猪骨-rhBMP-2复合重组人工骨的研制及临床应用研究
摘要点击次数: 2227   全文下载次数: 1268   投稿时间:2000-10-17  修订日期:2001-01-10  
作者Author单位AddressE-Mail
李万民 LI Wan-min 濉溪县医院,安徽濉溪235100 Suixi Hospital Anhui Suixi,235100  
赵明 ZHAO Ming 中国军事医学科学院基础医学研究所  
徐杰 XU Jie 濉溪县医院,安徽濉溪235100 Suixi Hospital Anhui Suixi,235100  
刘农乐 中国军事医学科学院基础医学研究所  
周丙怀 濉溪县医院,安徽濉溪235100 Suixi Hospital Anhui Suixi,235100  
王会信 中国军事医学科学院基础医学研究所  
马立志 濉溪县医院,安徽濉溪235100 Suixi Hospital Anhui Suixi,235100  
赵怀川 濉溪县医院,安徽濉溪235100 Suixi Hospital Anhui Suixi,235100  
苏维成 濉溪县医院,安徽濉溪235100 Suixi Hospital Anhui Suixi,235100  
期刊信息:《中国骨伤》2001年,第14卷,第12期,第719-721页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的:选择猪骨作为rhBMP2的载体,经去抗原处理,复合重组人工骨,观察该种人工骨临床应用骨缺损修复,促进骨折愈合及诱导成骨的能力。

方法:选择猪骨经透析冻干法脱脂、脱蛋白及部分脱钙处理后与成品rhBMP2按一定比例组成具有生物活性的猪骨-rhBMP2复合人工骨,先行动物模型实验,随后以自愿随机的原则,临床应用32例,术后1,4,8,12周进行X线检查,观察临床表现,功能恢复情况。

结果:临床32例,34块骨,35处植入。随访31例,随访率96.7%,最长24个月,最短3个月;骨的愈合及缺损修复满意,临床无不良反应。

结论:经透析冻干法处理的猪骨能成为rhBMP2的理想载体,与rhBMP2复合后具有良好的成骨诱导活性,无免疫排斥反应,具有广泛的临床应用前景。
【关键词】骨移植  移植,异种  基因
 
The preparation and clinical studies of artificial bone compounded and recombinated with pig bone rhBMP-2
ABSTRACT  

Objective:Pig bones eliminated of the antigens were used for rhBMP-2 carriers to compound and reconstruct artificial bones.The ability of this artificial bone in repairing bone defects,promoting fracture healing and inducing bone formation were observed

Methods: Pig bones with the fat separated albumen eliminated together with parts of calcium by means of dialysis lyophilization and then composed biology active artificial pig bones-rhBMP-2 with rhBMP-2 were composed in a certain proportion.The bones were applied in animal model experimental studies and then used clinically in 32 cases at random based on voluntary principle.Clinical manifestation and function recovery were observed by X-rays examination in 1,4,8 and 12 weeks after operation.

Results:32 cases of 34 bones with 35 insertion were used.96.7% of the 31 cases were followed up from 3~24 months.The bone repair and the patients recovery were satisfactory and there was no side reaction.

Conclusion: The processed pig bone is an ideal carriers of rhBMP-2 and has the action of inducing bone formation,without immunological rejection and it is of extensive prospects in clinical application.
KEY WORDS  Bone transplantation Transplantation  heterologous Genes
 
引用本文,请按以下格式著录参考文献:
中文格式:李万民,赵明,徐杰,刘农乐,周丙怀,王会信,马立志,赵怀川,苏维成.猪骨-rhBMP-2复合重组人工骨的研制及临床应用研究[J].中国骨伤,2001,14(12):719~721
英文格式:LI Wan-min,ZHAO Ming,XU Jie.The preparation and clinical studies of artificial bone compounded and recombinated with pig bone rhBMP-2[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(12):719~721
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