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缺血对骺板移植影响的实验研究

Effect of Ischaemia on Growth of Epiphyseal Transplantation

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【作者】 蔡林; 顾洁夫; 许卫红; 王欣;

【Author】 CAI Lin; GU Jiefu; XU Weihong; etal.(Department of Orthopedics, Second Affiliated Hospital, Hubei University University, Wuhan 430071)

【机构】 湖北医科大学附属第二医院骨科!武汉; 430071;

【摘要】 目的研究不同缺血时间对移植骺板组织结构和生长的影响。方法在36只8周幼兔的右下肢,对胫骨上端骺板的血供分别阻断2、4和8小时,在左侧胫骨相同部位埋置金属标志作为对照,利用X线测量术后第3个月的生长长度,并作切片观察骺板组织学改变。结果缺血2和4小时的骺板组织结构正常,生长速度与对照侧相同。缺血8小时可导致骺板中心散在变性、坏死,生长速度较对照侧慢。结论4小时以内的缺血对骺板的组织学和生长无影响。缺血8小时,可使骺板生长减慢,但未见到骨桥形成或骺早闭现象。

【Abstract】 Objective To evaluate the effect of duration of ischaemia on epiphyseal transplantation.Methods Circulation to proxoimal epiphysis of right tibia was occluded for 2, 4 and 8 hours respectively in36 immatuure rabbits of 8 week of age. The right tibial lengths were measured radiologically and structurestudied histologically after 3 months. The contralateral tibia was served as controls. Results The lengthand hisao1ogy of tibias in 2-and 4-hoUr ischaemia groups were normal. The tibias were shorter and showedtiny central epiphseal necrosis in the 8-bar ischaemia group. Conclusions Ischaemia up to 4 hours incursno damage to tibial epiphysis. Isehaemia of 8-hour duration leads to slower lengthening. No premature epiphyseal closure or bone bridge is observed.

【关键词】 局部缺血; 骨移植; 骨发育;
【Key words】 Ischaemia; Bone transplantation; Bone development;
【基金】 卫生部青年基金
  • 【文献出处】 中华小儿外科杂志 ,Chinese Journal of Pediatric Surgery , 编辑部邮箱 ,1999年03期
  • 【分类号】R363
  • 【被引频次】3
  • 【下载频次】19
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