骨缺损修复生物工程研究进展
Research progress of biological engineering on bone defect repairing
投稿时间:2013-06-19  
DOI:
中文关键词:  骨缺损  基因工程  组织工程  生物材料
英文关键词:Bone defect  Gene engineering  Bone tissue engineering  Biological material
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作者单位E-mail
郭宜姣 西藏民族学院医学院高原环境与疾病相关基因研究实验室生命科学基础实验室陕西 咸阳 712000  
李文华  xzmylwh@163.com 
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中文摘要:
      临床上对于骨缺损的治疗从截肢,自体骨、异体骨移植,到目前的生物活性材料、骨组织工程、基因工程治疗,依然没有能够彻底进行骨缺损修复的方法,这也一直是医学界关注和研究的热点。究其原因一方面是因为各种方法的技术水平还不完善如手术时间和方法掌握,生物活性材料的制作等,另一方面是因为骨缺损的局部反应较复杂如骨髓损伤较重,血运较差,断端存在的硬化反应等以及传统治疗后的并发症较多如免疫排斥较重,成骨作用不良,骨折不愈合,神经损伤长期引发的疼痛等,这些原因都在不同程度的制约骨缺损研究的前进。只有从骨的修复与生长机制出发,联合应用多种方法,相互补其不足,从中找到突破点,才能完善骨缺损修复,缩短治疗时间,提高病人的生活质量。本文简要描述自体和异体骨移植在治疗骨缺损时的优缺点,着重叙述骨组织工程与基因工程近年来的研究热点,包括生物材料的更新换代、目的细胞的种类增加、生长因子与基因载体的研究进展等,这其中探讨了生物修复骨缺损工程中两种方法各自的利弊,阐述两种工程联合应用的优缺互补,最后提出骨缺损治疗研究方向上的新思路与新问题。
英文摘要:
      The treatment for bone defect in clinic varies from amputation, autogenous bone graft, and allograft.Up to now, the biological activity material, bone tissue engineering, and gene engineering treatment are still not able to completely repair the bone defect.It has been a hot spot in medical field.One of the reasons is the limitation of technology, such as the mastery of operation time and method and the manufacture of bioactive materials.On the other hand, the local reactions of bone defect are complicated, such as serous bone marrow damage, poor blood supply, the hardening reaction in the cutting ends, and more complications after conventional treatment, including immune rejection, bad osteogenesis, disunion of bone fractures, and long-term pain caused by nerve injury.These reasons restrict the research of bone defect to some degree.Only based on the mechanism of bone repairing and growth, combining multiple methods, filling disadvantages from each other, and finding breakthroughs, we can improve the treatment of bone defect, shorten the treatment time, and improve patient ’ s quality of life.This paper briefly describes the advantages and disadvantages of autograft and allograft in the treatment of bone defect and emphasizes the research hotspots of bone tissue engineering and gene engineering in recent years, including the up-grading of biological materials, the increased quantity of target cells, and the research progress in growth factors and gene carriers.This papwer also discusses the advantages and disadvantages of these two methods in biological engineering to repair bone defect, illustrates the complement when they are applicated together, and finally puts forward the new ideas and new problems of the direction of bone defect research.
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