
浏览全部资源
扫码关注微信
纸质出版:2014
移动端阅览
周明武,罗彦平,杨瑞甫,宋力,李扬,张迅,徐立博,王义生.同种异体骨异位再血管化的实验研究[J].陆军军医大学学报(原第三军医大学学报),2014,36(18):1904-1908.
Zhou Mingwu,Luo Yanping,Yang Ruifu,Song Li,Li Yang,Zhang Xun,Xu Libo,Wang Yisheng.Ectopic revascularization of allograft segment in rabbits[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(18):1904-1908.
周明武,罗彦平,杨瑞甫,宋力,李扬,张迅,徐立博,王义生.同种异体骨异位再血管化的实验研究[J].陆军军医大学学报(原第三军医大学学报),2014,36(18):1904-1908. DOI:
Zhou Mingwu,Luo Yanping,Yang Ruifu,Song Li,Li Yang,Zhang Xun,Xu Libo,Wang Yisheng.Ectopic revascularization of allograft segment in rabbits[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(18):1904-1908. DOI:
目的 比较不同时间段兔同种异体大段胫骨与自体大段胫骨异位再血管化程度的差异性。 方法 健康成年(6月龄)中国白兔70只,体质量(2.5±0.5)kg,按随机数字表法分为实验组(同种异体骨组)30只、对照组(自体骨组)30只,余10只用作制备同种异体骨供体。实验组将制备好的1.5 cm长兔异体胫骨段置于兔大腿隐动脉处的股直肌与股内侧肌的间隙内,1.0克氏针固定于股骨上。对照组取与实验组相同部位等长自体胫骨同法置于兔大腿相应部位。分别于术后4、8、12周通过大体标本观察、免疫组化法检测移植骨组织血管内皮生长因子(vascular endothelial growth factor
VEGF)和CD34蛋白在血管内皮细胞中的表达。 结果 VEGF主要存在于新生血管周围、成骨细胞、软骨细胞以及未分化的间充质细胞,CD34主要分布在以哈弗管为中心的血管内皮细胞。术后4、12周,实验组VEGF的表达与对照组比较,差异无统计学意义[术后4周(4.50±2.01) vs (5.50±1.35)
术后12周(4.10±1.52) vs (3.60±1.58)
P0.05)];术后8周,实验组VEGF的表达与对照组比较,差异有统计学意义[(6.60±1.07) vs (8.60±2.17),P0.05],且两组VEGF的表达量4周少于8周(P0.05),8周多于12周(P0.05)。术后4周
实验组CD34阳性血管数与对照组比较,差异有统计学意义[(5.30±1.83)个∕视野 vs (7.30±1.34)个∕视野
P0.05];术后8、12周,实验组CD34阳性血管数与对照组比较,差异无统计学意义[术后8周(13.30±1.95)个∕视野 vs (13.80±2.62)个∕视野
术后12周(10.90±2.28)个∕视野 vs (11.80±1.22)个∕视野
P0.05];两组CD34阳性血管数4周少于8周(P0.05),8周多于12周(P0.05)。 结论 兔同种异体大段胫骨段置于含有知名血管血供丰富的肌肉间隙内2个月能够完成再血管化,与自体骨无明显差异,证实了同种异体大段胫骨段异位再血管化的可行性。
Objective To study the difference in ectopic revascularization between autogenous bone graft and allograft from large segment tibia of rabbits at different time points. Methods With random grouping method
60 healthy adult Chinese rabbits (6 months of age
2.5±0.5 kg) were divided into experimental group (allograft group) and control group (autograft group)
30 rabbits in each group. Another 10 rabbits were allograft bone donor. In the experimental group
1.5 cm long rabbit tibial allograft was implanted into spatium intermusculare between the musculus rectus femoris and medial vastus muscle of the rabbit around the saphenous artery and was fastened to the femur by 1.0 Kirschner-wire. In the control group
autologous tibias were used. At 4
8 and 12 weeks after operation
the postmortem specimens were examined and immunohistochemistry was used to test the expression of vascular endothelial growth factor (VEGF) and CD34 of transplanted bone tissue. Results VEGF mainly existed in osteoblasts
chondrocytes
and undifferentiated mesenchymal cells as well as around new vessels. CD34 primarily existed in the endothelial cells with Haversian canal as distribution center. Compared with the control group
the expression level of the VEGF in the experimental group at 4 and 12 weeks after operation was not statistically different (4.50±2.01 vs 5.50±1.35
P0.05; 4.10±1.52 vs 3.60±1.58
P0.05
respectively)
but that at 8 weeks after operation was statistically different (6.60±1.07 vs 8.60±2.17
P0.05). The expression level of the VEGF in the experimental group at 8 weeks after operation was higher than that at 4 weeks and 12 weeks after operation (P0.05). Compared with the control group
the amount of CD34-positive microvessel in the experimental group at 4 weeks after operation was statistically different (5.30±1.83 per vision field vs 7.30±1.34 per vision field
P0.05
but that at 8 and 12 weeks after operation was not (13.30±1.95 per vision field vs 13.80±2.62 per vision field
P0.05; 10.90±2.28 per vision field vs 11.80±1.22 per vision field
P0.05
respectively). The amount of CD34-positive microvessel in the experimental group at 8 weeks after operation was higher than that at 4 weeks and 12 weeks after operation (P0.05). Conclusion Allograft bone segment completes revascularization within 2 months after implantation into spatium intermusculare containing famous blood supply
showing no significant difference with autologous bone. It shows the feasibility of ectopic revascularization about allograft segment.
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621