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自体骨移植和低功率激光治疗骨缺损的修复

Repair of bone defects treated with autogenous bone graft and low-power laser.

作者信息

da Silva Rosane Vierra, Camilli José Angelo

机构信息

Department of Anatomy, Institute of Biology, State University of Campinas, UNICAMP, São Paulo, Brazil.

出版信息

J Craniofac Surg. 2006 Mar;17(2):297-301. doi: 10.1097/00001665-200603000-00017.

Abstract

Because bone healing at the graft site is similar to a fracture repair, the purpose of the present study was to evaluate the effects of low-power laser irradiation on the repair of rat skull defects treated with autogenous bone graft. A defect measuring 3 mm in diameter was produced in the left parietal bone and filled with an autogenous bone graft obtained from the right parietal bone. The animals were divided into 3 groups of 20 rats each: nonirradiated control, irradiated with 5.1 J/cm, and irradiated with 10.2 J/cm. The laser (2.4 mW, 735 nm, 3.4 x 10 W/cm, 3-mm spot size) was applied three times per week for 4 weeks. Greater volume of newly formed bone was observed in the irradiated group with 10.2 J/cm. In both irradiated groups, a greater volume of newly formed bone occurred only in the first 2 weeks. The results demonstrated that laser irradiation at the grafted site stimulated osteogenesis during the initial stages of the healing process in a skull defect of the rat and that this effect was dose dependent.

摘要

由于移植部位的骨愈合类似于骨折修复,本研究的目的是评估低功率激光照射对自体骨移植治疗的大鼠颅骨缺损修复的影响。在左顶骨制造一个直径3毫米的缺损,并用从右顶骨获取的自体骨移植填充。将动物分为3组,每组20只大鼠:未照射对照组、5.1 J/cm照射组和10.2 J/cm照射组。使用激光(2.4 mW,735 nm,3.4×10 W/cm,光斑大小3毫米)每周照射3次,共4周。在10.2 J/cm照射组中观察到更大体积的新形成骨。在两个照射组中,仅在最初2周出现更大体积的新形成骨。结果表明,在大鼠颅骨缺损愈合过程的初始阶段,移植部位的激光照射刺激了成骨作用,且这种效应具有剂量依赖性。

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