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"Хирургия позвоночника"

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Бактериальная наноцеллюлоза как пластический материал для закрытия дефектов твердой мозговой оболочки: обзор литературы

https://doi.org/10.14531/ss2019.3.62-73

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Аннотация

Цель  исследования .  Анализ  публикаций ,  посвященных  возможности  применения  бактериальной  наноцеллюлозы  в  качестве  пластического материала  при  дефектах  твердой  мозговой оболочки при  патологии  спинного мозга и позвоночника.

Материал и методы. Проведен поиск в базе научной медицинской периодической литературы PubMed по ключевым словам «bacterial cellulose properties» и «bacterial cellulose». Поиск ограничен статьями, опубликованными в англо- и русскоязычных журналах в 2009–2019  гг. Ограничение вызвано необходимостью современной оценки свойств бактериальной наноцеллюлозы. В результате поиска по ключевому слову «bacterial cellulose properties» обнаружено 963 работы, по «bacterial cellulose» – 3908 работ. Также использовали поисковую систему Google, в которой найдены статьи, отражающие тематику свойств бактериальной наноцеллюлозы, без которых невозможно полное понимание ее картины. На  основе анализа выбрали 76 статей, наиболее полно отражающих данную тематику. Более 50 % – статьи последних 10 лет. Уровень доказательности – IV, градация рекомендации – С, но использованы рандомизированные исследования с уровнем доказательности Ib и уровнем рекомендации A.

Результаты. Имплантаты из бактериальной наноцеллюлозы способны выполнять роль межклеточного матрикса с барьерной функцией,  создавая условия для циркуляции метаболитов и кислорода и препятствуя избыточной концентрации клеток.

Заключение. Использование бактериальной наноцеллюлозы в качестве имплантатов для закрытия дефектов твердой мозговой оболочки при патологии спинного мозга является перспективным направлением в нейрохирургии, поскольку наноцеллюлоза не вызывает  спаечного процесса с нервной тканью и выполняет барьерную функцию.

Об авторах

А. В. Харченко
Новосибирский НИИ травматологии и ортопедии им. Я.Л. Цивьяна
Россия

Харченко Алексей   Валерьевич - врач-нейрохирург,  аспирант  нейрохирургического  отделения  №  1.

630091,  Новосибирск, ул. Фрунзе, 17.



В. В. Ступак
Новосибирский НИИ травматологии и ортопедии им. Я.Л. Цивьяна
Россия

Ступак Вячеслав Владимирович - доктор медицинских наук, профессор, начальник научно-исследовательского отделения нейрохирургии.

630091,  Новосибирск, ул. Фрунзе, 17.



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Для цитирования:


Харченко А.В., Ступак В.В. Бактериальная наноцеллюлоза как пластический материал для закрытия дефектов твердой мозговой оболочки: обзор литературы. "Хирургия позвоночника". 2019;16(3):62-73. https://doi.org/10.14531/ss2019.3.62-73

For citation:


Kharchenko A.V., Stupak V.V. Bacterial nanocellulose as a plastic material for closure of defects of the dura mater: literature review. Hirurgiâ pozvonočnika (Spine Surgery). 2019;16(3):62-73. (In Russ.) https://doi.org/10.14531/ss2019.3.62-73

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