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血小板-白细胞凝胶在骨髓炎中的预防作用:兔模型的实验研究

The prophylactic effects of platelet-leucocyte gel in osteomyelitis: an experimental study in a rabbit model.

作者信息

Jia W-T, Zhang C-Q, Wang J-Q, Feng Y, Ai Z-S

机构信息

Department of Orthopaedic Surgery, Shanghai Jiaotong University, 200233 Shanghai, People's Republic of China.

出版信息

J Bone Joint Surg Br. 2010 Feb;92(2):304-10. doi: 10.1302/0301-620X.92B2.22042.

Abstract

Platelet-leucocyte gel (PLG), a new biotechnological blood product, has hitherto been used primarily to treat chronic ulcers and to promote soft-tissue and bone regeneration in a wide range of medical fields. In this study, the antimicrobial efficacy of PLG against Staphylococcus aureus (ATCC 25923) was investigated in a rabbit model of osteomyelitis. Autologous PLG was injected into the tibial canal after inoculation with Staph. aureus. The prophylactic efficacy of PLG was evaluated by microbiological, radiological and histological examination. Animal groups included a treatment group that received systemic cefazolin and a control group that received no treatment. Treatment with PLG or cefazolin significantly reduced radiological and histological severity scores compared to the control group. This result was confirmed by a significant reduction in the infection rate and the number of viable bacteria. Although not comparable to cefazolin, PLG exhibited antimicrobial efficacy in vivo and therefore represents a novel strategy to prevent bone infection in humans.

摘要

血小板-白细胞凝胶(PLG)是一种新型的生物技术血液制品,迄今为止主要用于治疗慢性溃疡,并在广泛的医学领域促进软组织和骨再生。在本研究中,在兔骨髓炎模型中研究了PLG对金黄色葡萄球菌(ATCC 25923)的抗菌效果。在接种金黄色葡萄球菌后,将自体PLG注入胫骨髓腔。通过微生物学、放射学和组织学检查评估PLG的预防效果。动物组包括接受全身头孢唑林治疗的治疗组和未接受治疗的对照组。与对照组相比,PLG或头孢唑林治疗显著降低了放射学和组织学严重程度评分。感染率和活菌数量的显著降低证实了这一结果。虽然与头孢唑林不可比,但PLG在体内表现出抗菌效果,因此代表了一种预防人类骨感染的新策略。

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