首页|超声微弧氧化、聚乳酸羟基乙酸共聚物复合涂层多孔镁材料对修复大兔颌骨缺损模型效果影响

超声微弧氧化、聚乳酸羟基乙酸共聚物复合涂层多孔镁材料对修复大兔颌骨缺损模型效果影响

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目的 探讨超声微弧氧化(MAO)、聚乳酸羟基乙酸共聚物(PLGA)复合涂层多孔镁材料对修复大兔颌骨缺损模型效果的影响。方法 选取18 只健康的雄性新西兰大白兔为研究对象,将其随机分为3 组,每组各6 只。多孔镁柱形材料用超声MAO和PLGA溶液浸泡后得到新型多孔镁材料。将新型多孔镁材料(Mg-MAO-PLGA组)、传统MAO多孔镁柱(Mg-MAO组)分别植入大兔颌骨骨缺损区域,同时设置大兔颌骨骨缺损自愈组(对照组)。在第2、4、8 周后取材,应用扫描电子显微镜、能谱分析、苏木精-伊红(HE)染色及骨形态发生蛋白(BMP)-2 免疫组化分析不同材料植入后的材料变化及骨缺损区域愈合变化情况。结果 Mg-MAO组处理后表面形成均匀管阵列结构,而Mg-MAO-PLGA组孔隙结构被涂层遮盖。手术后,锥形束CT显示植入物位置良好。Mg-MAO-PLGA组植入物界面清晰连续且边界区域面积比Mg-MAO组小。Mg-MAO-PLGA组边界区域的Ca、P信号强于同时间点的Mg-MAO组,即新骨生成更为活跃。Mg-MAO-PLGA组新生骨组织密度高,且BMP-2阳性表达率高于Mg-MAO组和对照组。结论 经过超声MAO和PLGA复合涂层处理的多孔镁材料可以有效减缓生物体内的反应速率,且有助于骨缺损区域新骨生成。本材料在促进骨缺损愈合方面具有潜在的应用价值,有望为骨缺损愈合治疗提供新思路。
Effect of ultrasonic micro-arc oxidation and polylacticcoglycollic acid composite coating porous magnesium materials on re-pairing jaw defect model in large rabbits
Objective To investigate the effect of ultrasonic micro-arc oxidation(MAO)and polylacticcoglycollic acid(PLGA)compos-ite coating porous magnesium materials on repairing jaw defect model in large rabbits.Methods A total of 18 healthy male New Zeal-and white rabbits were randomly divided into 3 groups with 6 rabbits in each group.Porous magnesium cylindrical material was soaked in ultrasonic MAO and PLGA solution to obtain a new type of porous magnesium material.The new porous magnesium material(Mg-MAO-PLGA group)and the traditional MAO porous magnesium column(Mg-MAO group)were implanted into the jaw bone defect area of large rabbits,and the jaw bone defect self-healing group(control group)was set up.After 2,4 and 8 weeks,the material changes and the healing of bone defect were analyzed by scanning electron microscopy,energy spectrum analysis,hematoxylin-eosin(HE)staining and bone morphogenetic protein(BMP)-2 immunohistochemistry.Results The surface of Mg-MAO group formed a uniform tube array structure,while the pore structure of Mg-MAO-PLGA group was covered by coating.After surgery,cone-beam CT showed that the im-plant was in good position.The interface of the Mg-MAO-PLGA group was clear and continuous,and the boundary area was smaller than that of the Mg-MAO group.The Ca and P signals in the boundary region of Mg-MAO-PLGA group were stronger than those in Mg-MAO group at the same time point,that was,new bone formation was more active.The density of new bone tissue in Mg-MAO-PL-GA group was higher,and the positive expression rate of BMP-2 was higher than that in Mg-MAO group and control group.Conclusion The porous magnesium material treated with ultrasonic MAO and PLGA composite coating can effectively slow down the reaction rate in vivo and contribute to the formation of new bone in the bone defect area.This material has potential application value in promoting the healing of bone defects and is expected to provide a new idea for the healing treatment of bone defects.

Porous magnesiumUltrasonic micro-arc oxidationPolylacticcoglycollic acidDegradation behaviorBone defect

赵雪莹、张怡萱、曹灿、颜玲

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北部战区总医院 口腔内科,辽宁 沈阳 110016

中国医科大学,辽宁 沈阳 110001

多孔镁柱 超声微弧氧化 聚乳酸羟基乙酸共聚物 降解行为 骨缺损

辽宁省自然科学基金面上项目

2022-MS-043

2024

临床军医杂志
解放军沈阳军区卫生人员训练基地

临床军医杂志

CSTPCD
影响因子:0.465
ISSN:1671-3826
年,卷(期):2024.52(7)
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