Chikhladze R T, Chkhaidze M I
Georgian Med News. 2005 Dec(129):99-101.
In order to define the features of regeneration of joint cartilage during osteoarthritis, morphological study of surgical material, obtained from 50 patients, has been performed with the help of histological, histochemical and morphometric methods. In the joint cartilage, alongside with the alteration, there is also the cellular regeneration expressing in the intensive proliferation of cartilaginous cells. However, maturing of the regenerated cells proceeds defectively and consequently regenerate loses ability to be differentiated in hyaline, joint cartilage that specifies the phase of differentiation. Hence, the specified process should be qualified as not reparation, but as a pathological regeneration. Cartilaginous regenerate is not capable to carry out amortization and protective functions of an articulate cartilage and is exposed to secondary alteration. The last, in turn, aggravates arthroses changes and causes progressing disease.
为了明确骨关节炎期间关节软骨再生的特征,借助组织学、组织化学和形态计量学方法,对50例患者的手术材料进行了形态学研究。在关节软骨中,除了发生改变外,还存在细胞再生,表现为软骨细胞的强烈增殖。然而,再生细胞的成熟过程存在缺陷,因此再生组织失去了分化为透明关节软骨的能力,这决定了分化阶段。因此,上述过程不应被视为修复,而应被视为病理性再生。软骨再生组织无法发挥关节软骨的缓冲和保护功能,并会发生继发性改变。而这反过来又会加剧关节病变并导致疾病进展。