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[引导骨再生的实验研究]

[An experiment study of the guided bone regeneration].

作者信息

Zhang Z, Lu S, Wang J

机构信息

Department of Orthopaedics, General Hospital of Chinese People's Liberation Army, Beijing.

出版信息

Zhonghua Wai Ke Za Zhi. 1996 Oct;34(10):599-601.

PMID:9590733
Abstract

During the process of wound healing, different cellular components have varied speeds of migrating. By implanting a membrane, a space was created for selected cells, that is so called guided tissue regeneration. Since bone had the potential of regeneration, the concept of guided tissue regeneration was used in the process of bone regeneration in the present study, namely, guided bone regeneration. Defects of 10 mm-long were produced on bilateral radii of 10 adult New Zealand rabbits by surgery. The defects on experimental sides were bridged with silicone tube. The opposite side served as the control. Radiography of forearms of rabbits was taken weekly. Samples were treated with 3-point bending test and histology respectively. On experimental sides, by 3-4 weeks, new bone from the fractured ends grew into bone defect, seven of ten healed within 6-8 weeks. The other 2 only had a gap less than 1 mm left. No one healed on the control sides. The maximum value of 3-point bending test on experimental sides was 11.7 times greater than that of the control sides. It was shown that bone regenerated in the tube, and no callus formed out the tube by both gross samples and histologic examinations. On histology, the gap less than 1 mm on X-ray films was fibrocartilage zone, which connected regenerated bone from both distal and proximal bone ends. The defects on the control were occupied by connective tissue. In conclusion, guided bone regeneration also presents in long bone, that may provide a new method in the treatment of bone defect and promote fracture healing.

摘要

在伤口愈合过程中,不同的细胞成分迁移速度各异。通过植入一层膜,为选定的细胞创造了一个空间,这就是所谓的引导组织再生。由于骨具有再生潜力,本研究将引导组织再生的概念应用于骨再生过程中,即引导骨再生。通过手术在10只成年新西兰兔的双侧桡骨上制造10毫米长的骨缺损。实验侧的骨缺损用硅胶管桥接。对侧作为对照。每周对兔的前臂进行X线摄影。分别对样本进行三点弯曲试验和组织学检查。在实验侧,3至4周时,骨折端的新骨长入骨缺损,10只中有7只在6至8周内愈合。另外2只仅剩下小于1毫米的间隙。对照侧无一愈合。实验侧三点弯曲试验的最大值比对照侧大11.7倍。大体标本和组织学检查均显示,管内有骨再生,管外无骨痂形成。组织学检查显示,X线片上小于1毫米的间隙为纤维软骨区,连接远端和近端骨端的再生骨。对照侧的缺损被结缔组织占据。总之,引导骨再生在长骨中也存在,这可能为骨缺损的治疗提供一种新方法,并促进骨折愈合。

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