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良性骨肿瘤刮除术后矿化胶原骨移植的临床观察

Clinical observation of mineralized collagen bone grafting after curettage of benign bone tumors.

作者信息

Gao Chong, Qiu Zhi-Ye, Hou Jian-Wen, Tian Wei, Kou Jian-Ming, Wang Xi

机构信息

Department of Orthopedics, The Second People's Hospital of Lianyungang, No. 41 Hailiandong Road, Xinpu District, Lianyungang, Jiangsu 222006, China.

School of Materials Science and Engineering, Tsinghua University, Haidian District, Beijing 100085, China.

出版信息

Regen Biomater. 2020 Dec 15;7(6):567-575. doi: 10.1093/rb/rbaa031. eCollection 2020 Dec.

Abstract

Curettage of benign bone tumor is a common cause for bone defect. For such bone defect repair, autogenous bone, allogeneic bone and traditional artificial bone graft substitutes have many disadvantages. In recent years, a biomimetic mineralized collagen (MC) with similar composition and microstructures to the natural bone matrix was developed and used for treating various bone defects. In this work, a retrospective study analyzed clinical outcomes of patients treated with curettage of benign bone tumors and bone grafting with MC, in comparison to another group treated with the same surgical method and autogenous bone. Lane-Sandhu X-ray score of the autogenous bone group was superior to the MC group at 1 month after the operation, but the two groups had no statistical difference at 6 and 12 months. The MC group was better in Musculoskeletal Tumor Society scoring at 1 and 6 months after the operation, and the two groups had no statistical difference at 12 month. Therefore, the MC performed not as good as autogenous bone in early stage of bone healing but achieved comparable outcomes in long-term follow-ups. Moreover, the MC has advantages in function recovery and avoided potential complications induced by harvesting autogenous bone.

摘要

良性骨肿瘤刮除术是导致骨缺损的常见原因。对于此类骨缺损修复,自体骨、异体骨和传统人工骨移植替代物存在诸多缺点。近年来,一种与天然骨基质具有相似组成和微观结构的仿生矿化胶原(MC)被研发出来,并用于治疗各种骨缺损。在这项研究中,一项回顾性研究分析了接受良性骨肿瘤刮除术并使用MC进行骨移植治疗的患者的临床结果,并与另一组采用相同手术方法并使用自体骨治疗的患者进行了比较。自体骨组的Lane-Sandhu X线评分在术后1个月时优于MC组,但在6个月和12个月时两组无统计学差异。MC组在术后1个月和6个月时的肌肉骨骼肿瘤学会评分更好,在12个月时两组无统计学差异。因此,MC在骨愈合早期的表现不如自体骨,但在长期随访中取得了相当的结果。此外,MC在功能恢复方面具有优势,并且避免了采集自体骨引起的潜在并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/940b/7748453/37c2c8d480cb/rbaa031f1.jpg

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