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[骨形态发生蛋白复合材料修复喉软骨缺损的实验研究]

[An experimental study on repair of laryngeal cartilage defect with the bone morphogenetic protein composite].

作者信息

Tan Chongcai, Wang Wenhui, Chen Jian fei, Liu Baoyuan, Na Yuping, Yuan Biao, Ye Congjun, Tang Yong, Hu Peng

机构信息

Department of Otolaryngology, First Affiliated Hospital, Kunming Medical College, Kunming 650031.

出版信息

Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2002 Sep;16(9):477-80.

Abstract

OBJECTIVE

To study the effects of the bone matrix gelatin and composite of bone morphogenetic protein and fibrin glue (BMP-FG) on the repair of thyroid cartilage defect.

METHOD

Full-thickness defects measuring 0.4 cm x 0.4 cm were created in four sections in thyroid cartilages of 20 adult dogs. The defects were divided into 4 groups by the sections they in. Group A was empty group, without implant; Group B were repaired by implanted with hydroxylapatite; Group C with bone matrix gelatin (containing BMP); Group D with bone morphogenetic protein-fibrin glue composite. The animals were killed separately at 2, 4, 12 weeks after operation. The effects of repair were analyzed by routine histological examination and electron microscope.

RESULT

In the BMP-FG implanted group, the result showed complete absorption of the implant and substitution by new-formed cartilage and bone. The defects in the BMG group regenerated less cartilage and bone, the inflammation was sever. The gross appearance and histological features of HA group were similar to the empty group.

CONCLUSION

Both BMP-FG and BMG can induce cartilage and bone regeneration to repair the defect of thyroid cartilage. BMP-FG has a better effect.

摘要

目的

研究骨基质明胶以及骨形态发生蛋白与纤维蛋白胶复合物(BMP-FG)对甲状腺软骨缺损修复的影响。

方法

在20只成年犬的甲状腺软骨上制造四个0.4厘米×0.4厘米的全层缺损。根据缺损所在部位将其分为4组。A组为空组,不植入任何物质;B组植入羟基磷灰石进行修复;C组植入骨基质明胶(含骨形态发生蛋白);D组植入骨形态发生蛋白-纤维蛋白胶复合物。分别在术后2周、4周、12周处死动物。通过常规组织学检查和电子显微镜分析修复效果。

结果

在植入BMP-FG的组中,结果显示植入物完全吸收,被新形成的软骨和骨替代。BMG组缺损处再生的软骨和骨较少,炎症严重。HA组的大体外观和组织学特征与空组相似。

结论

BMP-FG和BMG均可诱导软骨和骨再生以修复甲状腺软骨缺损。BMP-FG效果更佳。

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