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不同组织粘合剂治疗颅骨骨缺损的效果

Effects of Different Tissue Adhesives in Treating Calvarial Bone Defects.

作者信息

Türer Akif, Önger Mehmet Emin

机构信息

*Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Bülent Ecevit University, Zonguldak †Department of Histology and Embriology, Ondokuz Mayis University, Samsun, Turkey.

出版信息

J Craniofac Surg. 2017 Oct;28(7):e682-e685. doi: 10.1097/SCS.0000000000003833.

Abstract

The purpose of this study is to investigate the potential of the 2 different tissue adhesive materials as a barrier for guided bone regeneration and to compare them with resorbable collogen membrane on autogenous grafted critical-sized cortical bone defects. Twenty-four rats were divided into 3 groups: Group M, Group G, and Group B. A 5-mm diameter critical-size defect was created in the calvarium of each animal. All defects were filled by autogenous graft harvested from tibia. In group M, resorbable collogen membrane was applied to defect area. In groups G and B, defects were closed by Glubran2 and Bioglue. All animals were euthanized at 28 days postoperative. Stereologic analyses were performed. New bone area and connective tissue volumes were measured. Mean new bone volumes were 0.97 ± 0.28, 0.59 ± 0.2, and 0.8 ± 0.32 mm in groups M, G, and B, respectively. The differences between groups were not statistically significant (P > 0.05). In group M, mean connective tissue volumes were 4.25 ± 0.7 mm, in groups G and B, 2.9 ± 1.82 and 4.54 ± 0.64 mm. Connective tissue volume differences were not statistically significant between groups. Glubran2 and Bioglue may play a role as a barrier for guided bone regeneration in treatment of critical size defects.

摘要

本研究的目的是探讨两种不同组织黏合材料作为引导骨再生屏障的潜力,并将它们与可吸收胶原膜在自体移植临界大小皮质骨缺损上进行比较。将24只大鼠分为3组:M组、G组和B组。在每只动物的颅骨上制造一个直径5毫米的临界大小缺损。所有缺损均用取自胫骨的自体移植物填充。在M组中,将可吸收胶原膜应用于缺损区域。在G组和B组中,缺损分别用Glubran2和生物胶封闭。所有动物在术后28天实施安乐死。进行了体视学分析。测量了新骨面积和结缔组织体积。M组、G组和B组的平均新骨体积分别为0.97±0.28、0.59±0.2和0.8±0.32毫米。各组之间的差异无统计学意义(P>0.05)。在M组中,平均结缔组织体积为4.25±0.7毫米,在G组和B组中分别为2.9±1.82和4.54±0.64毫米。各组之间结缔组织体积差异无统计学意义。Glubran2和生物胶在治疗临界大小缺损中可能作为引导骨再生的屏障发挥作用。

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