nav emailalert searchbtn searchbox tablepage yinyongbenwen piczone journalimg journalInfo searchdiv qikanlogo popupnotification paper paperNew
2025, 05, v.43 1-8+15
食管支架滑移性能测试装置的设计与应用
基金项目(Foundation): 中央高校基本科研业务费专项资金(2232024G-01)
邮箱(Email): jlin@dhu.edu.cn;
DOI:
摘要:

食管支架置入后常因吞咽动作导致滑移失效,但目前尚无针对食管支架滑移性能的体外评价方法,这导致医疗器械研发工程师及外科医生难以预判食管支架的临床使用效能。针对这一问题,自主研制了食管支架滑移性能测试装置。该装置由仿真食管环境系统、模拟吞咽蠕动系统和软件及控制系统等组成,能在仿真天然食管环境的基础上模拟吞咽蠕动刺激,评估食管支架的抗滑移性。通过对2种自制的食管支架试样进行测试,验证了测试装置的功能性和可重复性。再结合食管支架的径向支撑力和摩擦力测试结果,进一步证实了该装置测试结果可靠,操作简便高效。测试装置可为食管支架的研发和临床筛选提供重要的理论与数据支撑。

Abstract:

Esophageal stents after being placed often fail due to migration caused by swallowing. However, at present, there is no in vitro evaluation method for esophageal stents migration performance, which makes it difficult for medical device R&D engineers and surgeons to predict the clinical performance of esophageal stents. To solve this problem, a migration performance test device for esophageal stents was independently developed. The device consisted of the simulated esophageal environment system, simulated swallowing peristaltic system, and software and control system. It could simulate swallowing peristaltic stimulation on the basis of simulated natural esophageal environment to evaluate the anti-migration performance of esophageal stents. By testing two self-made esophageal stent samples, the functionality and repeatability of the testing device were verified. In combination with the radial support force and friction force test results of the esophageal stents, it was further confirmed that the test results of this device were reliable and the operation was simple and efficient. The test device can provide important theoretical and data support for the research and clinical screening of esophageal stents.

参考文献

[1] SUNG H,FERLAY J,SIEGEL R L,et al.Global cancer statistics 2020:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J].CA:A Cancer Journal for Clinicians,2021,71(3):209-249.

[2] 廖小勇,文毅,邱干,等.食管支架置入术在中晚期食管癌治疗中的应用进展[J].现代消化及介入诊疗,2019,24(5):550-553.

[3] DAS K K,HASAK S,ELHANAFI S,et al.Performance and predictors of migration of partially and fully covered esophageal self-expanding metal stents for malignant dysphagia[J].Clinical Gastroenterology and Hepatology,2021,19(12):2656-2663.

[4] 龙志红.食管支架径向支撑力和疲劳性能测试装置的研究[D].南京:东南大学,2012.

[5] 倪晓宇,眭蓓蓓,殷红莲,等.食管支架疲劳寿命体外测试实验装置的设计与分析[J].机床与液压,2018,46(21):101-104.

[6] 倪晓宇,张嫣红,眭蓓蓓,等.不同端部形状的编织型食管支架应力及疲劳性能的研究[J].机械设计与制造,2018(12):128-131.

[7] 眭蓓蓓.编织型非血管支架力学性能仿真及测试系统中关键技术的研究[D].南京:南京林业大学,2016.

[8] 陈刘彬,冯裕胜,孙玮玮,等.丝素蛋白搭载中药复方覆膜肠道支架的制备与性能研究[J].产业用纺织品,2024,42(6):1-10.

[9] 王玥,李金奉,王璐,等.编织型药物洗脱食管覆膜支架及其体外抑制细胞增生性能[J].东华大学学报(自然科学版),2023,49(5):10-18.

[10] 陈庆明,刘肖燕,柳东辰,等.覆膜支架的金属支架结构设计对其力学性能的影响[J/OL].东华大学学报(自然科学版),1-15[2025-01-10].http://kns.cnki.net/kcms/detail/31.1865.n.20241017.1434.002.html.

[11] MAETANI I,SHIGOKA H,OMUTA S,et al.What is the preferred shape for an esophageal stent flange?[J].Digestive Endoscopy,2012,24(6):401-406.

[12] PROFITILIOTIS T,KOLTSAKIDIS S,TSONGAS K,et al.Innovative design of a 3D printed esophageal stent inspired by nature:mitigating migration challenges in palliative esophageal cancer therapy[J].Biomimetics,2024,9(6):359.

[13] 杨新月,马颜雪,徐宸,等.“哑铃”形人工气管支架的设计、制备与性能研究[J].产业用纺织品,2023,41(5):25-32.

[14] 马国伟,戎铁华,龙浩,等.离体食管癌手术标本长度收缩规律的研究[J].癌症,2004,23(2):193-195.

[15] LIN M H,FIROOZI N,TSAI C T,et al.3D-printed flexible polymer stents for potential applications in inoperable esophageal malignancies[J].Acta Biomaterialia,2019,83:119-129.

[16] YUAN T Y,LIU D D,LI Q,et al.3D printing of melatonin-loaded esophageal stents for treatment of corrosive esophagitis[J].Applied Materials Today,2024,37:102161.

[17] JEON E,KIM S H,KIM S,et al.Hydrogel-impregnated robust interlocking nano connector (HiRINC) for noninvasive anti-migration of esophageal stent[J].Advanced Materials,2025,37(20):2570146.

[18] PAULI E M,SCHOMISCH S J,FURLAN J P,et al.Biodegradable esophageal stent placement does not prevent high-grade stricture formation after circumferential mucosal resection in a porcine model[J].Surgical Endoscopy,2012,26(12):3500-3508.

[19] STANDRING S.Gray’s anatomy[M].42nd ed.London:Elsevier,2021:1083-1092.

[20] 林承雄.内镜入路与食管组织间的交互作用行为研究[D].成都:西南交通大学,2020.

[21] 王长彬,陆柳,柳兆荣.食管蠕动特性的分析[J].医用生物力学,1996,11(4):237-243.

[22] 林婧,陶慧,王璐,等.一种食道支架滑移测试设备:CN115560973A[P].2023-01-03.

[23] 罗平原.适用于外周血管支架的NiTi合金丝性能研究与长支架制备[D].重庆:重庆理工大学,2022.

[24] NGWANGWA H M,MODUNGWA D,PANDELANI T,et al.Estimation of the biaxial tensile behavior of ovine esophageal tissue using artificial neural networks[J].Biomedical Engineering Online,2024,23(1):100.

[25] 王彬,倪晓宇,潘长网.食管支架疲劳性能的研究进展[J].医用生物力学,2021,36(2):324-329.

[26] YANG W,FUNG T C,CHIAN K S,et al.Directional,regional,and layer variations of mechanical properties of esophageal tissue and its interpretation using a structure-based constitutive model[J].Journal of Biomechanical Engineering,2006,128(3):409-418.

[27] LEAR C S C,FLANAGAN J B,MOORREES C F A.The frequency of deglutition in man[J].Archives of Oral Biology,1965,10(1):83.

[28] SHARMA P,KOZAREK R.Role of esophageal stents in benign and malignant diseases[J].American Journal of Gastroenterology,2010,105(2):258-273.

[29] MOZAFARI H,DONG P F,ZHAO S J,et al.Migration resistance of esophageal stents:the role of stent design[J].Computers in Biology and Medicine,2018,100:43-49.

[30] GARBEY M,SALMON R,FIKFAK V,et al.Esophageal stent migration:testing few hypothesis with a simplified mathematical model[J].Computers in Biology and Medicine,2016,79:259-265.

[31] BHATTACHARYA D,ALI S J V,CHENG L K,et al.RoSE:a robotic soft esophagus for endoprosthetic stent testing[J].Soft Robotics,2021,8(4):397-415.

[32] SEOK J.Understanding mechanical properties of biliary metal stents for wise stent selection[J].Clinical Endoscopy,2023,56(5):592-593.

[33] WU G L,WEI G H,HUANG S H,et al.Study on the biomechanical properties of 3D printed blended esophageal stents with different structural parameters based on patient CT[J].Frontiers in Physics,2024,12:1390321.

[34] LIU X F,TAO H,LI C J,et al.Effect of NiTi parameters on the mechanical properties of integrated braided stents[J].Textile Research Journal,2023,93(3/4):701-712.

基本信息:

DOI:

中图分类号:TH77

引用信息:

[1]陶慧,林婧,王璐.食管支架滑移性能测试装置的设计与应用[J].产业用纺织品,2025,43(05):1-8+15.

基金信息:

中央高校基本科研业务费专项资金(2232024G-01)

引用

GB/T 7714-2015 格式引文
MLA格式引文
APA格式引文
检 索 高级检索