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904纳米激光对骨质疏松大鼠骨修复的作用

Laser 904 nm action on bone repair in rats with osteoporosis.

作者信息

Pires-Oliveira D A A, Oliveira R F, Amadei S U, Pacheco-Soares C, Rocha R F

机构信息

Programa de Pós Graduação-Unicastelo, Departamento Curso de Odontologia, Universidade Camilo Castelo Branco-Unicastelo São Paulo, Rua Carolina Fonseca 584, Itaquera, São Paulo, São Paulo, CEP-08.230-030, Brazil.

出版信息

Osteoporos Int. 2010 Dec;21(12):2109-14. doi: 10.1007/s00198-010-1183-8. Epub 2010 Mar 4.

Abstract

SUMMARY

The aim of the present study was to determine the action of AsGA laser irradiation on bone repair in the tibia of osteopenic rats. The animals were randomly divided into eight experimental groups according to the presence of ovarian hormone (sham group) or the absence of the hormone (OVX group), as well as being irradiated or non-irradiated. Low-level 904-nm laser (50 mJ/cm(2)) accelerated the repair process of osteopenic fractures, especially in the initial phase of bone regeneration.

INTRODUCTION

The development of new techniques to speed the process of bone repair has provided significant advances in the treatment of fractures. Some attention recently focused on the effects of biostimulation on bone.

METHODS

Forty-eight adult rats were randomly divided into eight experimental groups (six animals in each group) according to the presence of ovarian hormone (sham group) or absence of the hormone (ovariectomized (OVX) group) as well as being irradiated or non-irradiated. For the application of low-level laser therapy, the animals were anesthetized with one third of the dose sufficient to immobilize the animal and irradiated with AsGa laser (904 nm, 50 mJ/cm(2) for 2 s, point form and in contact). The control animals received the same type of manipulation as the irradiated animals, but with the laser turned off. Half of the animals were killed 7 days following the confection of the bone defect, and the other half were killed 21 days after the surgery. After complete demineralization, the tibias were cut cross-sectionally in the central region of the bone defect and embedded in paraffin blocks. The blocks were then cut in semi-seriated slices and stained with hematoxylin and eosin.

RESULTS

There was new bone formation in the animals in the OVX group with laser treatment killed after 7 days (p < 0.001). The lowest percentage of bone formation was observed in the OVX without laser killed after 7 days (p > 0.05). All animals killed after 21 days exhibited linear closure of the lesion.

CONCLUSION

Low-level 904-nm laser (50 mJ/cm(2)) accelerated the repair process of osteopenic fractures, especially in the initial phase of bone regeneration.

摘要

摘要

本研究的目的是确定砷化镓(AsGa)激光照射对骨质疏松大鼠胫骨骨修复的作用。根据是否存在卵巢激素(假手术组)或缺乏该激素(去卵巢(OVX)组)以及是否接受照射,将动物随机分为八个实验组。低强度904纳米激光(50毫焦/平方厘米)加速了骨质疏松性骨折的修复过程,尤其是在骨再生的初始阶段。

引言

加速骨修复过程的新技术的发展在骨折治疗方面取得了重大进展。最近一些注意力集中在生物刺激对骨的影响上。

方法

48只成年大鼠根据是否存在卵巢激素(假手术组)或缺乏该激素(去卵巢(OVX)组)以及是否接受照射,随机分为八个实验组(每组6只动物)。为了应用低强度激光治疗,动物用足以使其固定的剂量的三分之一进行麻醉,并用砷化镓激光(904纳米,50毫焦/平方厘米,持续2秒,点状且接触式)照射。对照动物接受与照射动物相同类型的操作,但激光关闭。一半动物在制造骨缺损7天后处死,另一半在手术后21天处死。完全脱钙后,在骨缺损的中央区域将胫骨横切,并嵌入石蜡块中。然后将这些块切成半连续切片,并用苏木精和伊红染色。

结果

接受激光治疗的OVX组动物在7天后处死时有新骨形成(p < 0.001)。在7天后处死的未接受激光治疗的OVX组中观察到最低的骨形成百分比(p > 0.05)。所有在21天后处死的动物病变均呈线性闭合。

结论

低强度904纳米激光(50毫焦/平方厘米)加速了骨质疏松性骨折的修复过程,尤其是在骨再生的初始阶段。

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