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Study of Clinical Practical Model of Urinary System Injury

摘要Background:In order to improve the clinical treatment level of urinary system injury,it is necessary to build up an animal model of urinary system wound,which is not only analogous to real clinical practice,but also simple and practical.Methods:We have developed the third generation of firearm fragment wound generator based on the first and the second producer.The best explosive charge of the blank cartridge was selected by gradient powder loading experiments.The firearm fragment injuries were made to the bulbous urethra of 10 New Zealand male rabbits.One week preoperatively and 2,4 and 8 weeks postoperatively,all the animals underwent urethroscopy and urethrography.At 2,4 and 8 weeks postoperatively,two animals were randomly selected and killed,and the urethra was cut off for pathological examination.Results:The shooting distance of the third generation of firearm fragment wound generator is 2 cm.The best explosive charge of the blank cartridge is 1 g of nitrocotton.All rabbits survived the procedures and stayed alive until they were killed.Injuries were limited to bulbous urethra and distal urethra.Round damaged areas,1-1.5 cm in length,on the ventral wall were observed.Ureteroscopy results showed that canal diameter gradually shrank by over 50% in 9 rabbits.The rate of success was 90%.Urethrography result noted that a 1-1.3 cm stricture was formed at the bulbous urethra.Histology results of injured stricture urethra showed that fibrous connective tissue hyperplasia and hyaline degeneration caused further stricture in the canal.Conclusions:The third generation of firearm fragment wound generator imitates the bullet firing process and is more accurate and repeatable.The corresponding rabbit model of traumatic complex urethral stricture simulates the real complex clinical conditions.This animal model provides a standardized platform for clinical researches on treating traumatic injuries to the urinary system.

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作者单位 Institute of Organ Transplant of Chinese PLA, 309 Hospital of PLA, Beijing 100091, China [1] Department of Urology, The First Affiliated Hospital of Chinese PLA General Hospital, Beijing 100048, China [2] Department of Urology, Hainan Branch of Chinese PLA General Hospital, Sanya, Hainan 572013, China [3] Military Department of the Academy of Armoured Force Engineering, Beijing 100072, China [4] Department of Urinary, General Hospital of Chengdu Military Command, Chengdu, Sichuan, 610083, China [5] Andrology Center, Peking University First Hospital, Peking University, Beijing 100034, China [6]
栏目名称 Original Articles
DOI 10.4103/0366-6999.154299
发布时间 2015-05-13
基金项目
This study was supported by the National Natural Science Foundation of China Beijing Natural Science Foundation Major Project of Clinical High and New Technology of PLA Eleventh Five-year subject of the surface of the whole army project funded projects
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中华医学杂志(英文版)

中华医学杂志(英文版)

2015年128卷7期

928-932页

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