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使用不同塑料材料时颌骨的修复过程。

Reparative processes in jaw bones under using of different plastic materials.

作者信息

Pohranychna Kh R

出版信息

Fiziol Zh (1994). 2016;62(6):110-117. doi: 10.15407/fz62.06.110.

Abstract

The comparative experimental study of osseous tissue regeneration in the createdforaminous mandibular defects being implanted with bioceramics Kergap T-300 and osteoplastic material Osteopor, as well as justifying the possibility ofusing the developed reparative material in the maxillofacial surgery clinics based on the analysis ofhistomorphological research results for are the paper objectives. 78 nonlinearwhite male rats weighing 240-300 g withforaminous mandibular defects were used as models for studying impact on the reparative osteogenesis processes made by the bonegraft material. Reparative changes in the implantation sites were studied in real time with the help of histological drugs under the optical microscopy. The graft components were the morphometry object calculated at the percentage ratio per the graft space unit in three cuts from each section. In 27.7% cases the rats'mandibular defects repair under the natural environment conditions of osseous tissue regeneration achieved with a blood clot was complicated by purulence, the surgical wound dehiscence with pyorrhea or perimandibular abscess. In other cases regeneration caused the development of heterogeneous graft made of chondroid-fibroblastic and osteoid tissues of different organization levels. The comparative experimental morphological and histomorphometric studies of the bone regeneration involving the replacement of created jaw defects with osteoplastic material Kergap-T alone and- in the combination with the lyophilized biological placenta implant Osteopor proved that the latter speeded up the beginning of active regenerative processes promoting the early defect filling with the neogenic organotypic osseous tissue comprising 52(43-63)[46-58]% and 74(57-85)[64-79]% of the bone graft in 60 and 90 days after the surgical intervention correspondingly (being equal to 24(13-29)[20-28]% i 32(27-38)[30-34]% correspondingly in cases when Kergap-Twas applied. According to the morphometric researchfindings, in cases of Osteopor and Kergap-T application the tabular bone element ofthe graft was equal to 53 (43-60) [46-561% and 15(13-18) [14-16]% correspondingly.

摘要

对植入生物陶瓷Kergap T - 300和骨整形材料Osteopor的下颌有孔缺损骨组织再生进行对比实验研究,并基于组织形态学研究结果分析,论证在颌面外科诊所使用所研发修复材料的可能性,是本文的目标。78只体重240 - 300克的非线性白色雄性大鼠,其下颌有孔缺损被用作研究骨移植材料对修复性骨生成过程影响的模型。借助光学显微镜下的组织学切片实时研究植入部位的修复变化。移植成分是形态测量对象,按每个切片三个切面中移植空间单位的百分比计算。在27.7%的病例中,大鼠下颌缺损在骨组织自然再生环境下靠血凝块修复时,出现了化脓、手术伤口裂开伴脓性溢液或下颌周脓肿等并发症。在其他病例中,再生导致由不同组织水平的类软骨 - 成纤维细胞和类骨组织构成的异质移植物形成。对仅用骨整形材料Kergap - T以及与冻干生物胎盘植入物Osteopor联合使用来替代下颌缺损的骨再生进行对比实验形态学和组织形态计量学研究证明,后者加速了活跃再生过程的开始,促进早期缺损被新生器官型骨组织填充,在手术干预后60天和90天,新生器官型骨组织分别占骨移植的52(43 - 63)[46 - 58]%和74(57 - 85)[64 - 79]%(相应地,仅应用Kergap - T时分别为24(13 - 29)[20 - 28]%和32(27 - 38)[30 - 34]%)。根据形态测量研究结果,应用Osteopor和Kergap - T时,移植物的板层骨成分分别相应地等于53(43 - 60)[46 - 56]%和15(13 - 18)[14 - 16]%。

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