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纸质出版:2014
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汪小华,魏富达,喻胜鹏,李伟,黄科,董世武,谢肇.骨诱导膜活化灭活骨修复骨缺损的实验研究[J].陆军军医大学学报(原第三军医大学学报),2014,36(20):2061-2064.
Wang Xiaohua,Wei Fuda,Yu Shengpeng,Li Wei,Huang Ke,Dong Shiwu,Xie Zhao.Inactivated bone graft activated by bone induced membrane repairs bone defect in rabbits[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(20):2061-2064.
汪小华,魏富达,喻胜鹏,李伟,黄科,董世武,谢肇.骨诱导膜活化灭活骨修复骨缺损的实验研究[J].陆军军医大学学报(原第三军医大学学报),2014,36(20):2061-2064. DOI:
Wang Xiaohua,Wei Fuda,Yu Shengpeng,Li Wei,Huang Ke,Dong Shiwu,Xie Zhao.Inactivated bone graft activated by bone induced membrane repairs bone defect in rabbits[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(20):2061-2064. DOI:
目的 构建骨缺损诱导膜模型,探讨骨诱导膜对灭活移植骨成骨诱导活性的作用。 方法 32只新西兰大白兔一期在桡骨中段制造骨缺损模型,植入聚甲基丙烯酸甲酯骨水泥诱导生物膜形成。第6、8周分别处死4只取出诱导膜检测骨形态发生蛋白(bone morphogenetic protein-2
BMP-2)和血管内皮生长因子(vascular endothelial growth factor
VEGF)含量并切片作HE染色,取同只兔皮下组织作为对照。其余24只兔在一期植入骨水泥后6周取出骨水泥进行二期手术,按随机数字表法分为实验组、模型组和对照组,每组8只。实验组保留诱导膜并在膜内植入灭活骨
模型组保留诱导膜不植骨,对照组去除诱导膜植入灭活骨。二期处理后第8、12周通过放射学和组织学评估新生骨形成情况。 结果 ELISA检测表明在第6、8周诱导膜中BMP-2含量[(437.40±20.75)、(346.67±30.05)pg/mL]、VEGF含量[(362.33±38.85)、(233.84±18.20)pg/mL]均高于皮下组织(P0.05),同时在诱导膜切片HE染色中观察到软骨内骨化;放射学检测可见二期处理后第8、12周实验组成骨优于模型组和对照组(P0.01),模型组有少许骨痂形成,对照组无成骨;第8、12周组织学观察实验组可见骨细胞和软骨细胞形成,成骨优于模型组和对照组(P0.01),对照组仅有纤维连接,未见骨细胞和软骨细胞。 结论 骨诱导膜含有间充质干细胞和高浓度的细胞因子,从而促进灭活移植骨重建骨缺损。
Objective To construct a bone defect-induced membrane model and to discuss the osteogenic activity of the bone induced membrane on inactivated bone graft. Methods A radial defect model was built with 32 New Zealand rabbits. Polymethyl methacrylate (PMMA) bone cement spacer was inserted into the defect to induce membrane. After 6 and 8 weeks
8 rabbits (4 for each time) were sacrificed and bone induced membranes were taken out to test bone morphogenetic protein-2 (BMP-2) and vascular endothelial growth factor (VEGF) levels and to perform HE staining of sections
with rabbit subcutaneous tissue as control. Bone cement was taken out from the other 24 rabbits in 6 weeks after implantation for secondary operation
including 3 groups
an experimental group [keeping the induced membrane in situ and implanting autologous iliac inactivated with high temperature water (100 ℃ 30 min)]
a model group (keeping the induced membrane in situ)
and a control group (removing the induced membrane and implanting autologous iliac inactivated with high temperature water). Radiological and histological evaluation of the new bone formation was done at 8 and 12 weeks. Results (1) BMP-2 and VEGF levels in the induced membrane were 437.40±20.75 pg/mL and 362.33±38.85 pg/mL
respectively
at 6 weeks and 346.67±30.05 pg/mL and 233.84±18.20 pg/mL
respectively
at 8 weeks
higher than those of the subcutaneous tissue (P0.05)
while endochondral ossification was observed in induced membrane slice. (2) Radiological detection at 8 and 12 weeks after the secondary operation indicated that bone formation was more in the experimental group than in the model group and the control group (P0.01). There was a little callus formation in the model group
while the control group had no bone formation. (3) Histological detection at 8 and 12 weeks after the secondary operation indicated that bone formation was more in the experimental group than in the model group and the control group (P0.01). Only fiber connection in the control group was observed
without bone cells and cartilage cells. Conclusion Bone induced membrane
providing mesenchymal stem cells and growth factors
can promote the reconstruction of bone defects by inactivated bone grafts.
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