[直接微电流对骨缺损愈合过程影响的实验研究]。

Aichi Gakuin Daigaku Shigakkai shi Pub Date : 1989-09-01
D W Kim
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引用次数: 0

摘要

微电流作为一种促进骨缺损愈合的方法,在临床应用和实验研究领域受到了广泛的关注。然而,钙化过程的研究和新形成骨痂元素的比较尚未进行。为了更深入地了解骨缺损的骨痂形成和钙化过程,本实验旨在比较刺激组和非刺激组兔肱骨骨缺损愈合过程。术后第4天和第1、2、3、4周手术切除骨标本。采用计算机辅助微量分析仪、能谱仪和扫描电子显微镜(JCMA-733)对样品进行检测。并行组织学检查。刺激组第4天内骨膜周围出现低浓度钙、磷,钙化开始,形成愈伤组织。第1周Ca、P在骨缺损内弥漫性分布。第2周和第3周,骨缺损几乎被新生骨痂填满,钙化程度增强。第4周后,骨痂内钙、磷的分布和浓度与周围皮质骨相似。刺激组新生骨痂中Ca/P的磨牙比明显高于对照组,且与周围皮质骨中Ca/P的磨牙比相近。结果表明,微电流不仅促进骨痂形成,而且促进骨钙化,从而缩短骨缺损的愈合时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Experimental studies of the effect of direct electric micro-current on the healing processes of bone defects].

As a procedure to accelerate healing of the bone defect, the electric micro-current has attracted much attention in the field of clinical application and experimental research. However, investigation of the calcifying process and comparison of the elements of the newly formed bony callus have not yet been carried out. In order to get deeper understanding of the callus formation and calcifying process in bone defects, this experiment aimed at comparing the healing processes of bone defects in the rabbit humerus between stimulated and non-stimulated control group. The bone specimens were surgically removed, on the 4th postoperative day and 1st, 2nd, 3rd, and 4th postoperative weeks. The specimens were examined by the use of the computer aided microanalyser, the energy dispersive spectrometer, and the scanning electron-microscope (JCMA-733). Histological examination was also made. In the stimulated group, on the 4th day, Ca and P of low concentration were observed around the inner periosteum indicating initiation of the calcification with callus formation. On the 1st week Ca and P were distributed diffusely in the bone defect. On the 2nd and 3rd weeks, the bone defect was almost filled with new bony callus and the calcification became more intense. After the 4th week, the distribution and concentration of Ca and P in the bony callus were similar to those of the surrounding cortical bone. Furthermore, the molar ratio of Ca/P of the new bony callus was much greater in the stimulated group than in the control group, and was rather similar to the molar ratio of Ca/P in the surrounding cortical bone. The results showed that the electric micro-current facilitated not only callus formation but also calcification, thus shortening the healing period of the bone defect.

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