梯度复合HA/ZrO2多孔支架材料在松质骨缺损应用的实验
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浙江省科技厅计划项目(2012C33114)。


In vivo experiments of porous gradient bio-composites with HA/ZrO2 in repair of the lumbar vertebra defect
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    摘要:

    目的 评估新型梯度复合HA/ZrO2(羟基磷灰石/二氧化锆)多孔支架材料在修复比格犬椎体骨缺损的效果。方法(1)采用泡沫海绵体浸渍成型法、联合梯度复合及高温烧结法制备新型梯度复合HA/ZrO2多孔支架材料;(2)将18只普通级比格犬(体重10~13 kg、5~8月龄、雌雄不拘)随机分成2组(A组12只、B组6只),通过手术复制椎体骨缺损模型,A组予以植入梯度复合HA/ZrO2多孔支架材料、B组植入自体髂骨;(3)术后进行影像学检查、形态学观察及生物力学测试,并比较新型梯度复合HA/ZrO2多孔支架材料与自体髂骨对修复比格犬椎体缺损的效果。结果(1)新型HA/ZrO2多孔支架材料孔隙率为25 ppi(每英寸25个孔)、孔隙均匀,孔径为100~300μm。(2)术后6周、12周、24周X线影像学观察显示:A组,随着术后时间延长,新型梯度复合HA/ZrO2多孔支架材料植入术后骨痂生成逐渐增多、植入材料与宿主骨之间的界线逐渐模糊,至术后24周,人工材料与自体新生骨融为一体;B组,在术后6周显示移植骨的吸收与塑形,至术后24周移植骨与自体骨完全融合,无明显界限。(3)组织形态学显示:支架材料孔隙内骨量随着术后时间延长逐步增加,部分材料降解、被新生骨替代。(4)生物力学测试:术后24周极限抗压试验,两组比较无明显统计学差异(P>0.05)。结论 新型梯度复合HA/ZrO2多孔支架材料可诱导骨组织长入孔隙内部、促进松质骨缺损愈合,有望在未来的研究中,广泛应用于松质骨缺损的治疗。

    Abstract:

    Objective To evaluate the effect of porous gradient composites with hydroxyapatite(HA)/zirconia(ZrO2) in repair of lumbar vertebra body defects of dogs.Methods(1) New porous gradient HA/ZrO2 bio-composites were prepared using Foam impregnation, gradient compound and high temperature sintering;(2) A total of 18 adult Beagle dogs, weighted 10~13 kg and aged 5~8 months, were assigned randomly into two subgroups and were implanted with new porous gradient HA/ZrO2 bio-composites(subgroup A in 12) and autologous iliac bone(subgroup B in 6);(3) The relative data was analyzed on roentgenoscopy, mophology and biomechanics of post-operation. The effect was compared between the subgroup A and the subgroup Bto repair the vertebral body defect.Results The porocity of new porous gradient HA/ZrO2 bio-composites is 25 ppi(pores per inch), and the pores are well distributed with diameter of 100~300μm. The roentgenoscopy of post-operation displayed that new-bone formation is increased gradually, and the interface between bio-composite and host-bone becomes blur, and the new-bone around the bio-composite integrated into host-bone at 24 weeks of post-operation in subgroup A. As to subgroup B, the resorption and restructure were found at 6 weeks after the surgery, and the graft-bone and host-bone have integrated completely without obvious boundary at 24 weeks of post-operation. Histomorphology study showed that the amount of bone within pores of the scaffold material increased with a prolonged postoperative, and that partial bio-composite was degradated and replaced by new host-bone. There was no significant difference between the two subgroups(P>0.05) in the maximum compressive strengths of biomachanics test.Conclusions New porous gradient HA/ZrO2 bio-composites can induce bone tissue to grow into the pores, and promote the repair of cancellous bone defect, which may be applied widely to the treatment of cancellous bone defect in the future.

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邵荣学,全仁夫,张亮,谢尚举,杨迪生,韦习成.梯度复合HA/ZrO2多孔支架材料在松质骨缺损应用的实验[J].中国比较医学杂志,2015,25(11):46~51.

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  • 最后修改日期:2015-10-13
  • 在线发布日期: 2015-12-02
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