Manabe J
Department of Orthopaedic Surgery, Cancer Institute Hospital, Tokyo, Japan.
Nihon Seikeigeka Gakkai Zasshi. 1993 Apr;67(4):255-66.
Previous studies on hyperthermia have suggested that pasteurization makes tumors necrotic. Based on this assumption, replacement with a pasteurized autogenous bone graft after resection of a malignant bone tumor was deemed feasible for reconstruction. However, the extent of osteoinductive activity as well as mechanical strength of pasteurized bone was not clear. Consequently, experimental studies were carried out to test osteoinductivity and mechanical strength of pasteurized bone compared to autoclaved, boiled, and fresh bone. A summary of the results follows. Autoclaved ilium of rabbits resulted in degeneration of the bone material, and grafts were absorbed with little new bone formation and union. In contrast, the structures of pasteurized bones were preserved and the grafts were gradually replaced with viable bone in a manner similar to that of fresh bone graft. Bending and torsion tests of rat femurs indicated that the mechanical strength of autoclaved and boiled bones decreased significantly compared to fresh bones, whereas the mechanical strength of pasteurized bones was similar to that of fresh bones. These results demonstrated that pasteurized autogenous bone grafting can be a useful method for reconstruction after resection of malignant bone tumors.
以往关于热疗的研究表明,巴氏消毒可使肿瘤坏死。基于这一假设,恶性骨肿瘤切除后用巴氏消毒的自体骨移植进行重建被认为是可行的。然而,巴氏消毒骨的骨诱导活性程度以及机械强度尚不清楚。因此,开展了实验研究,以测试巴氏消毒骨与高压灭菌、煮沸和新鲜骨相比的骨诱导性和机械强度。结果总结如下。兔的高压灭菌髂骨导致骨材料退变,移植骨被吸收,几乎没有新骨形成和愈合。相比之下,巴氏消毒骨的结构得以保留,移植骨以类似于新鲜骨移植的方式逐渐被有活力的骨替代。大鼠股骨的弯曲和扭转试验表明,与新鲜骨相比,高压灭菌和煮沸骨的机械强度显著降低,而巴氏消毒骨的机械强度与新鲜骨相似。这些结果表明,巴氏消毒自体骨移植可成为恶性骨肿瘤切除后重建的一种有用方法。