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1、中國修復重建外科雜志2008年2月第22卷第2期·145·組織工程骨膜異體體內(nèi)成骨修復兔骨缺損的初步觀察123311趙琳史志勇周晟賈有福劉佳王軍勝【摘?要】目的探討以兔BMSCs和豬SIS復合構(gòu)建的組織工程骨膜,在異體兔體內(nèi)成骨的可行性。方法取新西蘭大白兔BMSCs與SIS復合構(gòu)建組織工程骨膜。選2月齡新西蘭大白兔12只,制備雙側(cè)橈骨1.5~2.0cm缺損模型。隨機選一側(cè)植入組織工程骨膜,作為實驗組;另一側(cè)僅植入單純SIS,作為對照組。術后觀察動物一般情況,4周后攝X線片觀察,取骨缺損中段標本行HE及Masson染色觀察。結(jié)果
2、兩組動物術后飲食及日?;顒踊菊#粋跓o紅腫、溢膿等;傷肢基本能負重行走。X線片觀察:實驗組骨缺損處有長條狀新生骨形成,密度與正常骨相同,新生骨橋接骨缺損;對照組骨缺損無骨形成征象,骨缺損處密度與周圍軟組織影相近。組織學觀察:實驗組骨缺損處有新骨形成,骨組織中可見血管腔及不規(guī)則髓腔樣結(jié)構(gòu);未見明顯異物巨噬細胞及淋巴細胞浸潤征象;對照組骨缺損處僅為膠原瘢痕組織,無骨組織形成。結(jié)論以SIS和BMSCs構(gòu)建的組織工程骨膜在同種異體體內(nèi)可以成骨,有修復骨缺損的可行性?!娟P鍵詞】??組織工程骨膜??BMSCs??SIS??骨缺損兔中圖
3、分類號:R318.08?Q813?文獻標志碼:ATHEPRIMARYOBSERVATIONOFTISSUEENGINEEREDPERIOSTEUMOSTEOGENESISINVIVOINALLO-GENICRABBIT/ZHAOLin1,SHIZhiyong2,ZHouShen3,JIAYoufu3,LIUJia1,WANGJunsheng1.1DepartmentofOrthope-dics,the2ndhospitalofLanzhouuniversity,LanzhouGansu,730030,P.R.China;2Th
4、eExperimentalAnimalCenterofGeneralHospitalofLanzhouMilitaryRegion;3DepartmentofRadiology,ChinesetraditionalMedicinehospitalofGansuProvince.Cor-respondingauthor:ZHAOLin,E-mail:bonezl@sina.com【Abstract】Objective?Toinvestigatetheinvivoosteogenicfeasibilityoftissueengin
5、eeredperiosteumconstructedbyporcineSISandBMSCsinallogenicNewZealandrabbit.?MethodsThetissueengineeredperiosteumconstructedbySISscaffoldandBMSCswaspreparedinvitro.Twelve2-month-oldNewZealandrabbitswereusedintheexperiments.The1.5-2.0cmcriticalbonedefectsweremadeintheb
6、othsidesofradiusoftheanimals.Thetissueengineeredperiosteumwasgraftedintoonesidedefectrandomly,whiletheothersidedefectwasonlygraftedSIS.Fourweeksafteroperation,theforearmsofallanimalswerecheckedbyX-ray.Then,animalsweresacrificedtoharvestthespecimenwhichweretreatedpro
7、mptlyforHEandMassonstaining.TheX-rayfilmandthemorphologicaltissuestainingoutcomewereevaluatedqualitatively.?Results?Afteroperation,allanimalshadanormalbehavioranddiet;theincisionhealednormally;theforearmcouldmovenormallyforbearingweight.Thetissueengineeredperiosteum
8、constructedbyallogenicBMSCsandheterogeneicSISscaffoldcouldformnewbonetissue,andbridgedthebonedefectwhichcouldbeconfirmedeitherinX-rayfilmo