软骨膜和脱钙骨基质联合移植修复鼻翼软骨缺损
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赵晓明,Email:hongruizhao@yahoo.com.cn.

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广东省珠海市科技局基金资助项目(pc20081017)


Repair of nasal cartilage defect with associated graft ofperichondrium and demineralized bone matrix
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    目的:探讨软骨膜与同种异体脱钙骨基质(demineralized bone matrix, DBM)联合移植对鼻软骨缺损的修复效果。方法:新西兰兔18只随机分为3组,每组6只。制作鼻翼软骨和软骨膜缺损模型,于缺损处移植修复组织。A组为自体耳软骨膜包裹同种异体DBM;B组为自体耳软骨;C组为自体耳软骨膜。10周后取缺损处软骨行大体和病理组织学观察,S100(Soluble protein100)、转化生长因子β1(transforming growth factorβ1,TGFβ1)免疫组化染色,评价修复效果。结果:A、B两组所得软骨细胞和基质与正常软骨相类似,两组比较差异不明显。C组所得软骨细胞少,基质浅淡,S100、TGFβ1染色阳性细胞少,与A、B组比较均有统计学意义(P<0.01)。结论:软骨膜与同种异体DBM联合移植对鼻软骨缺损的修复效果与自体软骨基本一致,明显优于自体软骨膜移植。

    Abstract:

    OBJECTIVE:To investigate the repairing effect on nasal cartilage defect with associated graft of perichondrium and allogenic demineralized bone matrix (DBM). METHODS:Eighteen New Zealand rabbits were randomly divided into 3 groups (in each group, n=6). Nasal alar cartilage and perichondrium were ablated in each rabbit. Autogenic auricular perichondrium wrapped by allogenic DBM was grafted into the defect in group A, autogenic auricular cartilage in group B and autogenic auricular perichondrium in group C. At the 10th week after repair, the effect was evaluated by gross inspection, histopathology, immunohistochemical detection of Soluble protein100 (S100) and transforming growth factorβ1 (TGFβ1) antibodies of the cartilage from the defect. RESULTS:The cartilage cell and matrix from group A and B were similar to those of the normal cartilage with no obvious differences between group A and group B. Being compared with the cartilage cells from group A and group B, the cell number, cytoplasm, and positive S100 and TGFβ1 cells were significantly reduced in group C (P< 0.01). CONCLUSION:The repairing effect on nasal cartilage defect with associated graft of perichondrium and allogenic DBM is coincide with autogenic cartilage and surpass the autogenic perichondrium.

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赵晓明 郭杰峰 刘谦虚 程梅 窦晓辉 汪志伟 熊彬彬 罗彬.软骨膜和脱钙骨基质联合移植修复鼻翼软骨缺损[J].中国耳鼻咽喉颅底外科杂志,2010,16(3):176-180

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  • 在线发布日期: 2010-06-30
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