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己酮可可碱与高压氧对跟腱腱骨结合部损伤的影响:一项实验动物模型研究。

The Effect of Pentoxifylline and Hyperbaric Oxygen on Achilles Osteotendinous Junction İnjury: An experimental animal model study.

作者信息

Palabıyık Mehmet Taner, Akalın Yavuz, Yalçın Ömer, Şahin İsmail Gökhan, Çevik Nazan, Öztürk Alpaslan

机构信息

University of Health Sciences, Health Application and Research Center,Yüksek İhtisas Training and Research Hospital, Department of Orthopedics and Traumatology, Bursa, Turkey.

University of Health Sciences, Health Application and Research Center,Yüksek İhtisas Training and Research Hospital, Department of Pathology, Bursa, Turkey.

出版信息

Ortop Traumatol Rehabil. 2019 Dec 31;21(6):437-446. doi: 10.5604/01.3001.0013.7401.

DOI:10.5604/01.3001.0013.7401
PMID:32100720
Abstract

BACKGROUND

To investigate the effects of hyperbaric oxygen (HBO) and pentoxifylline (PTX) treatment on osteotendinous junction healing of Achilles tendon in an animal model.

MATERIALS AND METHODS

Thirty-six adult female Wistar-albino rats were randomly divided into three groups as control, PTX and HBO groups with a total of 12 rats per group. Under general anesthesia, the Achilles tendons were cut at the level of the osteotendinous junction and repaired. After the surgery, no treatment was given to the control group. Fifty mg/kg intraperitoneal PTX was administered to the PTX group daily for 1 week. The HBO group was exposed to 2,5 atmospheric pressure, 100% oxygen for 2 hours daily for 1 week. All animals were sacrificed at the end of sixth week. Biomechanical tests and histological examinations were performed.

RESULTS

Energy absorption was significantly higher in the PTX group than that in the control group after biomechanical tests (p=0.010). Histopathological evaluation results revealed no difference between the groups: however, hyalinization level was relatively better in the HBO group than that in the control group (p=0.026).

CONCLUSIONS

  1. We concluded that PTX has a positive effect on the treatment of osteotendinous junction injuries based on our results. 2. Although HBO therapy did not provide statistically significant differences, it might have some positive effects on these injuries. 3. Further experimental studies and clinical trials should be conducted.
摘要

背景

在动物模型中研究高压氧(HBO)和己酮可可碱(PTX)治疗对跟腱骨腱结合部愈合的影响。

材料与方法

将36只成年雌性Wistar白化大鼠随机分为对照组、PTX组和HBO组,每组12只。在全身麻醉下,于骨腱结合部水平切断跟腱并进行修复。术后,对照组不给予任何治疗。PTX组每天腹腔注射50mg/kg PTX,持续1周。HBO组每天暴露于2.5个大气压、100%氧气环境中2小时,持续1周。所有动物在第六周结束时处死。进行生物力学测试和组织学检查。

结果

生物力学测试后,PTX组的能量吸收显著高于对照组(p = 0.010)。组织病理学评估结果显示各组之间无差异;然而,HBO组的透明变性水平相对优于对照组(p = 0.026)。

结论

  1. 根据我们的结果,我们得出结论,PTX对骨腱结合部损伤的治疗有积极作用。2. 尽管HBO治疗未提供统计学上的显著差异,但它可能对这些损伤有一些积极作用。3. 应进行进一步的实验研究和临床试验。

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