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Experimental Study on Low Intensity Ultrasound and Tissue Engineering to Repair Segmental Bone Defects
引用本文:叶发刚,夏长所,夏仁云. Experimental Study on Low Intensity Ultrasound and Tissue Engineering to Repair Segmental Bone Defects[J]. 华中科技大学学报(医学英德文版), 2006, 26(5): 597-600. DOI: 10.1007/s11596-006-0531-6
作者姓名:叶发刚  夏长所  夏仁云
作者单位:Department of Orthopedics Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China Department of Traumatic Surgery,Affiliated Hospital of Qingdao University Medical College,Qingdao 266003,China,Department of Traumatic Surgery,Affiliated Hospital of Qingdao University Medical College,Qingdao 266003,China,Department of Orthopedics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
摘    要:In order to evaluate the efficacy of low intensity ultrasound and tissue engineering technique to repair segmental bone defects, the rabbit models of 1.5-cm long rabbit radial segmental os-teoperiosteum defects were established and randomly divided into 2 groups. All defects were implanted with the composite of calcium phosphate cement and bone mesenchymal stem cells, and additionally those in experimental group were subjected to low intensity ultrasound exposure, while those in control group to sham exposure. The animals were killed on the postoperative week 4, 8 and 12 respectively, and specimens were harvested. By using radiography and the methods of biome-chanics, histomorphology and bone density detection, new bone formation and material degradation were observed. The results showed that with the prolongation of time after operation, serum alkaline phosphatase (AKP) levels in both groups were gradually increased, especially in experimental group, reached the peak at 6th week (experimental group: 1.26 mmol/L; control group: 0.58 mmol/L), suggesting the new bone formation in both two group, but the amount of new bone formation was greater and bone repairing capacity stronger in experimental group than in control group. On the 4th week in experimental group, chondrocytes differentiated into woven bone, and on the 12th week, remodeling of new lamellar bone and absorption of the composite material were observed. The mechanical strength of composite material and new born density in experimental group were significantly higher than in control group, indicating that low intensity ultrasound could not only effectively increase the formation of new bone, but also accelerate the calcification of new bone. It was concluded that low intensity ultrasound could evidently accelerate the healing of bone defects repaired by bone tissue engineering.

关 键 词:组织工程 基因表达 骨疾病 临床
收稿时间:2005-12-27

Experimental study on low intensity ultrasound and tissue engineering to repair segmental bone defects
Fagang Ye,Changsuo Xia,Renyun Xia. Experimental study on low intensity ultrasound and tissue engineering to repair segmental bone defects[J]. Journal of Huazhong University of Science and Technology. Medical sciences, 2006, 26(5): 597-600. DOI: 10.1007/s11596-006-0531-6
Authors:Fagang Ye  Changsuo Xia  Renyun Xia
Affiliation:1. Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China;Department of Traumatic Surgery, Affiliated Hospital of Qingdao University Medical College, Qingdao 266003, China
2. Department of Traumatic Surgery, Affiliated Hospital of Qingdao University Medical College, Qingdao 266003, China
3. Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
Abstract:In order to evaluate the efficacy of low intensity ultrasound and tissue engineering technique to repair segmental bone defects, the rabbit models of 1.5-cm long rabbit radial segmental os-teoperiosteum defects were established and randomly divided into 2 groups. All defects were implanted with the composite of calcium phosphate cement and bone mesenchymal stem cells, and additionally those in experimental group were subjected to low intensity ultrasound exposure, while those in control group to sham exposure. The animals were killed on the postoperative week 4, 8 and 12 respectively, and specimens were harvested. By using radiography and the methods of biome-chanics, histomorphology and bone density detection, new bone formation and material degradation were observed. The results showed that with the prolongation of time after operation, serum alkaline phosphatase (AKP) levels in both groups were gradually increased, especially in experimental group, reached the peak at 6th week (experimental group: 1.26 mmol/L; control group: 0.58 mmol/L), suggesting the new bone formation in both two group, but the amount of new bone formation was greater and bone repairing capacity stronger in experimental group than in control group. On the 4th week in experimental group, chondrocytes differentiated into woven bone, and on the 12th week, remodeling of new lamellar bone and absorption of the composite material were observed. The mechanical strength of composite material and new born density in experimental group were significantly higher than in control group, indicating that low intensity ultrasound could not only effectively increase the formation of new bone, but also accelerate the calcification of new bone. It was concluded that low intensity ultrasound could evidently accelerate the healing of bone defects repaired by bone tissue engineering.
Keywords:low intensity ultrasound  bone defect  tissue engineering  
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