兔后肢动脉供应的体内实验研究

Elena Pavlovschi, A. Stoian, G. Verega, V. Nacu
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引用次数: 0

摘要

背景:骨移植的应用已成为治疗大量骨关节系统疾病的成功步骤。但是巨大的骨缺损仍然是现代重建手术的难题。目前使用的方法有很高的发病率和并发症。文献表明,缺乏一个最佳的解决方案,在大量骨缺损愈合。本研究的目的:在兔后肢模型中进行体内血管化的初步研究,以获得能够进一步包含在宿主血液循环中的移植物,而不通过脱细胞抑制免疫。材料与方法:实验兔12只。兔安乐死后,取股骨和胫腓骨,不取软组织,只取血管蒂,保持血管通畅。在腹主动脉注射造影剂,随后制备动脉血管,随后对该血管化骨段进行解剖、形态学、x线摄影和微血管摄影研究。结果:兔股骨的主要营养动脉起源于旋股外侧动脉。带血管异体移植(兔模型)的最佳节段确定为股骨的上三分之一,达到髂内动脉的水平。因此,它可以作为骨移植进一步保存和脱细胞。结论:无免疫抑制的血管化异体骨是治疗大面积骨缺损的理想选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
In vivo experimental study of the arterial supply of the rabbit posterior limb
Background: The use of bone graft has been a successful step in the treatment of a large number of diseases of the osteoarticular system. But a massive bone defect remains a dilemma for modern reconstructive surgery. Present methods used have a high level of morbidity and complication. Literature indicates the absence of an optimal solution in massive bone defects healing. The aim of this study: to perform an in vivo preliminary study of vascularization of the hind limb in the rabbit model, for obtaining a graft able for further inclusion in the host blood circulation, without immunosuppression by decellularization. Material and methods: The study was performed on the 12 laboratory rabbits. After euthanasia of the rabbit, the femoral and tibiofibular bone was collected without soft tissue, only with the vascular pedicle, and keeping the passage through the vessels. In the abdominal aorta was injected contrast material, with the subsequent preparation of the arterial vessels, succeeded by anatomical, morphological, radiography, and microangiography study of this vascularized bone segment. Results: The principal nutrient artery of the rabbit femur springs from the lateral circumflex femoral artery. The optimal segment for vascularized allografting (the rabbit model) was determined the upper third of the femur with the up to the level of the internal iliac artery. So, it could be used as a bone graft for further conservation and decellularization. Conclusions: The vascularized allogeneic bone without immunosuppression would be a perfect alternative in the treatment of the massive bone defects.
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