β-TCP修复骨质疏松性骨缺损的实验研究
Experimental study on the repairing of osteoporotic bone defect using β-TCP
  
DOI:10.3969/j.issn.1006-7108.2014.10.008
中文关键词:  骨质疏松  骨缺损  β-TCP  新生骨
英文关键词:Osteoporosis  Bone defect  β-TCP  New bone
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作者单位
陶周善 吕杨训 崔伟 贺行文 柳维 黄正亮 屠凯凯 周贤挺 杨雷* 温州医科大学附属第二医院骨科浙江温州 325000 
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中文摘要:
      目的 探索β-TCP修复骨质疏松性大鼠骨缺损的效果。方法 取SD大鼠20只,先去卵巢建立骨质疏松模型,等饲养3个月保证骨质疏松模型成功后再建立双侧大鼠股骨干骺端缺损模型,将手术成功的骨质疏松性骨缺损模型随机均分为两组,β-TCP植入组于骨缺损处植入β-TCP,空白对照组不作任何处理。术后4,8周进行大体观察、X射线摄片、组织病理学观察,Micro-CT观察。结果 术后4周、8周,β-TCP 植入组:缺损区X射线影像有明显的骨组织生成,HE染色可见大量骨小梁和较多核深染的长梭形骨细胞,Micro-CT显示骨微观结构修复效果较好,且能明显增加股骨骨密度;空白对照组X射线骨组织生成较少,骨小梁或骨板结构较少,排列较紊乱,Micro-CT显示骨微观结构修复效果不够理想,股骨骨密度增加不明显。结论 β-TCP可较好地修复骨质疏松性大鼠股骨干骺端缺损。
英文摘要:
      Objective To investigate the role of β-TCP in bone defect repairing in osteoporotic rats. Methods Twenty SD rats were ovariectomized and fed for 3 months to establish the osteoporosis model. Subsequently, bone defects were created in bilateral femoral metaphysis by surgery. Successful osteoporosis bone defect models were divided into 2 groups, including β-TCP group and control group. β-TCP was embedded into bone defect in β-TCP group. No treatment was performed in control group. Gross observation, X-ray radiographs, tissue pathological observation, and Micro-CT observation were conducted 4 and 8 weeks after the surgery. Results X-ray radiographs showed that bone tissue growth was obvious in bone defect zone 4 weeks and 8 weeks after surgery in β-TCP group. HE staining showed that there were considerable amount of trabeculae and spindle shaped, deep stained osteoblasts. Micro-CT showed that bone micro-structure was comparatively well repaired, and the bone mineral density of the femur increased significantly. X-ray radiographs showed few bone growth, few trabeculae or bone lamella structure, and irregular distribution in control group. Micro-CT indicated that bone micro-structure was not desirably repaired, and the increase of bone mineral density of the femoral was not obvious. Conclusion β-TCP can comparatively well repair femoral metaphysis bone defect in osteoporotic rats.
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