Effect of carboxymethyl chitosan on postoperative intraperitoneal adhesion formation in the rat

Rat에서 carboxymethyl chitosan의 복강수술후 유착형성에 미치는 효과

The aim of this study was to determine the effectiveness of carboxymethyl chitosan(CMC) solution on preventing intraperitoneal adhesions. In this study, 44 rats were divided into four groups ; an untreated control group and three experimental groups that were treated with 3 ml of 1, 2 or 3% CMC solution, respectively. The anti-mesenteric serosa of the ileum was exteriorized and then abraded in a standard manner by scraping with a scalpel blade to create homogenous petechial hemorrhagic surface over a $0.5{\times}1cm$ area. The adhesions were blindly assessed 2 weeks later by using a computerized tensiometer. The mean tensile strength(Newton) of formed adhesions was $2.48{\pm}0.88$ in control group, $1.86{\pm}0.56$ in the 1% CMC-treated group, $1.75{\pm}0.71$ in the 2% CMC-treated group and $1.55{\pm}0.60$ in the 3% CMC-treated group. The most favorable prevention against adhesion was achieved in the 3% CMC-treated group(p<0.01). We could conclude that CMC was effective on preventing the formation of postoperative small intestinal adhesions in the rat.

본 실험은 carboxymethyl chitosan(CMC)이 복강유착에 미치는 효과를 밝히고자 수행하였다. 총 44마리의 rat를 유착유도후 아무런 처치하지 않은 대조군과 각각 1, 2, 3% CMC 용액 3ml로 처치한 3개 실험군 등 총 4군으로 나누었다. 유착은 회장의 장간막 반대측 장막부위를 노출시켜 수술도로 $0.5{\times}1cm$ 크기로 긁어 점상출혈을 유도하고, 우측벽측복막을 $0.5{\times}1cm$ 간격으로 창상을 유도한 후 두 창상을 봉합하였다. 2주후 halothane에 의한 안락사 후 유착정도를 computerized tensiometer로 측정하였다. 유착부 분리에 필요한 장력(Newton)은 대조군이 평균 $2.48{\pm}0.88$이었으며, 1% CMC 처치군은 $1.86{\pm}0.56$, 2% CMC 처치군은 $1.75{\pm}0.71$, 3% CMC 처치군은 평균 $1.55{\pm}0.60$로 3% CMC 처치군에서 유의적인 감소(p<0.01)가 나타났다. 이상의 결과로 미루어 rat에서 복강수술후 CMC의 복강내 투여는 복강장기 유착방지에 효과적이라고 사료된다.