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60钴-γ射线辐照对自体骨嵌体植入兔下颌骨人工缺损早期长入的影响。

Effects of 60CO-gamma-irradiation on the early ingrowth of an autogenous bone inlay into an artificial defect in the rabbit mandibula.

作者信息

Nathanson A, Wersäll J

出版信息

Scand J Plast Reconstr Surg. 1978;12(2):139-49. doi: 10.3109/02844317809012985.

Abstract

The incorporation of an autogenous humeral bone inlay into a previously irradiated mandibula was studied in 23 adult rabbits. A single exposure of 1000, 2000 and 3000 rads was given 1 or 8 weeks before the grafting into an artificially created defect in the rabbit mandibula. The observation time was 30 days. The results were compared to those obtained in 6 non-irradiated rabbits operated in the same way and after the same observation period. The callus formation around the graft was reduced to less than half the amount measured with morphometry in rabbits irradiated greater than or equal to 2000 rads one week preoperatively as compared to that in the non-irradiated group. The periosteal callus formed by the host bone was reduced with increasing preoperative radiation doses and the longer interval between irradiation and bone grafting. Practically all callus was formed by the graft constituents (particularly the periosteum) after heavier preoperative radiation doses and the longer interval between irradiation and bone grafting. The new bone formation started some days later and was of an inferior quality with larger preoperative doses and the longer interval between irradiation and bone grafting.

摘要

在23只成年兔子身上研究了将自体肱骨骨嵌体植入先前接受过照射的下颌骨的情况。在将骨嵌体植入兔子下颌骨的人工制造缺损之前1周或8周,分别给予单次1000、2000和3000拉德的照射。观察时间为30天。将结果与6只以相同方式手术且经过相同观察期的未照射兔子所获得的结果进行比较。与未照射组相比,术前1周接受大于或等于2000拉德照射的兔子,移植物周围的骨痂形成减少至形态计量学测量量的一半以下。宿主骨形成的骨膜骨痂随着术前辐射剂量的增加以及照射与骨移植之间间隔时间的延长而减少。在术前辐射剂量较大且照射与骨移植之间间隔时间较长的情况下,几乎所有骨痂都是由移植物成分(特别是骨膜)形成的。新骨形成在数天后开始,术前剂量越大且照射与骨移植之间间隔时间越长,新骨质量越差。

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