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骨移植后羟基磷灰石引导骨再生及红外激光光生物调节的骨修复:一项啮齿动物模型的组织学研究

Bone repair following bone grafting hydroxyapatite guided bone regeneration and infra-red laser photobiomodulation: a histological study in a rodent model.

作者信息

Pinheiro Antonio Luiz B, Martinez Gerbi Marleny E, de Assis Limeira Francisco, Carneiro Ponzi Elizabeth Arruda, Marques Aparecida M C, Carvalho Carolina Montagn, de Carneiro Santos Rafael, Oliveira Priscila Chagas, Nóia Manuela, Ramalho Luciana Maria Pedreira

机构信息

Department of Propedeutica and Clínica Integrada, Laser Center, School of Dentistry, Federal University of Bahia, Salvador, BA, Brazil.

出版信息

Lasers Med Sci. 2009 Mar;24(2):234-40. doi: 10.1007/s10103-008-0556-0. Epub 2008 Apr 17.

Abstract

The aim of the investigation was to assess histologically the effect of laser photobiomodulation (LPBM) on a repair of defects surgically created in the femurs of rats. Forty-five Wistar rats were divided into four groups: group I (control); group II (LPBM); group III (hydroxyapatite guided bone regeneration; HA GBR); group IV (HA GBR LPBM). The animals in the irradiated groups were subjected to the first irradiation immediately after surgery, and it was repeated every day for 2 weeks. The animals were killed 15 days, 21 days and 30 days after surgery. When the groups irradiated with implant and membrane were compared, it was observed that the repair of the defects submitted to LPBM was also processed faster, starting from the 15th day. At the 30th day, the level of repair of the defects was similar in the irradiated groups and those not irradiated. New bone formation was seen inside the cavity, probably by the osteoconduction of the implant, and, in the irradiated groups, this new bone formation was incremental. The present preliminary data seem to suggest that LPMB therapy might have a positive effect upon early wound healing of bone defects treated with a combination of HA and GBR.

摘要

本研究的目的是通过组织学评估激光光生物调节(LPBM)对大鼠股骨手术造成的缺损修复的影响。45只Wistar大鼠被分为四组:第一组(对照组);第二组(LPBM组);第三组(羟基磷灰石引导骨再生;HA GBR组);第四组(HA GBR + LPBM组)。照射组的动物在手术后立即接受首次照射,并连续2周每天重复照射。在术后15天、21天和30天处死动物。当比较植入物和膜照射组时,观察到接受LPBM的缺损修复也从第15天开始加快。在第30天,照射组和未照射组的缺损修复水平相似。在腔内可见新骨形成,可能是由于植入物的骨传导作用,并且在照射组中,这种新骨形成是渐进性的。目前的初步数据似乎表明,LPMB疗法可能对HA和GBR联合治疗的骨缺损早期伤口愈合有积极作用。

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