人工蚕丝韧带复合BMSCs重建ACL的实验研究
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1.新泰市人民医院;2.山东第一医科大学第二附属医院

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An experimental research on reconstruction of ACL by artificial silk ligament complex BMSCs
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1.people'2.'3.s hospital of Xintai;4.the second affiliated hospital of shandong first medical university

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    摘要:

    摘要:[目的]将人工蚕丝韧带与骨髓间充质干细胞(BMSCs)制成复合生物材料,重建兔前交叉韧带(ACL),研究其在膝关节内修复ACL的疗效。[方法]新西兰大白兔36只,随机分为2组(实验组和对照组),分别去除其右侧前交叉韧带。在实验组中,用复合材料重建ACL,在对照组中仅用蚕丝韧带重建ACL。分别于术后4w、8w、12w解剖膝关节,观察内植物形态变化、内植物HE染色切片及内植物与骨界面演变。[结果]蚕丝韧带交联后呈蜂窝状,增大了蚕丝纤维的表面积,有利于BMSCs的贴壁生长。术后4w、8w、12w实验组成纤维细胞及骨界面软骨细胞增殖活跃度明显高于对照组,在术后12w形态已类似正常ACL,表面有血管贯通,切片后HE染色可见大量致密纤维结缔组织。实验组与对照组在成纤维细胞增生数目的差异有统计学意义(P<0.05)。[结论] BMSCs在膝关节微环境中可以向成纤维细胞转化,利于软骨生长,增强韧带-骨的愈合强度,促进人工蚕丝韧带中弹性纤维及血管的再生,促进韧带的修复。

    Abstract:

    Abstract: [Objective] To discuss the effect of composite biomaterials reconstructed anterior cruciate ligament (ACL) of the rabbit.[Method] Divided rabbits(36) into 2 groups randomly.In experimental group, reconstructed ACL using composite biomaterials,only used silk ligament to reconstruct ACL in control group.Opened the knee joint respectively at postoperative 4w,8w and 12w, planted observation of morphological period, HE dyeing and conversion between bone and biomaterials.[Result] After crosslinking, silk ligament’s surface becomed rough like the honeycomb,increasing the surface area.At postoperative 4w,8w and 12w,the proliferation activity of fibroblasts and chondrocytes was higher than the control group.The biomaterials form was similar to normal ACL at 12w, which had blood vessels growing,and HE dyeing pathological showed a large number of fibroblasts.Control group were gradually covered by collagen membrane.Postoperative, the two groups was statistically significant in the number of fibroblasts hyperplasia (P < 0.05). [Conclusion] BMSCs in the microenvironment of knee joint can promote fibroblast, promote the growth of cartilage, strengthen the healing between ligaments and bone,promoted the regeneration of fibers and blood vessels, and promoted the ligament repair.

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  • 收稿日期:2020-03-27
  • 最后修改日期:2020-04-26
  • 录用日期:2020-05-28
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