Chinese Journal of Tissue Engineering Research ›› 2016, Vol. 20 ›› Issue (43): 6438-6444.doi: 10.3969/j.issn.2095-4344.2016.43.008
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Received:
2016-07-23
Online:
2016-10-21
Published:
2016-10-21
Contact:
Li Mu-qin, Professor, Key Biomedical Materials Laboratory of Colleges and Universities in Heilongjiang Province, Jiamusi University, Jiamusi 154007, Heilongjiang Province, China
About author:
Li De-chao, M.D., Professor, Key Biomedical Materials Laboratory of Colleges and Universities in Heilongjiang Province, Jiamusi University, Jiamusi 154007, Heilongjiang Province, China
Supported by:
CLC Number:
Li De-chao, Liu Hui-ping, Li Mu-qin, Liu Miao.
2.1 实验动物数量分析 18只兔均进入结果分析。 2.2 术后一般情况 所有实验动物均于术后2 h 左右清醒,进食、行动良好,没有其他不适现象。定期清创,1 d/次,创口区域愈合良好,未见明显感染及种植体脱落,双侧颌下区无异常情况。取材后所有植体保存完好,均未松动及脱落,种植体骨结合良好区域顶部有骨质覆盖,周围无软组织化脓、感染及坏死现象。 2.3 种植体锥形束CT检查结果 图1是兔下颌骨单侧种植区三维及不同断面形貌图,用于宏观观察种植体置入后与周围骨组织的结合情况,用锥形束CT在不破坏样本下进行的扫描,取得三维形貌,观察种植体的冠状面、横断面和矢状面。矢状面上能够清晰观察到种植体周围的骨结合情况。种植体置入的方向、位置适当,兔下颌骨均未出现低密度影像,无置入部位的排斥及感染现象,2个种植体之间的距离合适,无骨吸收及坏死现象。"
2.4 激光共聚焦镜下观察结果 骨组织中的Ca2+能与荧光标记物特异性结合,在特定波长激发光下的荧光显微镜中观察到的特殊颜色可以显示骨组织,实验中种植体-骨界面新生骨着色饱和、亮度高、呈绿色;而兔下颌骨(即宿主骨)着色较浅,为淡绿色,软组织在显微镜下没有显示颜色,见图3。 置入2周时,A组种植体周围的荧光条带成点状、断续排列且强度较弱;B组弱的荧光形成细条线状排列在种植体-骨界面周围;C组植体-骨界面的荧光强度较A、B组强,但不连续排列,只有少部分成亮绿色。置入4周时,相比较而言,3组种植体周围的荧光标记明显比2周强,呈现亮绿色荧光。其中A组的荧光带较细、狭窄、断断续续;B组较A组来说荧光带明显增宽;而C组的荧光强度最强且较多,连续状,靠近种植体-骨界面处的强荧光带最宽。置入6周时,荧光带明显减少,强度减弱;但仍可以观察到C组的条带较A、B组宽;A组为片状排列,B组为细条带状。"
2.5 生物力学检测结果 图4为置入不同时间3组种植体的扭力值变化图。3组种植体的骨结合力存在着明显差异,随着置入时间的延长力值逐渐增加;相同置入时间点内,C组骨结合强度高于B组,B组又高于A组(P均< 0.001),说明C组的骨结合力优于A、B组;C组置入2,4,6周时的骨结合强度分别为(29.58±0.56),(59.53± 1.52),(58.44±1.93) N•cm,说明C组种植体置入4周时的骨结合力达到峰值,表明骨结合时间少于A、B组 (P < 0.05)。 图5为3组种植体在各时间段内的骨结合力变化差异图,3组种植体均在2-4周时扭力值变化差距最为显著,4-6周时扭力值变化差距减少,且以C组2-4周时差距最为明显,说明骨代谢活跃期在2-4周,C组的骨代谢最为活跃。"
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