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λ780nm 激光对双相合成微颗粒羟基磷灰石+β-磷酸三钙移植或不移植修复外科骨缺损的影响。

Influence of the λ780nm laser light on the repair of surgical bone defects grafted or not with biphasic synthetic micro-granular hydroxylapatite+Beta-Calcium triphosphate.

机构信息

Center of Biophotonics, School of Dentistry, Federal University of Bahia, Salvador, BA 40110-150, Brazil.

Center of Biophotonics, School of Dentistry, Federal University of Bahia, Salvador, BA 40110-150, Brazil; National Institute of Optics and Photonics, University of São Paulo, Physics Institute of São Carlos, São Carlos, SP 13560-970, Brazil.

出版信息

J Photochem Photobiol B. 2014 Feb 5;131:16-23. doi: 10.1016/j.jphotobiol.2013.12.015. Epub 2014 Jan 8.

DOI:10.1016/j.jphotobiol.2013.12.015
PMID:24463564
Abstract

The treatment of bone loss due to different etiologic factors is difficult and many techniques aim to improve repair, including a wide range of biomaterials and, recently, photobioengineering. This work aimed to assess, through histological analysis The aim of this study was to assess, by light microscopy, the repair of bone defects grafted or not with biphasic synthetic micro-granular Calcium hydroxyapatite (HA)+Beta-TCP associated or not with Laser phototherapy - LPT (λ780nm). Forty rats were divided into 4 groups each subdivided into 2 subgroups according to the time of sacrifice (15 and 30days). Surgical bone defects were made on femur of each animal with a trephine drill. On animals of Clot group the defect was filled only by blood clot, on Laser group the defect filled with the clot was further irradiated. On animals of Biomaterial and Laser+Biomaterial groups the defect was filled by biomaterial and the last one was further irradiated (λ780nm, 70mW, spot size∼0.4cm(2), 20J/cm(2)-session, 140J/cm(2)-treatment) in four points around the defect at 48-h intervals and repeated for 2weeks. At both 15th and 30th days following sacrifice, samples were taken and analyzed by light microscopy. Many similarities were observed histologically between groups on regards bone reabsorption and neoformation, inflammatory infiltrate and collagen deposition. The criterion degree of maturation, marked by the presence of basophilic lines, indicated that the use of LPT associated with HA+Beta TCP graft, resulted in more advanced stage of bone repair at the end of the experiment.

摘要

由于不同病因导致的骨质流失的治疗较为困难,许多技术旨在改善修复,包括广泛的生物材料,以及最近的光生物工程。这项工作旨在通过组织学分析来评估,通过光镜评估,用双相合成微颗粒羟磷灰石(HA)+β-TCP 移植或不移植,与激光光疗(LPT)(λ780nm)联合修复骨缺损。将 40 只大鼠分为 4 组,每组再根据处死时间(15 和 30 天)分为 2 个亚组。通过环钻在每个动物的股骨上制造手术性骨缺损。在 Clot 组的动物中,仅用血凝块填充缺损,在 Laser 组中,用血凝块填充的缺损进一步照射。在 Biomaterial 和 Laser+Biomaterial 组的动物中,用生物材料填充缺损,最后一个在 48 小时的间隔在缺损周围的四个点进一步照射(λ780nm,70mW,光斑大小∼0.4cm(2),20J/cm(2)-次,140J/cm(2)-处理),共 2 周。在处死 15 天和 30 天后,取样并通过光镜进行分析。在骨吸收和新生、炎症浸润和胶原沉积方面,各组之间在组织学上观察到许多相似之处。成熟程度的标准,由嗜碱性线的存在来表示,表明在 HA+β-TCP 移植物中使用 LPT 联合治疗,在实验结束时导致了更先进的骨修复阶段。

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