摘要:
Objective To investigate the effect of exogenous vascular endothelial growth factor (VEGF) on bone activity of rabbit heterotopic allograft decalcified bone.Methods 140 adult healthy China white rabbits were selected,no limitation with sex,20 rabbits as the donor preparation of allogenic decalcified bone,according to the random number table,the rest was divided into the experimental group (allograft decalcified bone ± VEGF) and the control group (Allograft decalcified bone),each group contained 60 rabbits.For the experimental group,the prepared 1.5 cm long homologous decalcified tibia was placed in rabbit right thigh of rectus femoris and vastus medialis muscle gap near by saphenous artery,and fixed on the femur with two 0.8 mm Kirschner wire.In the vicinity of the skin,implanted an osmotic pump which contain the VEGF solution 200 μl with concentration was 0.5 μg/ml.In the control group,implanted the isometric allograft decalcified bone in rabbit right thigh corresponding parts with the same method.Each group respectively at 0,2,4,6,8,10 weeks to death 10 white rabbits,By specimen observation,HE dyeing observation and detection of type Ⅰ glue protein fluorescence intensity,Analysis the bone activation degree of two groups of bone allograft decalcified.Results Experimental allograft decalcified bone gradually wrapped by connective tissue membrane,its surface appear different size of the pits and gradually increased and become deep,while the control group pits relatively little and shallow.In the experimental group and control group,the fluorescence intensity of type Ⅰ collagen reached its peak respectively at 8 weeks (47.57 ±3.50) and 10 weeks (45.07±6.02),with no statistically significant (P > 0.05).Conclusion Rabbit allograft decalcified bone implanted in the muscle clearance with abundant blood supply can be transformed into activated bone after 10 weeks,and after applying exogenous VEGF,allograft decalcified bone can be transformed into activated bone after 8 weeks,the bone activation process obviously speed up.The reaults confirmed the exogenous VEGF can obviously promote the ectopic rabbit bone allograft decalcified bone activation process.%目的 探讨外源性血管内皮生长因子(VEGF)对异位兔同种异体脱钙骨骨活性的影响.方法 选用成年中国白兔140只,雌雄不限,取20只作为供体制备同种异体脱钙骨,其余按随机数字表分为实验组(同种异体脱钙骨加VEGF组)60只、对照组(同种异体脱钙骨组)60只.实验组将制备好的1.5 cm长同种异体脱钙胫骨段置于兔右大腿股直肌与股内侧肌间隙近隐动脉处,并用2根0.8 mm克氏针将其固定于股骨上,于其附近皮下植入一枚胶囊渗透压泵,泵内载有浓度为0.5 μg/ml的VEGF溶液200μl.对照组取等长同种异体脱钙骨同法置于兔右大腿相应部位.每组分别于术后0、2、4、8、10、12周处死10只白兔,通过大体标本观察、HE染色观察及I型胶蛋白荧光强度检测,分析判断两组同种异体脱钙骨骨活化程度.结果 实验组同种异体脱钙骨逐渐被结缔组织膜包裹,其表面出现大小不同的陷窝,并逐渐增多且加深,对照组陷窝相对少而浅.实验组和对照组的Ⅰ型胶原蛋白荧光强度分别在术后8周(47.57±3.50)、10周(45.07±6.02)达到峰值,两者差异无统计学意义(P>0.05).结论 兔同种异体脱钙骨异位于血运丰富的肌间隙内经过10周可转变为活化骨,而施加外源性VEGF后,同种异体脱钙骨8周便可转变为活化骨,骨活化进程明显加快.证实了外源性VEGF可明显促进异位兔同种异体脱钙骨骨活化进程.