Summary of the invention
The object of the invention is to overcome the deficiency of above-mentioned technology, a kind of liquid embolizing agent and uses thereof and preparation method are provided.
The present invention is achieved by the following technical solutions: by hydroxyethyl methylacrylate, methyl methacrylate, dehydrated alcohol, benzyl alcohol is in 10~50%: 0.5~10%: 40~80ml: 0.1~10% ratio adds in there-necked flask, stirs, add 0.02g initiator azodiisobutyronitrile, the post-heating that stirs carries out polyreaction, and reaction temperature is 50~95 DEG C, after having reacted, remove thermal source, room temperature is cooling.Pour cooled copolymer into 100ml distilled water, make its Precipitation, get precipitation and add 5ml ethanol to make it to dissolve again, add 100ml distilled water to make it again to separate out, so repeatedly several times, finally by drying precipitate.Copolymer, water, dehydrated alcohol, developer solution certain proportion are mixed, and stirring and dissolving, obtains liquid embolizing agent of the present invention.
This liquid embolizing agent proves through animal experiment: 1. product of the present invention, as a kind of non-adhesive liquid embolic material, has easy judgement thromboembolism starting point and terminal, easily by carrying microtubular, and can compatible various commercially available microtubulars; 2. the optimal injection flow velocity of embolism materials is 0.083ml/min; 3. low, the good biocompatibility of product viscosity of the present invention, no cytotoxicity, controllability are good; 4. 16% ethanol is safe as product solvent of the present invention, does not cause the untoward reaction such as the inside and outside destruction of blood vessel; 5. product effect of embolization of the present invention is reliable and stable.
Clinical trial proves: product of the present invention is applicable to the embolotherapy for good pernicious substantial viscera tumor and hemorrhage pathological changes.Product of the present invention can directly inject aneurysm tumor intracavity, adapts to difformity and big or small aneurysm cavity completely, makes not stay between tumor wall and embolism materials any space, thereby reaches the object of permanent thromboembolism.
In the present invention, hydroxyethyl methylacrylate proportion in copolymer is 50%~99%, preferably 85~95%.
In the present invention, copolymer shared ratio in liquid embolizing agent is 1%~99%, preferably 60~80%.
Liquid embolizing agent of the present invention, is liquid under normal conditions, after contact blood of human body, is solid.Can be applied to the various tumors for the treatment of.
The invention has the advantages that:
1. liquid embolizing agent of the present invention is liquid before not contacting blood, not sticky conduit in course of conveying.
2. liquid embolizing agent of the present invention is solidified into rapidly solid block after contact blood, and directly vascular embolization, is difficult for intravasation branch, thereby avoids the generation of complication.
3. the tool developing function of product of the present invention own, therefore easily judges thromboembolism starting point and terminal, makes thromboembolism position more accurate.
4. carry without organic solvent (DMSO).
5. product of the present invention and various microtubular are compatible good, for interventional therapy operation provides larger selection space.
6. product of the present invention has good biocompatibility, can not cause chemistry or immunization, application safety after thromboembolism.
Detailed description of the invention
Detailed description of the invention below in conjunction with specific embodiment is described in further detail foregoing of the present invention:
Embodiment 1
By hydroxyethyl methylacrylate, methyl methacrylate, dehydrated alcohol, benzyl alcohol was in 50%: 50%: 40ml: 10% ratio adds in there-necked flask, stirred, add 0.02g initiator azodiisobutyronitrile, the post-heating that stirs carries out polyreaction, and reaction temperature is 85 DEG C, after having reacted, remove thermal source, room temperature is cooling.Pour cooled copolymer into 100ml distilled water, make its Precipitation, get precipitation and add 5ml ethanol to make it to dissolve again, add 100ml distilled water to make it again to separate out, so repeatedly several times, finally by drying precipitate.Copolymer, water, dehydrated alcohol, developer solution certain proportion are mixed, and stirring and dissolving, to obtain final product.
Embodiment 2
By hydroxyethyl methylacrylate, methyl methacrylate, dehydrated alcohol, benzyl alcohol was in 50%: 0.5%: 40ml: 10% ratio adds in there-necked flask, stirred, add 0.02g initiator azodiisobutyronitrile, the post-heating that stirs carries out polyreaction, and reaction temperature is 95 DEG C, after having reacted, remove thermal source, room temperature is cooling.Pour cooled copolymer into 100ml distilled water, make its Precipitation, get precipitation and add 5ml ethanol to make it to dissolve again, add 100ml distilled water to make it again to separate out, so repeatedly several times, finally by drying precipitate.Copolymer, water, dehydrated alcohol, developer solution certain proportion are mixed, and stirring and dissolving, to obtain final product.
Embodiment 3
By hydroxyethyl methylacrylate, methyl methacrylate, dehydrated alcohol, benzyl alcohol was in 50%: 0.5%: 80ml: 0.1% ratio adds in there-necked flask, stirred, add 0.02g initiator azodiisobutyronitrile, the post-heating that stirs carries out polyreaction, and reaction temperature is 50 DEG C, after having reacted, remove thermal source, room temperature is cooling.Pour cooled copolymer into 100ml distilled water, make its Precipitation, get precipitation and add 5ml ethanol to make it to dissolve again, add 100ml distilled water to make it again to separate out, so repeatedly several times, finally by drying precipitate.Copolymer, water, dehydrated alcohol, developer solution certain proportion are mixed, and stirring and dissolving, to obtain final product.
Embodiment 4
By hydroxyethyl methylacrylate, methyl methacrylate, dehydrated alcohol, benzyl alcohol was in 10%: 0.5%: 80ml: 0.1% ratio adds in there-necked flask, stirred, add 0.02g initiator azodiisobutyronitrile, the post-heating that stirs carries out polyreaction, and reaction temperature is 50 DEG C, after having reacted, remove thermal source, room temperature is cooling.Pour cooled copolymer into 100ml distilled water, make its Precipitation, get precipitation and add 5ml ethanol to make it to dissolve again, add 100ml distilled water to make it again to separate out, so repeatedly several times, finally by drying precipitate.Copolymer, water, dehydrated alcohol, developer solution certain proportion are mixed, and stirring and dissolving, to obtain final product.
Embodiment 5
By hydroxyethyl methylacrylate, methyl methacrylate, dehydrated alcohol, benzyl alcohol was in 50%: 1%: 80ml: 1% ratio adds in there-necked flask, stirred, add 0.02g initiator azodiisobutyronitrile, the post-heating that stirs carries out polyreaction, and reaction temperature is 50 DEG C, after having reacted, remove thermal source, room temperature is cooling.Pour cooled copolymer into 100ml distilled water, make its Precipitation, get precipitation and add 5ml ethanol to make it to dissolve again, add 100ml distilled water to make it again to separate out, so repeatedly several times, finally by drying precipitate.Copolymer, water, dehydrated alcohol, developer solution certain proportion are mixed, and stirring and dissolving, to obtain final product.
Embodiment 6
Select 6 of healthy family pigs, body weight 25~30kg, male and female are not limit.Preoperative 12h fasting, preoperative 30min intramuscular injection atropine 1mg, application ketalar in conjunction with Midazolam by family's pig general anesthesia to satisfactory state.Isolate afterwards strand portion's arteria saphena, cut, insert 5F catheter sheath, the capable common carotid artery intubate of application 5F angiography catheter, injection of contrast agent row common carotid artery radiography.Under roadmap guides, select and recommend into ascending pharyngeal artery super microtubular through guiding catheter afterwards, microtubular head end is placed on the far-end of rami pharyngei arteriae pharyngeae ascendentis, row microtubular radiography.Under fluoroscopic monitoring, inject product of the present invention with 1ml syringe through microtubular, till thromboembolism no longer develops to common carotid artery radiography check thromboembolism side RMB.By the follow-up observation of predetermined packet of packets time, the follow-up observation time is respectively: after thromboembolism at once, 1 week, 4 weeks, 8 weeks, 12 weeks, 24 weeks, follow-up observation content is animal survival situation (diet, nervous system), check radiography, observes and has or not revascularization phenomenon, finally put to death animal, open cranium complete taking-up bilateral RMB and brain and carry out histology's pathological examination, observe variation in RMB blood vessel and around, histology's pathological examination divides three groups of acute stages (after thromboembolism at once, after thromboembolism 1 week) 2, 1 of subacute stage (after thromboembolism 4 weeks), (after thromboembolism 8 weeks chronic phase, 12 weeks, 24 weeks) 3. in experiment, 6 of 6 boss pigs one-sided strange nets are carried out to successful thromboembolism, in thromboembolism and follow-up observation process, do not run into technical difficulty, the effect of embolization of 6 pigs is comparatively satisfied, there is not plugging phenomenon in thromboembolism process, tube drawing is smooth.And reconfirm that copolymer is good to dissimilar microtubular compatibility.After thromboembolism, follow-up observation laboratory animal is all survived well, and diet and nerve, moving situation all, less than abnormal, also occur without deformity.At once radiography in plan follow-up observation phase interimage check after thromboembolism, ascending pharyngeal artery/strange the net that shows all pig thromboembolism sides is showed no development, wherein ramus anastomoticus (ramu sanastomoticus) RA and arteriae anastomotica (arterial anastomotica) the AA development of external carotid artery crossed by the strange Netcom of 3 pigs, and compared with angiography before thromboembolism, RA and AA have increasing in various degree thick.After sacrifice of animal, dissect, gross specimen is observed, and cerebral tissue has no abnormal changes, thromboembolism in various degree as seen in RMB blood vessel, and the RMB of institute's thromboembolism is real compared with offside matter.Histological observation shows no obvious abnormalities, and pathology light microscopic finding: acute stage, subacute stage, chronic phase are showed no obvious inflammatory reaction has no blood vessel wall destruction and dysmorphology and changes.
Embodiment 7
Select patient's 20 examples, male's 8 examples, women's 12 examples, wherein primary hepatocarcinoma (HCC) 10 examples, hysteromyoma 9 examples, cervical cancer 1 example.All confirm tumor staining through selective arterial according to shadow, after tumor vessel, inject product of the present invention through tremulous pulse, until blood flow is stagnated.
Observe symptom after clinic operation: all patients shows general performance after thromboembolism in various degree, be pain substantially, and 1 example performance body temperature slightly raises (38 DEG C), within 3 days, recovery is normally afterwards.
Postoperative January imaging examination: PR8 example in Patients with Primary, NC2 example, total effective rate reaches 100%; Patients with uterine myoma all obtains remission in various degree, and total effective rate is 100%;
Clinical trial certificate product of the present invention is for innocent and malignant tumour interventional embolization determined curative effect, safe and reliable.