兔髂骨移植重建下颌骨的实验研究及间充质干细胞的作用

R. Kummoona, Ali Zayed, Ommega Internationals
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引用次数: 4

摘要

摘要:选取体重1.25 kg、3月龄的雄性幼兔12只,分为两组,每组5只,对照组2只。手术切除下颌骨1.5cm的骨,髂骨移植2cm的骨。采用0.25 mm软不锈钢丝固定,术后给予头孢曲松20 mg / kg体重全身抗生素6天,b组用氧化再生纤维素网覆盖,3个月后终止实验,结果2只兔通过,1只感染,1只坐骨神经轻微损伤,无咀嚼影响。染色兔和感染兔均被排除在本实验之外。移植骨的细胞学变化显示,从颌骨骨节段骨髓中提取的间充质干细胞与血小板生长因子(PDGF)和骨膜形成健康的肉芽组织,并在肌肉上覆盖大量具有微小血管的成纤维细胞。成骨细胞中软骨细胞和骨样组织较多,骨移植物用外科补片(氧化再生纤维素)覆盖,浸泡在血液中,B组覆盖骨移植物,B组愈合速度快于a组。本研究的目的是了解移植物和受体区域的细胞学变化。
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Reconstruction of Lower Jaw by Iliac Bone Graft, Experimental Study on Rabbit and Role of Mesenchymal Stem Cells
page no: 20/24 www.ommegaonline.org Vol:4 Issue: 1 Abstract: In this research, twelve young male Rabbits age of 3 months are weighted 1.25 kg, divided in two groups of 5 Rabbits and 2 Rabbits were used as control. They were subjected to surgical osteoctomy by excising bone 1.5cm from the body of the mandible and bone graft of 2cm harvested from the iliac crest. The graft was fixed by soft stainless steel wire of 0.25 mm, post-operative systemic antibiotic of ceftriaxone of 20 mg / kg IM of body weight for six days prescribed, oxidized regenerated cellulose mesh was used to cover the graft of group B. After 3 months the experiment was terminated, the result were 2 Rabbits passed, one Rabbit end with infection and one with slight injury to Sciatic nerve without effect on mastication. The dyed Rabbits and one with infection were excluded from this experiment. The cytological changes of bone grafting showed formation of healthy granulation tissue with mesenchymal stem cells derived from bone marrow of bony segments of the mandible with platelets growth factor (PDGF) and from periosteum and covering muscles with large amount of fibroblasts with tiny blood vessels. Osteoblast was noticed more with chondrocyte and osteoid tissue with bone graft that covered by Surgical mesh (oxidized regenerated cellulose) soaked in blood and covered bone graft of group B to get faster healing in group B than in group A. The aim of this research to understand the cytological changes that occurred in the graft and recipient area.
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