骨髓基质成骨细胞-松质骨基质复合人工骨修复颅骨缺损的实验研究

目的 观察松质骨基质－骨髓基质成骨细胞复合工人骨在骨缺损区的成骨作用，探索该组织工程化人工骨修复颅骨缺损的可行性。方法 成年新西兰兔骨髓细胞体外培养、诱导后，接种于藻酸盐－松质骨基质中，形成松质骨基质－藻酸盐－骨髓基质成骨细胞复合人工骨，修复自体颅骨缺损。分别植入松质骨基质和骨髓基质成骨细胞作为对照。植入4周和8周后行X线摄片和组织学检查，观察骨形成情况。结果 复合人工成骨量优于单纯植入松质骨基持或骨髓基质成骨细胞组，并明显优于空白对照。结论 松质骨基质－骨髓基质成骨细胞复合人工骨髓修复颅骨缺损效果良好，可以作为临床大型骨缺损修复的途径之一。

Experimental studies on cranial defect repair with marrow stromal osteoblast-cancellous bone matrix compound artificial bone

Objective\ To investigate the feasibility of using marrow stromal osteoblast cancellous bone matrix compound artificial bone (MCCAB) as tissue engineered bone, the osteogenesis of MCCAB in the cranial defect was observed in the experiment. Methods\ The in vitro cultivated and induced marrow stromal cells of adult New Zealand rabbits were seeded into the alginate cancellous bone matrix to form MCCAB. The MCCAB was then implanted into the cranial defect for 4 to 8 weeks. The cancellous bone matrix (CBM) alone or the marrow stromal osteoblasts (MSOs) alone was implanted as the control. The effectiveness of bone formation was assessed by histological and roentgenographic analysis. Results\ The osteogenesis of MCCAB was better than CBM or MSOs and superior to the blank group. Conclusion\ MCCAB can effectively repair cranial defect. It could be used clinically to restore large bone defects.