实用肝脏病杂志 ›› 2017, Vol. 20 ›› Issue (2): 211-214.doi: 10.3969/j.issn.1672-5069.2017.02.021

• 胆囊炎 • 上一篇    下一篇

涂层和未涂层镁合金材料经体外胆汁浸泡后的变化实验研究*

丰 烨,沈 洁,过丽莉 ,李百文,袁广银,宛新建   

  1. 210029 南京市 南京医科大学(丰烨,宛新建);昆山市中医院(沈洁);上海交通大学附属第一人民医院消化内科(过丽莉,李百文);上海交通大学材料科学与工程学院(袁广银)
  • 收稿日期:2016-08-04 出版日期:2017-04-10 发布日期:2017-06-07
  • 通讯作者: 宛新建,E-mail:wanxj99@163.com
  • 作者简介:丰烨,女,30岁,大学本科,主治医师。研究方向:消化系疾病的介入诊疗。E-mail:343071597@qq.com
  • 基金资助:
    上海市科委医学引导项目(编号:14411966999);上海交通大学医工交叉面上项目(编号:YG2014MS24)

Bile immerse of new type of bile duct stent with Mg-Nd-zinc-Zr magnesium alloy material in vitro

Feng Ye,Shen Jie,Guo Lili,et al.   

  1. Nanjing Medical University,Nanjing 210029,Jiangsu Province
  • Received:2016-08-04 Online:2017-04-10 Published:2017-06-07

摘要: 目的 体外观察胆汁对新型镁合金样片的降解变化。方法 分别将3个未涂层镁合金片和3个氟化镁+聚乳酸涂层镁合金片放入体外胆汁灌注系统中,使用过滤消毒后的人胆汁对其进行浸泡,每12 h更换一次胆汁,每7 d取出镁合金片,测量其质量和外形变化,计算质量损失百分比和腐蚀率:腐蚀速率=(K×W)/(A×T×D),系数K=8.768.76×104,W为失重(g),A为试样与溶液接触的表面积(cm2),T为浸泡时间(h),D为密度1.74g/cm3。结果 浸泡第45 d,未涂层镁合金片表面有较多墨绿色胆汁附着,表面腐蚀较明显且腐蚀面不均匀,涂层镁合金片表面附着少量胆汁,表面腐蚀较未涂层镁合金片轻且腐蚀面相对均匀;第7 d,涂层镁合金片和未涂层镁合金片质量损失百分比分别为(0.392±0.164)%和(0.357±0.215)%(P>0.05),第14 d,两组质量损失百分比分别为(0.833±0.207)%和(1.915±0.587) %(P<0.05);浸泡91 d,涂层镁合金片质量损失明显较未涂层镁合金片小(P<0.05);两组镁合金片质量减少最高峰在3~4 w,第4 w后质量减少逐渐趋于平稳;第7 d,涂层镁合金片和未涂层镁合金片腐蚀率分别为(0.179±0.077) cm/h和(0.357±0.215) cm/h(P>0.05);第14 d,两组分别为(0.190±0.051) cm/h和(0.469±0.146) cm/h(P<0.05);14 d以后,涂层镁合金片腐蚀率明显较未涂层镁合金片小(P<0.05);两组腐蚀率高峰在4 w,第5 w后两组腐蚀速率趋于平稳。结论 涂层镁合金胆管支架样品因有涂层的保护作用,能保持稳定的降解速率,更符合体内胆管支架植入的要求。

关键词: 胆道疾病, 镁合金支架, 胆汁, 体外

Abstract: Objective To observe the changes of new type of bile duct stent with Mg-Nd-zinc-Zr magnesium alloy material immersed in bile in vitro.Methods 3 magnesium alloy slices coated with magnesium fluoride and polylactic acid and 3 uncoated magnesium alloy slices were prepared,and they were immersed into bile perfusion system in vitro. The human bile was disinfected by 60Co irradiation. The bile was replaced every 12 hours,and the slices were taken out to measure their quatity,appearance,and weightless.Results At day 45 of immerse,the surface of uncoated slices had attached green bile,and the surface corrosion was obvious and etched surfaces were uneven,while the surface of coated magnesium alloy slices attached a small amount of bile,less surface corrosion and etched surface relatively uniform;At day 7 of immerse,the percentage of mass loss in coated and uncoated slices were (0.392±0.164) % and (0.357±0.215) % (P>0.05),while at day of 14,the percentage of mass loss in the two slices were (0.833±0.207) % and (1.915±0.587) %,respectively (P<0.05);At day 91,the mass loss in coated magnesium alloy slices was significantly less than in the uncoated magnesium alloy slices (P<0.05);the peak of mass loss in the two slices were at week 3 to 4,and the mass stabilized thereafter;the corrosion rates at day 7 between the two slices were (0.179±0.077) % and (0.357±0.215) % (P>0.05),while at day 14,they were (0.190±0.051) % and (0.469±0.146) %,respectively (P<0.05);the peak of corrosion rate in the two slices was week 4,and the corrosion rate decreased after week 5.Conclusion The magnesium alloy bile duct stent coated with magnesium fluoride and polylactic acid can maintain its stability in the circumstance of bile,which might meet the requirements of clinical practice.

Key words: Billary tract diseases, Bile duct stent, Magnesium alloy, Bile, In vitro