可注射性纳米羟基磷灰石、壳聚糖复合材料修复骨缺损的实验研究
许勇, 朱立新, 田京, 黄锐, 于博, 李志浩, 付国建, 刘登军, 冯庆玲, 黄智
中国临床解剖学杂志 ›› 2009, Vol. 27 ›› Issue (6) : 712.
可注射性纳米羟基磷灰石、壳聚糖复合材料修复骨缺损的实验研究
Experimental study of injectable nano-hydroxyapatite/ chitosan composite on repairing of bone defect
目的:观察可注射性羟基磷灰石/壳聚糖复合材料对兔桡骨骨缺损修复效果。方法:18只新西兰白兔双侧桡骨中段建立长度为10mm节段性缺损,将可注射性纳米羟基磷灰石/壳聚糖复合材料植入一侧骨缺损作为实验组,另一侧植入单纯羟基磷灰石材料作为对照组,于第4、8、12周末,分别行大体、X线检查、组织学、电镜检测,观察该材料对骨缺损的修复效果。结果:①大体观察、X线检查提示:实验组骨痂生长良好,骨缺损完全修复,对照组骨缺损部分修复,部分骨皮质不连续。②组织形态学: 术后12周,实验组新生骨皮质连接完整,髓腔完全再通;对照组少量新生骨形成,部分纤维组织填充③电镜检查:12周实验组材料基本降解,被新生骨组织替代。结论:可注射性纳米羟基磷灰石/壳聚糖复合材料骨缺损修复能力较单纯羟基磷灰石好,具有确实的骨缺损修复能力。
Objective: To explore repair effects of injectable nano-hydroxyapatite/ chitosan(nHA/CS) composite on radius bone defect. Methods: Bone defect with the length of 10 mm were created on the middle of each radius of 18 New Zealand white rabbits. the defects was filled with the nHA/CS composite as treatment group, while the others were filled with hydroxyapatite(HA) as control. The ability of repairing bone defect was evaluated by gross observation, X-ray, histopathological and SEM 4, 8, 12 weeks after operation. Results: ① The gross and X-ray showed that, in treatment group, the callus grew well and bone defect was repaired completely, oppositely, in control group, bone defect was repaired partly, with some nonunion. ② Histomorphology showed that, the new formed bone in treatment group was confirmed integral and the medullary cavity recanalized after 12 weeks, however, a little of new bone formed in the control group, accompanied with connective tissues growing into the defects. ③ Under the SEM, materials was replaced by newly formed bone after 12 weeks in treatment group. Conclusions: The nHA/CS has better ability of bone repairing than that of the HA.
广东省自然科学基金资助(7005193)
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