Craniocerebral injury, dura defect often takes place in brain tumor and other brain disorder, needs in time to repair, preventing cerebrospinal leak, intracranial infection, the brain bulging, complication such as brain adhesion be the best with the frost drying human cerebral dura mater in the repair operations, but this type of are membrane derived limited; Also available animal film body, as the pig peritonaeum, fetal membrane, amnion etc., this type of film production, preservation, sterilizations etc. are all difficult.Recently, people have adopted the macromolecular material of biologically inert, as nylon, terylene, silicon rubber etc. as restorer, wherein better with terylene real silk cloth dual coating silicon rubber effect, it is big that it has a biologically inert, and the antibiont aging is strong, contact strong point such as be difficult for sticking together with tissue secretory product, but silicon rubber also has many deficiencies, and the most serious is so-called " diaphragm is carcinogenic ", just cracked the and surrounding tissue formation fibering parcel of swelling.At above deficiency, the Chinese patent Shen clear case (application number: 89106587.3 of " a kind of Carbonfibric hard meninx and treatment process thereof ", open day: March 14 nineteen ninety, publication number: CN1040318A), it provides a kind of novel endocranium preparation, and it is the film that a kind of carbon fiber is made into, it has good toolability, do not have " diaphragm is carcinogenic " effect, but exist flexibility poor, can not be absorbed deficiencies such as processed complex.United States Patent (USP) (Unitedstates Patent, Feb.14,1984) the 4th, 431, No. 601 " PROCESSFOR THE PRODUCTION OF CHITIN FIBERS ", European patent (EP0328050A2) " High strength chitosan fibers andfabrics thereof ", and the flat 2--17643 of Japanese Patent " special permission communique) ", 11~15 pages (1990) disclose employing chitin and derivative (being chitosan) thereof but the method for preparation absorption operating sutures.
The flat 3--258723 of European patent " Compositions containing derivatives ofchitin for preventing adhesion " (EP 0426368A2) and Japanese Patent " special permission communique (A) ", but tissue adhesion's film and the anti-even method of liquid prevented after only disclosing employing chitin and the operation of derivative preparation absorption thereof.The simple repairing film that uses chitin and derivative thereof to be prepared into though have good biocompatibility, and can play certain anti-effect that connects liquid, waits not enoughly but still take place to curl when having the film body hygrometric state, brings difficulty to operation.
The objective of the invention is to overcome fast the deficiencies in the prior art, a kind of composite membrane is provided, this composite membrane has good biocompatibility, and open and flat, soft when having higher dry state, wet strength and hygrometric state.
The chitosan complex film of the carbon fiber-containing described in the present invention, it is composited by chitosan and chopped carbon fiber, and its thickness is 0.04~0.20mm, and wherein the weight ratio of chitosan and carbon fiber is 100: 0.5~25.
The preparation method of the composite membrane described in the present invention comprises following processing step:
A: dissolve at least a chitosan in dilute acid soln;
B: add chopped carbon fiber;
C: the dispersion glue stirs;
D: dry glue becomes composite membrane;
E: use in the alkali and the acid in the above-mentioned composite membrane;
F: clean composite membrane to neutral.
It is multiple to adopt the carbon fiber source to have among the present invention, and it can be the fine carbon fiber of polypropylene, viscose-based carbon fiber, any in the asphalt base carbon fiber.
Carbon fiber is cut shape for short among the present invention, and its length is 1~10mm.
The acid of the dissolving chitosan that adopts among the preparation method among the present invention has multiple, for example hydrochloric acid, lactic acid or acetic acid; The alkali of above-mentioned acid of being used to neutralize also can be multiple, for example sodium hydroxide, ammoniacal liquor, yellow soda ash or its mixture.
It is the film forming matrix that the present invention adopts chitosan, is strongthener with the carbon fiber, and the film of compound back preparation is mainly used in duramater reparation thing and membranous wall, peritonaeum, pleura etc. or is used for preventing tissue adhesion after the human body operation.
Chitosan content in film can be decomposed absorption by the chitinase in the human body, N,O-Diacetylmuramidase more than 80% among the present invention, and the repairing residue is reduced significantly; Adopting carbon fiber is the strongthener of film body, and it not only can improve the doing of film, wet strength and sewing properties, curls in the time of can also preventing the film body hygrometric state.During composite membrane dry state among the present invention is dura mater, is soft film during hygrometric state, and water-intake rate reaches more than 80%, and raw material is easy to get, preparation technology is simple.
Concrete preparation method and condition are:
1. soluble chitosan (deacetylation 30~95%) is dissolved in the solution that contains acid 0.5~3%, behind the removal nonsoluble, makes the transparent glue of chitosan-containing 1~6%.Used chitosan can be by the shrimp shell, and crab shell, silkworm chrysalis shell etc. extracts contains ash less than 0.1% medical chitosan.Used acid can be acetic acid, lactic acid or hydrochloric acid.
2. carbon fiber carries out medical pyrolysis processing at 1000~1300 ℃, and short 1~10mm length that is cut into is 100: 0.5~25 by chitosan, carbon fiber weight ratio, stirs at least 2 hours, until homodisperse.
3. finely dispersed carbon fiber chitosan glue is poured in the mould, and horizontal flow spreads apart, in 20~70 ℃, and 30~60 ℃ of dryings preferably.
4. the film that makes neutralizes in the aqueous solution that contains alkali 2~4%, and used alkali can be NaOH, NH
3H
2O, Na
2CO
3In a kind of or mixed solution that several form, the treatment time was good with 8 hours more than 2 hours.
5. in and after film in hot water, desalt, treatment temp is at 40~100 ℃, best 60~80 ℃, 4 hours time was good.
6. after the film that makes being launched drying, promptly make the chitosan complex film of carbon fiber-containing of the present invention, this composite membrane can pass through alcohol disinfecting, disinfection by ultraviolet light, and oxirane disinfection, the r radiation sterilization is to satisfy the operation hygienic requirements.
The present invention confirms that through experimentation on animals certain anticoagulant effect is arranged, and does not destroy blood, excellent biological compatibility is arranged, the absorption that was decomposed in six months of chitosan in the film, remaining inertia carbon fiber remain in the newborn membrane tissue, and repairing film has good anti effect to surrounding tissue.
The composite membrane that the present invention makes is used for hard 32 examples of decreasing of clinical repairing meninx, maximum 8 * 6cm through one 0 five hospitals of PLA
2, minimum 4 * 3cm
2, postoperative blood is normal, and to body and cerebral tissue vacuum response, postoperative is followed up a case by regular visits to 3~25 monthly having no adverse reaction.Be used for peritonaeum and repair 2 example and belly anti 1 examples, result of treatment is good.The clinical carbon fiber chitosan complex film that shows is a kind of comparatively ideal human body patching material, selects different fibre contents and film thickness for use, can also be used for defect repairings such as endocranium, stomach wall, peritonaeum, pleura, and purposes such as operation rear defence tissue adhesion.
Embodiment 1
Powder shape chitosan (is that 0.28 millimeter standard sieve sieves deacetylation 92% with the aperture) 20g is added in the aqueous solution that contains acetic acid 2%, and stirring and dissolving is removed nonsoluble, 3% transparent glue.The short carbon fiber 2g that is cut into 2~4mm is added, stir and got the homodisperse glue in 4 hours, pour in the mould, horizontal flow spreads apart, and 50 ℃ of oven dry are soaked film 8 hours in 4% NaOH, be washed to neutrality, in 70 ℃ of hot water, soak 2 times again, each 5 hours, take out flattening, airing, the thickness that makes is 0.084mm, dry film intensity 95.3MPa, water-intake rate 94%, 0# surgical thread tape edge pulling force 485g.This film accords with dural particular requirement.
Embodiment 2
(with the aperture is that 0.28 millimeter standard sieve sieves to powder shape chitosan, deacetylation 72%) 20g is added in 3% the lactic acid aqueous solution, stirring and dissolving, remove nonsoluble, be made into 2% glue, the short carbon fiber 4g that is cut into 4~8mm is added, stir and got homodisperse liquid in 6 hours, pour in the film tool, being washed to neutrality embathes 2 times in 80 ℃ of hot water again, each 5 hours, take out and launch airing, the thickness 0.138mm that makes, dry strength 145MPa, wet strength 20.2MPa, water-intake rate 84%, 0# operation silk thread tape edge pulling force 862g.This composite membrane is suitable for repairing stomach wall.
Embodiment 3
Powder shape chitosan (is that 0.18 millimeter standard sieve sieves deacetylation 96% with the aperture) 20g is dissolved in 2% the aqueous hydrochloric acid, removes and does not allow to separate thing, get 4% transparent glue, add the short carbon fiber 0.4g that is cut into 2~4mm, stirred 4 hours, get the homodisperse glue, pour in the mould, horizontal flow spreads apart, 2% NaOH neutralization is gone in 40 ℃ of oven dry, example, and hot water wash is to neutral, soak 2 times, each 8 hours, oven dry made thickness 0.054mm, dry strength 8.5MPa, water-intake rate 105%.It is comparatively desirable that this film is used for Antiadhesive film.