate amount or diluted contrast agent (to fully suspend the microspheres in the contrast agent). The lesion is injected multiple times slowly until the contrast agent flow rate is significantly slowed down, ie the embolization is completed. The angiography was performed again to determine the embolization effect.
  • the cleaned glassware is dried and placed in a high temperature oven for 3 hours at 280 ° C (sterilization to remove heat);
  • the particle size of the microspheres can be made into wet spheres or dry spheres of different size ranges as needed. For example, 20 to 50 ⁇ m, 50 to 100 ⁇ m, 100 to 200 ⁇ m, 200 to 300 ⁇ m, 300 to 500 ⁇ m, 500 to 700 ⁇ m, 700 to 900 ⁇ m, and 900 to 1200 ⁇ m.
  • the high-voltage electrostatic microsphere generating device comprises: an electrostatic generating device, a mixer, a peristaltic accelerator, a lifting platform, a sterile glass container, a syringe, a special needle connected to the positive and negative poles, and the positive electrode is connected to the needle of the injection device on the peristaltic accelerator,
  • the negative electrode is connected to a stainless steel steel ring in the solidified liquid immersed in a sterile glass container, and the injection device contains a mixed solution of an anti-angioma drug and sodium alginate, and the spray is dropped into the solidified liquid to form a microsphere.
  • the supernatant solution of the above container was decanted, washed twice with physiological saline, and used immediately.
  • the upper layer solution of the above container may also be decanted, and the underlying microbeads may be freeze-dried or placed in an oven to dry, and the obtained dry microspheres are sealed and stored.
  • the lysine-containing alginate microspheres (wet bulbs) are pumped out of the bottle with a syringe and the microspheres are washed three times with an equal amount of physiological saline, or the preservation solution and the microspheres in the bottle are poured.
  • Into the sterile bowl rinse the microspheres with 50-60ml saline to discard the rinse solution, and then add the appropriate amount or diluted contrast agent (to fully suspend the microspheres in the contrast agent).
  • the lesion is injected slowly or slowly multiple times until the contrast agent flow rate is significantly slowed down, ie the embolization is completed. The angiography was performed again to determine the embolization effect.
  • the raw material used in the invention has good mechanical strength, biocompatibility, biodegradability and stability, no organic solvent, no damage to the hematopoietic system and immune system function, and can be industrialized as a new embolic agent. It is used for embolization of hepatic hemangioma, maxillofacial hemangioma, nasopharyngeal angiofibroma, surface hemangioma, uterine fibroids and other hemangioma. Used for various types of large thromboembolism to stop bleeding.

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Abstract

A vascular embolus of sodium alginate microspheres comprising drug for resisting hemangioma, the preparation method, and the use thereof are disclosed. Said micropheres comprise sodium alginate and drug for resisting hemangioma. The weight ratio of sodium alginate to drug for resisting hemangioma is 5:1 - 60:1, wherein said drug is selected from Pingyangmycin, Sodium Morrhuate, Urea, or Bleomycin. Said preparation method comprises: (a) preparing the solution of drug for resisting hemangioma and the solution of sodium alginate respectively; (b) mixing the solution of drug for resisting hemangioma with the solution of sodium alginate; (c) reacting the obtained solution mixture in the fixing solution through the high pressure static microsphere generating device to obtain the vascular embolus of sodium alginate microspheres.

Description

含抗血管瘤药物海藻酸钠微球血管栓塞剂及制备方法和应用  Anti-angioma drug alginate microsphere blood vessel embolization agent, preparation method and application thereof 技术领域Technical field
本发明涉及含药物海藻酸钠微球血管栓塞剂及其制备方法和应用,特别含抗血管瘤药物(平阳霉素、尿素、鱼肝油酸钠、博莱霉素)海藻酸钠微球血管栓塞剂及其制备方法和应用。 The invention relates to a drug-containing alginate microsphere blood vessel embolization agent, a preparation method and application thereof, and particularly an anti-angioma drug (pingyangmycin, urea, sodium cod liver oil, bleomycin) alginate microsphere blood vessel embolization agent And its preparation method and application.
背景技术Background technique
血管瘤是人类最常见的良性肿瘤,肝脏的血管瘤是最常见的肝脏良性肿瘤之一。多见于成年人,女性多于男性,肿瘤体积小者早期无症状,常在体检时发现,但随着病变范围的扩大,临床上常出现腹痛,腹胀,肝脏肿大,腹部包块,胃肠压迫等症状,并有自发性和创伤性破裂出血的危险。而一旦血管瘤瘤体破裂,其大出血可以是致命的。因此,对肝脏血管瘤患者瘤体直径5cm以上,或瘤体位于肝包膜下主张积极治疗,控制其发展。Hemangiomas are the most common benign tumors in humans, and hepatic hemangioma is one of the most common benign liver tumors. More common in adults, more women than men, small tumors are asymptomatic early, often found in physical examination, but with the expansion of the extent of the disease, clinically often abdominal pain, abdominal distension, liver enlargement, abdominal mass, gastrointestinal Symptoms such as oppression, and the risk of spontaneous and traumatic rupture. Once the hemangioma is ruptured, its massive bleeding can be fatal. Therefore, for patients with hepatic hemangioma, the diameter of the tumor is more than 5 cm, or the tumor is located under the liver capsule and advocates active treatment to control its development.
血管瘤在软组织中也是常见的良性肿瘤之一,良性肿瘤或先天畸形常常侵犯颜面部皮肤、眼、鼻、唇、舌、咽、软腭等器官,造成颜面畸形和功能障碍,约占小儿良性肿瘤的36%,而发生在口腔颌面部的血管瘤约占全身的60%,且可继发感染和出血等,是危害人类身心健康的重要疾患之一。Hemangiomas are also one of the common benign tumors in soft tissues. Benign tumors or congenital malformations often invade facial skin, eyes, nose, lips, tongue, pharynx, soft palate and other organs, causing facial deformities and dysfunction, accounting for benign tumors in children. 36%, and hemangioma in the oral and maxillofacial region accounts for about 60% of the whole body, and can be secondary infection and bleeding, etc., is one of the important diseases that endanger human physical and mental health.
血管瘤的治疗方法很多,虽然取得不同程度的肯定治疗,但还存在不少问题,如外科治疗常需要组织移植修复,且有大量出血的危险因素;放射治疗可能引起放射性皮炎,骨组织损伤及照射后继发恶性转变的可能;皮质类固醇对小儿生长期血管瘤效果较好,但可能并发柯兴氏综合症,影响发育;冷冻、激光治疗浅表血管瘤较好,但是对海绵状及混合型血管瘤治疗不佳,且有出现溃疡及产生瘢痕、色素沉着的缺点;硬化剂种类较多,传统硬化剂如三氯醋酸、无水乙醇已多年作为首选方法用于临床,但注射硬化剂有明显疼痛,反应性水肿及并发组织坏死和瘢痕形成,在小儿应用方面受到极大限制。随着介入医学的发展,介入栓塞治疗已成为当前的研究热点。常规用碘油和平阳霉素注射液乳剂栓塞,肿瘤区域碘油不能停留形成肿瘤栓塞,抗生素不能长期有效,效果往往不理想。因此有必要寻求一种新的制剂、新的方法对肝脏血管瘤,颌面部血管瘤,鼻咽纤维血管瘤,体表血管瘤,子宫肌瘤及其它部位血管瘤达到微创(无创)而有效的治疗。There are many treatments for hemangioma. Although there are different degrees of positive treatment, there are still many problems. For example, surgical treatment often requires tissue transplantation and there are a lot of risk factors for bleeding. Radiation therapy may cause radiation dermatitis and bone tissue damage. The possibility of secondary malignant transformation after irradiation; corticosteroids have a good effect on children's growth and long-term hemangioma, but may be complicated by Cushing's syndrome, affecting development; frozen, laser treatment of superficial hemangioma is better, but for spongy and mixed Hemangioma is poorly treated, and has the disadvantages of ulceration, scarring and pigmentation. There are many types of hardeners. Traditional hardeners such as trichloroacetic acid and absolute ethanol have been used as the first choice for clinical use, but there are injection hardeners. Significant pain, reactive edema, and concurrent tissue necrosis and scar formation are severely limited in pediatric applications. With the development of interventional medicine, interventional embolization has become a hot research topic. Conventional iodized oil and penemycin injection emulsion embolization, tumor area iodized oil can not stay to form tumor embolism, antibiotics can not be effective for a long time, the effect is often not ideal. Therefore, it is necessary to seek a new preparation, a new method for hepatic hemangioma, maxillofacial hemangioma, nasopharyngeal angiofibroma, surface hemangioma, uterine fibroids and other parts of the hemangioma to achieve minimally invasive (non-invasive) Effective treatment.
应用抗癌药物(硬化剂)治疗血管瘤,60年代和80年代国外已有各类报道,平阳霉素(Pingyangcin,PYM)属广谱的抗癌抗生素,由平阳链霉素产生,主要成分是博莱霉素A5,能抑制胸腺嘧啶核苷进入DNA释放出游离核碱,并使之分解破坏,从而抑制DNA的合成和切断DNA链,干扰细胞的分裂繁殖,影响细胞代谢功能,促进细胞变化坏死。是一种较安全,副作用小,对造血系统和免疫系统功能基本无伤害的新型抗肿瘤药物。平阳霉素(PYM)在DNA降解过程中产生自由基(OFR),OFR对血管瘤的作用可表现在:(1)损伤内皮细胞,OFR通过与细胞膜上的酶和受体进行共价结合,从而影响膜的结构与功能和活性,使膜磷脂中不饱和脂肪酸过氧化而直接影响膜结构,过氧化物如丙二醛,对膜活动性,交叉联结,结构功能带来不利影响,使膜孔隙扩大,通透性增加;(2)降解透明质酸,胶原基底膜成分和细胞基质,破坏血管壁的完整性,使血浆成分外渗组织水肿;(3)刺激血管内皮细胞释放内皮素等活性物质;(4)内皮细胞损伤后可释放超化因子,使中性粒细胞附着到血管壁,并释放溶解体及OFR,从而加重和放大损伤效益;(5)OFR能激活血小板聚体,启动凝血,形成血栓。通过上述机制,PYM使血管内皮细胞水肿、变性、增生、发生无菌性炎症,使血管收缩,血管壁增厚,最后导致血管闭塞、萎缩、血运缺乏,从而使血管瘤消退。The use of anticancer drugs (hardeners) for the treatment of hemangioma has been reported in various countries in the 1960s and 1980s. Pingyangcin (PYM) is a broad-spectrum anticancer antibiotic produced by Pingyang streptomycin. The main component is Bleomycin A5 can inhibit the release of thymidine into DNA to release free nucleobase and decompose and destroy it, thereby inhibiting DNA synthesis and cutting DNA strands, interfering with cell division and reproduction, affecting cell metabolism and promoting cell changes. Necrosis. It is a new type of anti-tumor drug that is safer, has fewer side effects, and has no harm to the functions of the hematopoietic system and immune system. Pingyangmycin (PYM) produces free radicals (OFR) during DNA degradation. The effect of OFR on hemangioma can be manifested in: (1) damage to endothelial cells, and OFR covalently binds to enzymes and receptors on the cell membrane. Thereby affecting the structure and function and activity of the membrane, causing the peroxidation of unsaturated fatty acids in the membrane phospholipids to directly affect the membrane structure, peroxides such as malondialdehyde, adversely affecting membrane activity, cross-linking, structural function, and membrane The pores are enlarged and the permeability is increased. (2) Degradation of hyaluronic acid, collagen basement membrane components and cell matrix, destroying the integrity of the blood vessel wall, causing extravasation of plasma components, and edema; (3) stimulating release of endothelin from vascular endothelial cells Active substances; (4) After the endothelial cells are damaged, the super-factor can be released, the neutrophils are attached to the blood vessel wall, and the lysate and OFR are released, thereby aggravating and amplifying the damage benefit; (5) OFR can activate the platelet aggregate, Start blood clotting and form a blood clot. Through the above mechanism, PYM causes vascular endothelial cells to edema, degeneration, hyperplasia, aseptic inflammation, vasoconstriction, thickening of the blood vessel wall, and finally vascular occlusion, atrophy, and lack of blood supply, thereby causing the hemangioma to subside.
尿素,鱼肝油酸钠属于人体相容性物质,对人体无毒副作用,特别是对大面积血管瘤,大剂量应用而无不良反应,尿素还能通过对血管瘤内皮细胞的组织形态学的改变而达到治疗目的,可使血管瘤内皮细胞发生无菌性炎性变,细胞的酶代谢紊乱,营养障碍而皱缩,胞质内线粒体肿大,脊断裂,胶原纤维肿胀,崩裂,血管内皮细胞坏死。Urea, sodium cod liver oil is a human-compatible substance, has no toxic side effects on the human body, especially for large-area hemangioma, high-dose application without adverse reactions, and urea can also change the histomorphology of hemangioma endothelial cells. To achieve the purpose of treatment, the hemangioendothelial cells can be aseptically inflammatory, the enzyme metabolism of the cells is disordered, the dystrophic and shrinking, the cytoplasmic mitochondria are enlarged, the ridge is broken, the collagen fibers are swollen, the crack is broken, and the vascular endothelial cells are necrotic. .
化疗栓塞这一概念于1981年由加藤哲郎提出,是一种化疗药物动脉内灌注与栓塞紧密结合的方法。由于介入医学现代技术的出现,使病人在诊疗过程中有了更多的选择,介入微创治疗发挥着更大作用。药物微球经导管动脉栓塞为其提供新的治疗思路。The concept of chemoembolization was proposed by Kato Tetsuo in 1981 as a method of intimate arterial infusion and embolization of a chemotherapy drug. Due to the emergence of modern technologies in interventional medicine, patients have more choices in the process of diagnosis and treatment, and intervention in minimally invasive treatment plays a greater role. Drug microspheres provide new therapeutic ideas through transcatheter arterial embolization.
目前国内外还没有将海藻酸钠作为药物载体包裹含抗血管瘤(硬化剂)药物制成微球并应用于肝脏血管瘤,颌面部血管瘤,鼻咽纤维血管瘤,体表血管瘤,子宫肌瘤及其它部位血管瘤等的介入栓塞治疗的先例。At present, sodium alginate has not been used as a drug carrier to encapsulate microspheres containing anti-angioma (hardener) drugs and applied to hepatic hemangioma, maxillofacial hemangioma, nasopharyngeal angiofibroma, and surface hemangioma. A precedent for interventional embolization therapy for uterine fibroids and other hemangioma.
技术解决方案Technical solution
本发明的目的之一在于提供一种生物相容性好,毒副作用小,具有栓塞与药物双重治疗作用的微球,可改变其在体内的吸收分布,可引导药物浓集于瘤细胞周围,减少给药次数,减轻病人的痛苦和负担,减少化疗药物的全身性毒副作用,使抗血管瘤药物发挥最佳治疗效果的药物微球栓塞剂。One of the objects of the present invention is to provide a microsphere which has good biocompatibility, small toxic and side effects, and has dual therapeutic effects of embolization and drug, which can change its absorption distribution in the body and can guide the concentration of the drug around the tumor cells. A microsphere embolization agent that reduces the number of administrations, reduces the pain and burden of the patient, reduces the systemic side effects of the chemotherapeutic drug, and exerts the optimal therapeutic effect against the hemangioma drug.
本发明的目的之一是通过以下技术方案达到的:One of the objects of the present invention is achieved by the following technical solutions:
一种含抗血管瘤药物的海藻酸钠微球血管栓塞剂,其特征在于:包括药物载体海藻酸钠和抗血管瘤药物,所述海藻酸钠包裹所述抗血管瘤药物。An alginate microsphere vascular embolization agent containing an anti-angioma drug, comprising: a drug carrier sodium alginate and an anti-angioma drug, the sodium alginate encapsulating the anti-angioma drug.
所述海藻酸钠与所述抗血管瘤药物的重量比为5:1~60:1。The weight ratio of the sodium alginate to the anti-angioma drug is from 5:1 to 60:1.
所述抗血管瘤药物包括平阳霉素、尿素、鱼肝油酸钠、博莱霉素等。The anti-angioma drugs include pingyangmycin, urea, sodium cod liver oil, bleomycin and the like.
所述含抗血管瘤药物的海藻酸钠微球血管栓塞剂可以是储存在保存液当中的微球(微胶珠)。The alginate microsphere vascular embolization agent containing an anti-angioma drug may be a microsphere (microbead) stored in a preservation solution.
所述含抗血管瘤药物的海藻酸钠微球血管栓塞剂也可以是粉末状微粒。The alginate microsphere vascular embolization agent containing an anti-angioma drug may also be a powdery particle.
所述储存在保存液中的微球(微胶珠)的粒径范围在20~50µm,50~100µm,100~200µm,200~300µm,300~500µm,500~700µm,700~900µm,900~1200µm之间。The microspheres (microbeads) stored in the preservation solution have a particle size ranging from 20 to 50 μm, 50 to 100 μm, 100 to 200 μm, 200 to 300 μm, 300 to 500 μm, 500 to 700 μm, 700 to 900 μm, and 900 to 900 nm. Between 1200μm.
所述粉末状微粒的粒径范围在10~50µm,50~100µm,100~200µm,200~300µm,300~500µm,500~700µm,700~900µm之间。The powdery fine particles have a particle diameter ranging from 10 to 50 μm, 50 to 100 μm, 100 to 200 μm, 200 to 300 μm, 300 to 500 μm, 500 to 700 μm, and 700 to 900 μm.
本发明的另一目的是提供上述含抗血管瘤药物(平阳霉素、尿素、鱼肝油酸钠、博莱霉素)的海藻酸钠微球血管栓塞剂的制备方法。Another object of the present invention is to provide a method for preparing a sodium alginate microsphere vascular embolization agent containing the above anti-angioma drug (pingyangmycin, urea, sodium cod liver oil, bleomycin).
本发明的上述目的是通过以下的技术方案达到的:The above object of the present invention is achieved by the following technical solutions:
一种含抗血管瘤药物的海藻酸钠微球血管栓塞剂的制备方法,其步骤如下:A method for preparing a sodium alginate microsphere vascular embolization agent containing an anti-angioma drug, the steps of which are as follows:
(1)将1重量份的抗血管瘤药物(平阳霉素、尿素、鱼肝油酸钠、博莱霉素)称重,用注射用水溶解;得不同抗血管瘤药物溶液;(1) 1 part by weight of an anti-angioma drug (pingyangmycin, urea, sodium cod liver oil, bleomycin) is weighed and dissolved in water for injection; different anti-angioma drug solutions are obtained;
(2)将5重量份到60重量份的海藻酸钠称重,用注射用水溶解,得海藻酸钠溶液;(2) weighing 5 parts by weight to 60 parts by weight of sodium alginate, dissolved in water for injection to obtain a sodium alginate solution;
(3)将2重量份到12重量份的氯化钙或氯化钡称重,用注射用水溶解,得固化液;(3) weighing 2 parts by weight to 12 parts by weight of calcium chloride or cerium chloride, and dissolving in water for injection to obtain a solidifying liquid;
(4)将步骤(1)所得抗血管瘤药物溶液和步骤(2)所得海藻酸钠溶液混合,再通过高压静电发生装置与所述固化液混合反应,固化成圆形或类圆形的微球(微胶珠),得含抗血管瘤药物的海藻酸钠微球血管栓塞剂。(4) mixing the anti-angioma drug solution obtained in the step (1) and the sodium alginate solution obtained in the step (2), and then reacting with the solidified liquid through a high-voltage electrostatic generating device to solidify into a circular or round-shaped micro. The ball (micro-beads) is obtained by a sodium alginate microsphere vascular embolization agent containing an anti-angioma drug.
所述高压静电微球发生装置包括:静电发生装置、混合器、蠕动加速器、升降台、无菌玻璃容器、注射器、特制针头,连接正负两极,正极与蠕动加速器上的注射装置的针头相连,负极与浸在无菌玻璃容器内的所述固化液中的不锈钢钢环相连接,注射装置内含有抗血管瘤药物和海藻酸钠的混合溶液,喷雾滴入所述固化液中反应形成微球。The high-voltage electrostatic microsphere generating device comprises: an electrostatic generating device, a mixer, a peristaltic accelerator, a lifting platform, a sterile glass container, a syringe, a special needle connected to the positive and negative poles, and the positive electrode is connected to the needle of the injection device on the peristaltic accelerator, The negative electrode is connected to a stainless steel steel ring in the solidified liquid immersed in a sterile glass container, and the injection device contains a mixed solution of an anti-angioma drug and sodium alginate, and the spray is dropped into the solidified liquid to form a microsphere. .
一种优选技术方案,其特征在于:将所述含抗血管瘤药物的海藻酸钠微球血管栓塞剂分装保存在液体石蜡或植物油中备用,保持抗血管瘤药物不外逸。A preferred technical solution is characterized in that the anti-angioma drug-containing alginate microsphere vascular embolization agent is stored in liquid paraffin or vegetable oil for use, and the anti-angioma drug is kept out of the air.
所得含抗血管瘤药物的海藻酸钠微球血管栓塞剂为储存在保存液中的微球,称为湿球。其粒径范围可以是20~50µm,50~100µm,100~200µm,200~300µm,300~500µm,500~700µm,700~900µm,900~1200µm之间。The obtained alginate microsphere vascular embolization agent containing an anti-angioma drug is a microsphere stored in a preservation solution, which is called a wet bulb. The particle size range may be 20 to 50 μm, 50 to 100 μm, 100 to 200 μm, 200 to 300 μm, 300 to 500 μm, 500 to 700 μm, 700 to 900 μm, and 900 to 1200 μm.
将所得含抗血管瘤药物的海藻酸钠微球血管栓塞剂上清倾析后,将下面的微球加适量的甘露醇溶液混合,置低温冰箱中冷冻2小时以上,然后置冷冻干燥机中冷冻干燥15-48小时即得粉末状微粒。或放入烘箱干燥,得粉末状颗粒,称为干球。其粒径范围可以是10~50µm,50~100µm,100~200µm,200~300µm,300~500µm,500~700µm,700~900µm。After decanting the obtained alginate microsphere vascular embolization agent containing anti-angioma drug, the following microspheres are mixed with an appropriate amount of mannitol solution, frozen in a low temperature refrigerator for more than 2 hours, and then placed in a freeze dryer. The powdery particles are obtained by freeze-drying for 15-48 hours. Or put it in an oven to dry, to obtain powdery particles, called dry balls. The particle diameter may be in the range of 10 to 50 μm, 50 to 100 μm, 100 to 200 μm, 200 to 300 μm, 300 to 500 μm, 500 to 700 μm, and 700 to 900 μm.
本发明的目的之三是提供上述含抗血管瘤药物(平阳霉素、尿素、鱼肝油酸钠、博莱霉素)的海藻酸钠微球血管栓塞剂的应用方法。A third object of the present invention is to provide a method for applying the above-described alginate microsphere vascular embolization agent containing an anti-angioma drug (pingyangmycin, urea, sodium cod liver oil, bleomycin).
本发明的上述目的是通过以下技术方案达到的:The above object of the present invention is achieved by the following technical solutions:
所述的含抗血管瘤药物(平阳霉素、尿素、鱼肝油酸钠、博莱霉素)的海藻酸钠微球血管栓塞剂作为治疗肝血管瘤,颌面部血管瘤,鼻咽纤维血管瘤,体表血管瘤,子宫肌瘤及其它部位血管瘤药物的应用栓塞剂。The alginate microsphere vascular embolization agent containing anti-angioma drugs (pingyangmycin, urea, sodium cod liver oil, bleomycin) as a treatment for hepatic hemangioma, maxillofacial hemangioma, nasopharyngeal angiofibroma , embolization agents for surface hemangioma, uterine fibroids and other hemangioma drugs.
具体应用步骤如下:在影像设备监视下将所述含抗血管瘤药物的海藻酸钠微球血管栓塞剂通过导管超选择性栓塞在病变部位的血管内(如肝血管瘤,颌面部血管瘤,鼻咽纤维血管瘤,体表血管瘤,子宫肌瘤及其它部位血管瘤)。还可用于各种类型的大出血栓塞止血。The specific application steps are as follows: the anti-angioma drug-containing alginate microsphere vascular embolization agent is superselectively embolized into the blood vessel of the lesion by catheter under monitoring of the imaging device (eg hepatic hemangioma, maxillofacial hemangioma) , nasopharyngeal angiofibroma, surface hemangioma, uterine fibroids and other parts of hemangioma). It can also be used for various types of large thromboembolism to stop bleeding.
采用介入放射或介入超声的方法,经股动脉引入导管,插入靶器官供血动脉,行动脉造影,明确血管瘤的部位、大小、数量和血供情况后,根据造影所见,决定选用栓塞微球的直径。尽量使用微导管进行超选择栓塞,使用时要无菌操作。将瓶盖开封,静置沉淀后,用注射器将瓶中保养液抽掉加等量的生理盐水冲洗微球三遍或将瓶中保养液抽掉加等量生理盐水,连同生理盐水及微球倒入无菌碗内,用50~60ml生理盐水冲洗微球一遍弃掉冲洗液,再加入适量或稀释后的造影剂混均(使微球充分悬浮于造影剂中),透视下经导管视具体情况缓慢或缓慢多次注入,直到造影剂流速明显减慢时,即完成栓塞。再次行动脉造影判定栓塞效果。Using interventional or interventional ultrasound, the catheter was introduced through the femoral artery, inserted into the blood supply artery of the target organ, and angiography was performed. After the location, size, number and blood supply of the hemangioma were confirmed, the embolization microsphere was selected according to the angiography. diameter of. Use microcatheters as much as possible for superselective embolization, and use aseptically. After opening the bottle cap and standing still, use a syringe to remove the maintenance solution from the bottle and rinse the microspheres three times with the same amount of normal saline or remove the maintenance solution from the bottle and add the same amount of normal saline, together with normal saline and microspheres. Pour into a sterile bowl, rinse the microspheres with 50-60ml saline, discard the rinse solution, add appropriate amount or diluted contrast agent (to fully suspend the microspheres in the contrast agent), and see through the catheter under fluoroscopy The specific situation is slow or slow multiple injections, until the contrast agent flow rate is significantly slowed down, that is, the embolization is completed. The angiography was performed again to determine the embolization effect.
如果含抗血管瘤药物的海藻酸钠微球血管栓塞剂是粉末状颗粒,则先将保存在密闭容器中干球溶于在生理盐水中还原(湿球),再加入适量或稀释后的造影剂混合均匀(使微球充分悬浮于造影剂中),再在影像设备监视下通过导管超选择性栓塞在病变部位的血管内缓慢或缓慢多次注入,直到造影剂流速明显减慢时,即完成栓塞。再次行动脉造影判定栓塞效果。If the alginate microsphere vascular embolization agent containing the anti-angioma drug is a powdery granule, the dry ball stored in the closed container is first dissolved in physiological saline to reduce (wet ball), and then the appropriate amount or diluted angiography is added. The agent is evenly mixed (so that the microspheres are fully suspended in the contrast agent), and then super-selectively embolized by the catheter under the monitoring of the imaging device to slowly or slowly inject into the blood vessel of the lesion site, until the contrast agent flow rate is significantly slowed down, that is, Complete the embolization. The angiography was performed again to determine the embolization effect.
有益效果Beneficial effect
本发明采用生物相容性好,无毒副作用,可生物降解的海藻酸钠作为抗血管瘤药物的载体,制备了不同粒径的抗血管瘤药物微球,是控释、靶向、定位给药的新型栓塞剂。药物被包埋在微球内部,制成微球后将栓塞性微球剂注入动脉能改变其在体内的吸收分布,特别是微球经修饰后对瘤组织有一定的亲和力时,可引导药物浓集于瘤细胞周围,一方面使肿瘤部位血管栓塞,以切断肿瘤细胞的血液养分供应,即刻给予一次冲击量的药物,减少了给药次数,减轻了病人的痛苦和负担,优于传统灌注给药;另一方面使药物通过微球裂解,不断在肿瘤组织周围缓慢定位释放,减少化疗药物的全身性毒副作用,使抗肿瘤药物发挥最佳治疗效果。 The invention adopts a biocompatible, non-toxic and side effect, biodegradable sodium alginate as a carrier of anti-angioma drugs, and prepares anti-hemangioma drug microspheres with different particle diameters, which are controlled release, targeted, and positioned. A new embolic agent for medicine. The drug is embedded in the inside of the microsphere, and the microspheres are injected into the artery to change the absorption distribution in the body, especially when the microsphere is modified to have a certain affinity for the tumor tissue, and the drug can be guided. Concentrated around the tumor cells, on the one hand, the blood vessels at the tumor site are embolized, so as to cut off the blood nutrient supply of the tumor cells, and immediately give a dose of the drug, which reduces the number of administrations, reduces the pain and burden of the patient, and is superior to the conventional perfusion. On the other hand, the drug is lysed by microspheres, and is slowly positioned and released around the tumor tissue, thereby reducing the systemic toxic and side effects of the chemotherapeutic drug, so that the antitumor drug exerts the best therapeutic effect.
本发明的实施方式Embodiments of the invention
下面通过实施例对本发明作进一步说明,但不意味着对本发明保护范围的限制。 The invention is further illustrated by the following examples, which are not intended to limit the scope of the invention.
实施例1Example 1
含平阳霉素的海藻酸钠微球的制备Preparation of sodium alginate microspheres containing pingyangmycin
1、包裹前的准备工作:1. Preparation before the parcel:
①玻璃器皿的处理:1 glassware treatment:
将清洗干净的玻璃器皿凉干,放在高温烤箱内在280摄氏度下烘烤3小时(除菌去热源);The cleaned glassware is dried and placed in a high temperature oven for 3 hours at 280 ° C (sterilization to remove heat);
②抗血管瘤用药平阳霉素药液的配制:2 Preparation of anti-angioma drug pingyangmycin liquid:
称取10克市售平阳霉素,置于上述玻璃器皿内,加水溶解后,得平阳霉素药物溶液;Weigh 10 g of commercially available pingyangmycin, placed in the above glassware, and dissolved in water to obtain a pingyangmycin drug solution;
③海藻酸钠溶液的制备:3 Preparation of sodium alginate solution:
称取50克市售海藻酸钠,置于玻璃器皿内,一边搅拌,一边加入生理盐水,直至海藻酸钠全部溶解,得海藻酸钠溶液;Weigh 50 grams of commercially available sodium alginate, place it in a glassware, and add physiological saline while stirring until all the sodium alginate is dissolved to obtain a sodium alginate solution;
④将2克的氯化钙称重,用注射用水溶解,配制1重量%的氯化钙溶液;4 Weigh 2 grams of calcium chloride, dissolved in water for injection, to prepare a 1% by weight calcium chloride solution;
⑤配制液体石蜡或植物油作为保存液;5 formulating liquid paraffin or vegetable oil as a preservation solution;
⑥将上述平阳霉素溶液和海藻酸钠溶液混合,得含平阳霉素的海藻酸钠混合溶液;6 mixing the above pingyangmycin solution and sodium alginate solution to obtain a mixed solution of sodium alginate containing pingyangmycin;
⑦用无菌注射器吸取上述混合液,通过高压静电微球发生装置,设好各种参数,滴入上述氯化钙溶液中,所得含平阳霉素的海藻酸钠湿微球。微球的粒径可根据需要制成不同大小范围的湿球或干球。如20~50µm,50~100µm,100~200µm,200~300µm,300~500µm,500~700µm,700~900µm,900~1200µm之间等。7 Aspirating the above mixture solution with a sterile syringe, passing through a high-voltage electrostatic microsphere generating device, setting various parameters, and dropping into the calcium chloride solution to obtain a wet sodium microalgae containing pingyangmycin. The particle size of the microspheres can be made into wet spheres or dry spheres of different size ranges as needed. For example, 20 to 50 μm, 50 to 100 μm, 100 to 200 μm, 200 to 300 μm, 300 to 500 μm, 500 to 700 μm, 700 to 900 μm, and 900 to 1200 μm.
所述高压静电微球发生装置包括:静电发生装置、混合器、蠕动加速器、升降台、无菌玻璃容器、注射器、特制针头,连接正负两极,正极与蠕动加速器上的注射装置的针头相连,负极与浸在无菌玻璃容器内的所述固化液中的不锈钢钢环相连接,注射装置内含有抗血管瘤药物和海藻酸钠的混合溶液,喷雾滴入所述固化液中反应形成微球。The high-voltage electrostatic microsphere generating device comprises: an electrostatic generating device, a mixer, a peristaltic accelerator, a lifting platform, a sterile glass container, a syringe, a special needle connected to the positive and negative poles, and the positive electrode is connected to the needle of the injection device on the peristaltic accelerator, The negative electrode is connected to a stainless steel steel ring in the solidified liquid immersed in a sterile glass container, and the injection device contains a mixed solution of an anti-angioma drug and sodium alginate, and the spray is dropped into the solidified liquid to form a microsphere. .
将上述容器的上层溶液倾析后,用生理盐水洗两次,即时使用。The supernatant solution of the above container was decanted, washed twice with physiological saline, and used immediately.
也可将上述容器的上层溶液倾析,将下面的微胶珠冷冻干燥或放入烘箱干燥,所得干微球,密闭保存。The upper layer solution of the above container may also be decanted, and the underlying microbeads may be freeze-dried or placed in an oven to dry, and the obtained dry microspheres are sealed and stored.
使用前用生理盐水浸泡还原成湿球。It is reduced to a wet bulb by soaking in physiological saline before use.
对于患有肝脏血管瘤、颌面部血管瘤、鼻咽纤维血管瘤、体表血管瘤、子宫肌瘤及其它部位血管瘤的病人,采用介入放射或介入超声的方法,经股动脉(颌面部经颈动脉)引入导管,插入靶器官供血动脉,行动脉造影,明确血管瘤的部位、大小、数量和血供情况后,根据造影所见,决定选用栓塞微球的直径。尽量使用微导管进行超选择栓塞,使用时要无菌操作。将所述含平阳霉素的海藻酸钠微球(湿球),用注射器将瓶中保存溶液抽掉加等量的生理盐水冲洗微球三遍,或将瓶中保存溶液和微球倒入无菌碗内,用50~60ml生理盐水冲洗微球一遍弃掉冲洗液,再加入适量或稀释后的造影剂混均(使微球充分悬浮于造影剂中),透视下经导管视具体情况缓慢或缓慢多次注入病灶部位,直到造影剂流速明显减慢时,即完成栓塞。再次行动脉造影判定栓塞效果。For patients with hepatic hemangioma, maxillofacial hemangioma, nasopharyngeal angiofibroma, surface hemangioma, uterine fibroids and other hemangioma, interventional or interventional ultrasound, transfemoral (maxillofacial) The carotid artery was introduced into the catheter, inserted into the blood supply artery of the target organ, and angiography was performed. After the location, size, number and blood supply of the hemangioma were confirmed, the diameter of the embolization microsphere was determined according to the angiography. Use microcatheters as much as possible for superselective embolization, and use aseptically. The pingyangmycin-containing alginate microspheres (wet bulbs) are pumped with a syringe to remove the preservation solution in the bottle, and the microspheres are washed three times with an equal amount of physiological saline, or the preservation solution and the microspheres in the bottle are poured. In a sterile bowl, rinse the microspheres with 50-60ml saline to discard the rinse solution, then add the appropriate amount or diluted contrast medium (so that the microspheres are fully suspended in the contrast agent), and see through the catheter under fluoroscopy. The lesion is injected slowly or slowly multiple times until the contrast agent flow rate is significantly slowed down, ie the embolization is completed. The angiography was performed again to determine the embolization effect.
实施例2Example 2
含鱼肝油酸钠的海藻酸钠微球的制备Preparation of sodium alginate microspheres containing sodium cod liver oil
1、包裹前的准备工作:1. Preparation before the parcel:
①玻璃器皿的处理:1 glassware treatment:
将清洗干净的玻璃器皿凉干,放在高温烤箱内在280摄氏度下烘烤3小时(除菌去热源);The cleaned glassware is dried and placed in a high temperature oven for 3 hours at 280 ° C (sterilization to remove heat);
②抗血管瘤用药鱼肝油酸钠药液的配制:2 Anti-angioma drug preparation of sodium cod liver oil solution:
称取10克市售鱼肝油酸钠,置于上述玻璃器皿内,加水溶解后,得鱼肝油酸钠药物溶液;Weigh 10 grams of commercially available sodium cod liver oil, placed in the above glassware, and dissolved in water to obtain a sodium cod liver oil drug solution;
③海藻酸钠溶液的制备:3 Preparation of sodium alginate solution:
称取50克市售海藻酸钠,置于玻璃器皿内,一边搅拌,一边加入生理盐水,直至海藻酸钠全部溶解,得海藻酸钠溶液;Weigh 50 grams of commercially available sodium alginate, place it in a glassware, and add physiological saline while stirring until all the sodium alginate is dissolved to obtain a sodium alginate solution;
④取12克氯化钡,配制12重量%的氯化钡溶液;4 taking 12 grams of barium chloride to prepare a 12% by weight solution of barium chloride;
⑤配制液体石蜡或植物油作为保存液;5 formulating liquid paraffin or vegetable oil as a preservation solution;
⑥将上述鱼肝油酸钠溶液和海藻酸钠溶液混合,得含鱼肝油酸钠的海藻酸钠混合溶液;6 mixing the above sodium cod liver oil solution and sodium alginate solution to obtain a sodium alginate mixed solution containing sodium cod liver oil;
⑦用无菌注射器吸取上述混合液,通过高压静电微球发生装置,设好各种参数,滴入上述氯化钡溶液中,所得含鱼肝油酸钠的海藻酸钠湿微球。微球的粒径可根据需要制成不同大小范围的湿球或干球。如20~50µm,50~100µm,100~200µm,200~300µm,300~500µm,500~700µm,700~900µm,900~1200µm之间等。7 Aspirating the above mixture with a sterile syringe, passing through a high-voltage electrostatic microsphere generating device, setting various parameters, dropping into the above cerium chloride solution, and obtaining sodium alginate wet microspheres containing sodium cod liver oil. The particle size of the microspheres can be made into wet spheres or dry spheres of different size ranges as needed. For example, 20 to 50 μm, 50 to 100 μm, 100 to 200 μm, 200 to 300 μm, 300 to 500 μm, 500 to 700 μm, 700 to 900 μm, and 900 to 1200 μm.
所述高压静电微球发生装置包括:静电发生装置、混合器、蠕动加速器、升降台、无菌玻璃容器、注射器、特制针头,连接正负两极,正极与蠕动加速器上的注射装置的针头相连,负极与浸在无菌玻璃容器内的所述固化液中的不锈钢钢环相连接,注射装置内含有抗血管瘤药物和海藻酸钠的混合溶液,喷雾滴入所述固化液中反应形成微球。The high-voltage electrostatic microsphere generating device comprises: an electrostatic generating device, a mixer, a peristaltic accelerator, a lifting platform, a sterile glass container, a syringe, a special needle connected to the positive and negative poles, and the positive electrode is connected to the needle of the injection device on the peristaltic accelerator, The negative electrode is connected to a stainless steel steel ring in the solidified liquid immersed in a sterile glass container, and the injection device contains a mixed solution of an anti-angioma drug and sodium alginate, and the spray is dropped into the solidified liquid to form a microsphere. .
将上述容器的上层溶液倾析后,用生理盐水洗两次,即时使用。The supernatant solution of the above container was decanted, washed twice with physiological saline, and used immediately.
也可将上述容器的上层溶液倾析,将下面的微胶珠冷冻干燥或放入烘箱干燥,所得干微球,密闭保存。The upper layer solution of the above container may also be decanted, and the underlying microbeads may be freeze-dried or placed in an oven to dry, and the obtained dry microspheres are sealed and stored.
使用前用生理盐水浸泡还原成湿球。It is reduced to a wet bulb by soaking in physiological saline before use.
对于患有肝脏血管瘤、颌面部血管瘤、鼻咽纤维血管瘤、体表血管瘤、子宫肌瘤及其它部位血管瘤的病人,采用介入放射或介入超声的方法,经股动脉(颌面部经颈动脉)引入导管,插入靶器官供血动脉,行动脉造影,明确血管瘤的部位、大小、数量和血供情况后,根据造影所见,决定选用栓塞微球的直径。尽量使用微导管进行超选择栓塞,使用时要无菌操作。将所述含鱼肝油酸钠的海藻酸钠微球(湿球),用注射器将瓶中保存液抽掉加等量的生理盐水冲洗微球三遍,或将瓶中保存液和微球倒入无菌碗内,用50~60ml生理盐水冲洗微球一遍弃掉冲洗液,再加入适量或稀释后的造影剂混均(使微球充分悬浮于造影剂中),透视下经导管视具体情况缓慢或缓慢多次注入病灶部位,直到造影剂流速明显减慢时,即完成栓塞。再次行动脉造影判定栓塞效果。For patients with hepatic hemangioma, maxillofacial hemangioma, nasopharyngeal angiofibroma, surface hemangioma, uterine fibroids and other hemangioma, interventional or interventional ultrasound, transfemoral (maxillofacial) The carotid artery was introduced into the catheter, inserted into the blood supply artery of the target organ, and angiography was performed. After the location, size, number and blood supply of the hemangioma were confirmed, the diameter of the embolization microsphere was determined according to the angiography. Use microcatheters as much as possible for superselective embolization, and use aseptically. Sodium alginate microspheres (wet bulbs) containing sodium cod liver oil, use a syringe to remove the preservation solution in the bottle, rinse the microspheres three times with an equal amount of physiological saline, or pour the preservation solution and the microspheres into the bottle. In a sterile bowl, rinse the microspheres with 50-60ml saline to discard the rinse solution, then add the appropriate amount or diluted contrast medium (so that the microspheres are fully suspended in the contrast agent), and see through the catheter under fluoroscopy. The lesion is injected slowly or slowly multiple times until the contrast agent flow rate is significantly slowed down, ie the embolization is completed. The angiography was performed again to determine the embolization effect.
实施例3Example 3
含尿素的海藻酸钠微球的制备Preparation of sodium alginate microspheres containing urea
1、包裹前的准备工作:1. Preparation before the parcel:
①玻璃器皿的处理:1 glassware treatment:
将清洗干净的玻璃器皿凉干,放在高温烤箱内在280摄氏度下烘烤3小时(除菌去热源);The cleaned glassware is dried and placed in a high temperature oven for 3 hours at 280 ° C (sterilization to remove heat);
②抗血管瘤用药尿素药液的配制:2 Preparation of anti-angioma drug urea liquid:
称取10克市售尿素,置于上述玻璃器皿内,加水溶解后,得尿素药物溶液;Weigh 10 grams of commercially available urea, placed in the above glassware, and dissolved in water to obtain a urea drug solution;
③海藻酸钠溶液的制备:3 Preparation of sodium alginate solution:
称取600克市售海藻酸钠,置于玻璃器皿内,一边搅拌,一边加入生理盐水,直至海藻酸钠全部溶解,得海藻酸钠溶液;Weigh 600 grams of commercially available sodium alginate, place it in a glassware, and add physiological saline while stirring until all the sodium alginate is dissolved to obtain a sodium alginate solution;
④取6克氯化钙,配制6重量%的氯化钙溶液;4 take 6 grams of calcium chloride, prepare a 6 wt% calcium chloride solution;
⑤配制植物油作为保存液;5 formulating vegetable oil as a preservation solution;
⑥将上述尿素溶液和海藻酸钠溶液混合,得含尿素的海藻酸钠混合溶液;6 mixing the above urea solution and sodium alginate solution to obtain a sodium alginate mixed solution containing urea;
⑦用无菌注射器吸取上述混合液,通过高压静电微球发生装置,设好各种参数,滴入上述氯化钙溶液中,所得含尿素的海藻酸钠湿微球。微球的粒径可根据需要制成不同大小范围的湿球或干球。如20~50µm,50~100µm,100~200µm,200~300µm,300~500µm,500~700µm,700~900µm,900~1200µm之间等。7 Aspirating the above mixture with a sterile syringe, passing through a high-voltage electrostatic microsphere generating device, setting various parameters, and dropping into the calcium chloride solution to obtain a urea-containing sodium alginate wet microsphere. The particle size of the microspheres can be made into wet spheres or dry spheres of different size ranges as needed. For example, 20 to 50 μm, 50 to 100 μm, 100 to 200 μm, 200 to 300 μm, 300 to 500 μm, 500 to 700 μm, 700 to 900 μm, and 900 to 1200 μm.
所述高压静电微球发生装置包括:静电发生装置、混合器、蠕动加速器、升降台、无菌玻璃容器、注射器、特制针头,连接正负两极,正极与蠕动加速器上的注射装置的针头相连,负极与浸在无菌玻璃容器内的所述固化液中的不锈钢钢环相连接,注射装置内含有抗血管瘤药物和海藻酸钠的混合溶液,喷雾滴入所述固化液中反应形成微球。The high-voltage electrostatic microsphere generating device comprises: an electrostatic generating device, a mixer, a peristaltic accelerator, a lifting platform, a sterile glass container, a syringe, a special needle connected to the positive and negative poles, and the positive electrode is connected to the needle of the injection device on the peristaltic accelerator, The negative electrode is connected to a stainless steel steel ring in the solidified liquid immersed in a sterile glass container, and the injection device contains a mixed solution of an anti-angioma drug and sodium alginate, and the spray is dropped into the solidified liquid to form a microsphere. .
将上述容器的上层溶液倾析后,用生理盐水洗两次,即时使用。The supernatant solution of the above container was decanted, washed twice with physiological saline, and used immediately.
也可将上述容器的上层溶液倾析,将下面的微胶珠冷冻干燥或放入烘箱干燥,所得干微球,密闭保存。The upper layer solution of the above container may also be decanted, and the underlying microbeads may be freeze-dried or placed in an oven to dry, and the obtained dry microspheres are sealed and stored.
使用前用生理盐水浸泡还原成湿球。It is reduced to a wet bulb by soaking in physiological saline before use.
对于患有肝脏血管瘤、颌面部血管瘤、鼻咽纤维血管瘤、体表血管瘤、子宫肌瘤及其它部位血管瘤的病人,采用介入放射或介入超声的方法,经股动脉(颌面部经颈动脉)引入导管,插入靶器官供血动脉,行动脉造影,明确血管瘤的部位、大小、数量和血供情况后,根据造影所见,决定选用栓塞微球的直径。尽量使用微导管进行超选择栓塞,使用时要无菌操作。将所述含尿素的海藻酸钠微球(湿球),用注射器将瓶中保存液抽掉加等量的生理盐水冲洗微球三遍,或将瓶中保存液和微球倒入无菌碗内,用50~60ml生理盐水冲洗微球一遍弃掉冲洗液,再加入适量或稀释后的造影剂混均(使微球充分悬浮于造影剂中),透视下经导管视具体情况缓慢或缓慢多次注入病灶部位,直到造影剂流速明显减慢时,即完成栓塞。再次行动脉造影判定栓塞效果。For patients with hepatic hemangioma, maxillofacial hemangioma, nasopharyngeal angiofibroma, surface hemangioma, uterine fibroids and other hemangioma, interventional or interventional ultrasound, transfemoral (maxillofacial) The carotid artery was introduced into the catheter, inserted into the blood supply artery of the target organ, and angiography was performed. After the location, size, number and blood supply of the hemangioma were confirmed, the diameter of the embolization microsphere was determined according to the angiography. Use microcatheters as much as possible for superselective embolization, and use aseptically. Urea-containing sodium alginate microspheres (wet bulbs), use a syringe to remove the preservation solution in the bottle and rinse the microspheres three times with an equal amount of physiological saline, or pour the preservation solution and microspheres in the vial into the sterile In the bowl, rinse the microspheres with 50-60ml saline to discard the rinse solution, and then add the appropriate amount or diluted contrast agent (to fully suspend the microspheres in the contrast agent). The lesion is injected multiple times slowly until the contrast agent flow rate is significantly slowed down, ie the embolization is completed. The angiography was performed again to determine the embolization effect.
实施例4Example 4
含博莱霉素的海藻酸钠微球的制备Preparation of sodium alginate microspheres containing bleomycin
1、包裹前的准备工作:1. Preparation before the parcel:
①玻璃器皿的处理:1 glassware treatment:
将清洗干净的玻璃器皿凉干,放在高温烤箱内在280摄氏度下烘烤3小时(除菌去热源);The cleaned glassware is dried and placed in a high temperature oven for 3 hours at 280 ° C (sterilization to remove heat);
②抗血管瘤用药博莱霉素药液的配制:2 Preparation of anti-angioma drug bleomycin solution:
称取10克市售博莱霉素,置于上述玻璃器皿内,加水溶解后,得博莱霉素药物溶液;Weigh 10 g of commercially available bleomycin, placed in the above glassware, and dissolved in water to obtain a bleomycin drug solution;
③海藻酸钠溶液的制备:3 Preparation of sodium alginate solution:
称取50克市售海藻酸钠,置于玻璃器皿内,一边搅拌,一边加入生理盐水,直至海藻酸钠全部溶解,得海藻酸钠溶液;Weigh 50 grams of commercially available sodium alginate, place it in a glassware, and add physiological saline while stirring until all the sodium alginate is dissolved to obtain a sodium alginate solution;
④取10克氯化钙,配制10重量%的氯化钙溶液;4 take 10 grams of calcium chloride, prepare 10% by weight of calcium chloride solution;
⑤配制液体石蜡作为保存液;5 preparing liquid paraffin as a preservation solution;
⑥将上述博莱霉素溶液和海藻酸钠溶液混合,得含博莱霉素的海藻酸钠混合溶液;6 mixing the above bleomycin solution and sodium alginate solution to obtain a mixed solution of sodium alginate containing bleomycin;
⑦用无菌注射器吸取上述混合液,通过高压静电微球发生装置,设好各种参数,滴入上述氯化钙溶液中,所得含博莱霉素的海藻酸钠湿微球。微球的粒径可根据需要制成不同大小范围的湿球或干球。如20~50µm,50~100µm,100~200µm,200~300µm,300~500µm,500~700µm,700~900µm,900~1200µm之间等。7 Aspirating the above mixture solution with a sterile syringe, passing through a high-voltage electrostatic microsphere generating device, setting various parameters, and dropping into the above calcium chloride solution to obtain a wet microsphere of sodium alginate containing bleomycin. The particle size of the microspheres can be made into wet spheres or dry spheres of different size ranges as needed. For example, 20 to 50 μm, 50 to 100 μm, 100 to 200 μm, 200 to 300 μm, 300 to 500 μm, 500 to 700 μm, 700 to 900 μm, and 900 to 1200 μm.
所述高压静电微球发生装置包括:静电发生装置、混合器、蠕动加速器、升降台、无菌玻璃容器、注射器、特制针头,连接正负两极,正极与蠕动加速器上的注射装置的针头相连,负极与浸在无菌玻璃容器内的所述固化液中的不锈钢钢环相连接,注射装置内含有抗血管瘤药物和海藻酸钠的混合溶液,喷雾滴入所述固化液中反应形成微球。The high-voltage electrostatic microsphere generating device comprises: an electrostatic generating device, a mixer, a peristaltic accelerator, a lifting platform, a sterile glass container, a syringe, a special needle connected to the positive and negative poles, and the positive electrode is connected to the needle of the injection device on the peristaltic accelerator, The negative electrode is connected to a stainless steel steel ring in the solidified liquid immersed in a sterile glass container, and the injection device contains a mixed solution of an anti-angioma drug and sodium alginate, and the spray is dropped into the solidified liquid to form a microsphere. .
将上述容器的上层溶液倾析后,用生理盐水洗两次,即时使用。The supernatant solution of the above container was decanted, washed twice with physiological saline, and used immediately.
也可将上述容器的上层溶液倾析,将下面的微胶珠冷冻干燥或放入烘箱干燥,所得干微球,密闭保存。The upper layer solution of the above container may also be decanted, and the underlying microbeads may be freeze-dried or placed in an oven to dry, and the obtained dry microspheres are sealed and stored.
使用前用生理盐水浸泡还原成湿球。It is reduced to a wet bulb by soaking in physiological saline before use.
对于患有肝脏血管瘤、颌面部血管瘤、鼻咽纤维血管瘤、体表血管瘤、子宫肌瘤及其它部位血管瘤的病人,采用介入放射或介入超声的方法,经股动脉(颌面部经颈动脉)引入导管,插入靶器官供血动脉,行动脉造影,明确血管瘤的部位、大小、数量和血供情况后,根据造影所见,决定选用栓塞微球的直径。尽量使用微导管进行超选择栓塞,使用时要无菌操作。将所述含博莱霉素的海藻酸钠微球(湿球),用注射器将瓶中保存液抽掉加等量的生理盐水冲洗微球三遍,或将瓶中保存液和微球倒入无菌碗内,用50~60ml生理盐水冲洗微球一遍弃掉冲洗液,再加入适量或稀释后的造影剂混均(使微球充分悬浮于造影剂中),透视下经导管视具体情况缓慢或缓慢多次注入病灶部位,直到造影剂流速明显减慢时,即完成栓塞。再次行动脉造影判定栓塞效果。For patients with hepatic hemangioma, maxillofacial hemangioma, nasopharyngeal angiofibroma, surface hemangioma, uterine fibroids and other hemangioma, interventional or interventional ultrasound, transfemoral (maxillofacial) The carotid artery was introduced into the catheter, inserted into the blood supply artery of the target organ, and angiography was performed. After the location, size, number and blood supply of the hemangioma were confirmed, the diameter of the embolization microsphere was determined according to the angiography. Use microcatheters as much as possible for superselective embolization, and use aseptically. The lysine-containing alginate microspheres (wet bulbs) are pumped out of the bottle with a syringe and the microspheres are washed three times with an equal amount of physiological saline, or the preservation solution and the microspheres in the bottle are poured. Into the sterile bowl, rinse the microspheres with 50-60ml saline to discard the rinse solution, and then add the appropriate amount or diluted contrast agent (to fully suspend the microspheres in the contrast agent). The lesion is injected slowly or slowly multiple times until the contrast agent flow rate is significantly slowed down, ie the embolization is completed. The angiography was performed again to determine the embolization effect.
工业实用性Industrial applicability
本发明所用原料具有很好的机械强度,生物相容性,生物降解性和稳定性,无有机溶剂,对造血系统和免疫系统功能基本无伤害,可产业化的新型栓塞剂。 用于肝血管瘤,颌面部血管瘤,鼻咽纤维血管瘤,体表血管瘤,子宫肌瘤及其它部位血管瘤等的栓塞治疗。用于各种类型的大出血栓塞止血。 The raw material used in the invention has good mechanical strength, biocompatibility, biodegradability and stability, no organic solvent, no damage to the hematopoietic system and immune system function, and can be industrialized as a new embolic agent. It is used for embolization of hepatic hemangioma, maxillofacial hemangioma, nasopharyngeal angiofibroma, surface hemangioma, uterine fibroids and other hemangioma. Used for various types of large thromboembolism to stop bleeding.

Claims (10)

  1. 一种含抗血管瘤药物的海藻酸钠微球血管栓塞剂,其特征在于:包括载体海藻酸钠和抗血管瘤药物,所述海藻酸钠包裹所述抗血管瘤药物;所述海藻酸钠与所述抗血管瘤药物的重量比为5:1~60:1;所述抗血管瘤药物为平阳霉素、鱼肝油酸钠、尿素或博莱霉素。 An alginate microsphere vascular embolization agent containing an anti-angioma drug, comprising: a carrier sodium alginate and an anti-hemangioma drug, the sodium alginate encapsulating the anti-angioma drug; the sodium alginate The weight ratio to the anti-angioma drug is 5:1 to 60:1; the anti-angioma drug is pingyangmycin, sodium cod liver oil, urea or bleomycin.
  2. 按权利要求1所述的含抗血管瘤药物的海藻酸钠微球血管栓塞剂,其特征在于:所述含抗血管瘤药物的海藻酸钠微球血管栓塞剂为储存在保存液中的微球或微胶珠。The anti-angioma drug-containing alginate microsphere vascular embolization agent according to claim 1, wherein the anti-angioma drug-containing alginate microsphere vascular embolization agent is micro-storage stored in a preservation solution. Ball or micro-beads.
  3. 按权利要求1所述的含抗血管瘤药物的海藻酸钠微球血管栓塞剂,其特征在于:所述含抗血管瘤药物的海藻酸钠微球血管栓塞剂为粉末状微粒。The alginate drug-containing alginate microsphere vascular embolization agent according to claim 1, wherein the anti-hemangioma drug-containing alginate microsphere vascular embolization agent is powdery microparticles.
  4. 按权利要求2所述的含抗血管瘤药物的海藻酸钠微球血管栓塞剂,其特征在于:所述储存在保存液中的微球或微胶珠的粒径范围为20~50µm,50~100µm,100~200µm,200~300µm,300~500µm,500~700µm,700~900µm,900~1200µm之间。The anti-angioma drug-containing alginate microsphere vascular embolization agent according to claim 2, wherein the microspheres or microgels stored in the preservation solution have a particle size ranging from 20 to 50 μm, 50 ~100 μm, 100 to 200 μm, 200 to 300 μm, 300 to 500 μm, 500 to 700 μm, 700 to 900 μm, and 900 to 1200 μm.
  5. 按权利要求3所述的含抗血管瘤药物的海藻酸钠微球血管栓塞剂,其特征在于:所述粉末状微粒的粒径范围为10~50µm,50~100µm,100~200µm,200~300µm,300~500µm,500~700µm,700~900µm之间。The alginate microsphere-containing blood vessel embolizing agent containing an anti-angioma drug according to claim 3, wherein the powdery particles have a particle diameter ranging from 10 to 50 μm, 50 to 100 μm, 100 to 200 μm, and 200 to 200 Å. 300 μm, 300 to 500 μm, 500 to 700 μm, and 700 to 900 μm.
  6. 一种含抗血管瘤药物的海藻酸钠微球血管栓塞剂的制备方法,其步骤如下:A method for preparing a sodium alginate microsphere vascular embolization agent containing an anti-angioma drug, the steps of which are as follows:
    (1)将1重量份的抗血管瘤药物称重,用注射用水溶解,得抗血管瘤药物溶液;(1) weighing 1 part by weight of an anti-angioma drug, and dissolving it in water for injection to obtain an anti-angioma drug solution;
    (2)将5~60重量份的海藻酸钠按比例称重,用注射用水或生理盐水溶解,得海藻酸钠溶液;(2) 5 to 60 parts by weight of sodium alginate is weighed in proportion, and dissolved in water for injection or physiological saline to obtain a sodium alginate solution;
    (3)将2重量份到12重量份的氯化钙或氯化钡称重,用注射用水溶解,得固化液;(3) weighing 2 parts by weight to 12 parts by weight of calcium chloride or cerium chloride, and dissolving in water for injection to obtain a solidifying liquid;
    (4)将步骤(1)所得抗血管瘤药物溶液和步骤(2)所得海藻酸钠溶液混合,并通过高压静电微球发生装置与步骤(3)所得固化液作用,得含抗血管瘤药物的海藻酸钠微球血管栓塞剂(4) mixing the anti-angioma drug solution obtained in the step (1) with the sodium alginate solution obtained in the step (2), and reacting with the solidified liquid obtained in the step (3) by the high-voltage electrostatic microsphere generating device to obtain an anti-angioma drug. Sodium alginate microsphere vascular embolization agent
  7. 按权利要求6所述的含抗血管瘤药物的海藻酸钠微球血管栓塞剂的制备方法,其特征在于:所述高压静电微球发生装置包括:静电发生装置、混合器、蠕动加速器、升降台、无菌玻璃容器、注射器、特制针头,连接正负两极,正极与蠕动加速器上的注射装置的针头相连,负极与浸在无菌玻璃容器内的所述固化液中的不锈钢钢环相连接,注射装置内含有抗血管瘤药物和海藻酸钠的混合溶液,喷雾滴入所述固化液中反应形成微球。The method for preparing an anti-angioma drug-containing alginate microsphere vascular embolization agent according to claim 6, wherein the high-voltage electrostatic microsphere generating device comprises: an electrostatic generating device, a mixer, a peristaltic accelerator, and a lifting device a table, a sterile glass container, a syringe, a special needle, connected to the positive and negative poles, the positive electrode connected to the needle of the injection device on the peristaltic accelerator, and the negative electrode connected to the stainless steel ring in the solidified liquid immersed in the sterile glass container The injection device contains a mixed solution of an anti-angioma drug and sodium alginate, and the spray is dropped into the solidified solution to form microspheres.
  8. 按权利要求6或7所述的含抗血管瘤药物的海藻酸钠微球血管栓塞剂的制备方法,其特征在于:所得含抗血管瘤药物的海藻酸钠微球保存在液体石蜡或植物油的保存液中。The method for preparing a sodium alginate microsphere vascular embolization agent containing an anti-angioma drug according to claim 6 or 7, wherein the obtained sodium alginate microsphere containing an anti-angioma drug is stored in liquid paraffin or vegetable oil. In the preservation solution.
  9. 按权利要求8所述的含抗血管瘤药物的海藻酸钠微球血管栓塞剂的制备方法,其特征在于:所得含抗血管瘤药物的海藻酸钠微球经置于冷冻干燥机中冷冻干燥24小时或将湿微球放入烘箱干燥得粉末状颗粒。The method for preparing a sodium alginate microsphere vascular embolization agent containing an anti-angioma drug according to claim 8, wherein the obtained sodium alginate microsphere containing an anti-angioma drug is freeze-dried in a freeze dryer. The wet microspheres were placed in an oven for 24 hours to obtain powdery granules.
  10. 按权利要求1~5中任一项所述的含抗血管瘤药物的海藻酸钠微球血管栓塞剂的应用,其特征在于:在影像设备监视下将所述含抗血管瘤药物的海藻酸钠微球血管栓塞剂通过导管超选择性栓塞在病变部位的血管内(如肝脏血管瘤,颌面部血管瘤,鼻咽纤维血管瘤,体表血管瘤,子宫肌瘤及其它部位血管瘤)。 The use of an anti-angioma drug-containing alginate microsphere vascular embolization agent according to any one of claims 1 to 5, characterized in that the algal acid containing an anti-angioma drug is monitored under the supervision of an imaging device Sodium microsphere vascular embolization agent is superselectively embolized into the blood vessels of the lesion by catheter (such as hepatic hemangioma, maxillofacial hemangioma, nasopharyngeal angiofibroma, surface hemangioma, uterine fibroids and other hemangioma) .
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