纳米增韧HA-ZrO2生物陶瓷与骨缺损断面的结合性能观察

摘要

目的:观察纳米增韧HA-ZrO2生物陶瓷植入体与骨断面的结合情况.方法:12只健康成年新西兰大白兔,双侧下颌骨制备洞穿性骨缺损,一侧植入纳米增韧HA-ZrO2生物陶瓷,对侧植入HA(羟基磷灰石)材料,4、8、12周时取材,进行X线摄片观察、材料顶出实验、硬组织切片,比较观察2组骨与材料界面结合情况.结果:X线片和硬组织切片观察结果显示4、8周时HA-ZrO2、HA和骨断面结合不良,12周时发现两种材料均和骨断面结合良好,少部分区域有纤维组织包绕.4、8、12周纳米增韧HA-ZrO2组抗剪切强度分别为(2.36±1.04)、(10.65±1.48)和(30.95±3.67)MPa,不同时间段的组内差异有统计学意义;4、8、12周HA组抗剪切强度分别为(2.27±1.12)、(12.33±1.57)和(31.05±3.44)MPa,不同时间段组内比较差异有统计学意义(P＜0.01);但同时间段的结果组间比较,差异无统计学意义(P＞0.05).结论:初步认为纳米增韧HA-ZrO2生物陶瓷和骨断面,可以取得与HA类似的较好结合,但是如何在尽量短的时间内使其与骨断面完全结合,还需要进一步的研究.%Objective:The purpose of the present study was to observe the combination of the interface between nanoHA-ZrO2 compound bioceramics and bone tissue.Methods:12 healthy adult New Zealand rabbits were used in the study.Nano-HA-ZrO2 compound bioceramics were placed in one side of the mandible.On the other side,HA were placed as control.Animals were sacrificed at 4、8、12 weeks after operation,histological sections and the interface shear strength were evaluated.X-ray examination were also performed to observe the interface between the bone,nano-HA-ZrO2,and HA bioceramics materials.Results:Hard tissue section and X-rays examination showed a good interface osseointegration appeared at 12 weeks in nano-HA-ZrO2 ceramic group,as well as in HA group.Fibrous tissue manifested in some areas of the interface.Incomplete osseointegration were shown in the interfaces at those 4-and 8-week animals.Interface shear strength of nano-HA-ZrO2 at 4-,8-,12-weeks was (2.36±1.04),(11.65±1.48) and(30.95±3.67)MPa respectively(P＜0.01).While those of HA's was (2.27±1.12),(12.33±1.57) and (31.05±3.44)MPa respectively(P＜0.01).Conclusion:This result demonstrates Nano-HA-ZrO2 compound bioceramics can be integrated into bone section.But how to accelerate integrating rate and acquire complete osseointegration as soon as possible,further studies are needed.