简介:客观:当在骨头织物工程(TE)和有钛蜂窝胃的公山羊的mandible的部分缺点的修理的脚手架增强了,调查使用自然poritos的可行性。方法:有在大约50%-65%的尺寸和孔的190-230μm的一个毛孔的自然poritos被塑造进小粒的形状5公里x5公里x在尺寸的5尼姑。扩展的自体同源的公山羊的髓间充质的干细胞被recombinant导致人的形态基因的protein-2(rhBMP2)到改进osteoblastic显型。然后,髓导出造骨细胞在4x10~7/ml的密度被播种进poritos并且在培植以前在vitro孵化了48个小时。然后,osteoblasticcells/poritos建筑群被植入进mandible的缺点,缺点被钛蜂窝胃增强。poritos的培植独自扮演了著名计算机生产厂商他控制。骨头新生被估计4,8,在用roentgenographicanalysis和组织学的观察的培植以后的16个星期在16个星期以后被做。结果:新骨头能是observedhistologically在表面上并且在在在cell-seedinggroup的所有标本的自然珊瑚的毛孔,而在控制组没有在构造的中心的成骨过程的证据。结果证明新骨头接枝16个星期成功地在培植以后被恢复。结论:当与髓移植的支架材料由TE方法导出造骨细胞,这研究建议使用多孔的珊瑚的可行性。借助于钛蜂窝胃加强,mandible的缺点能成功地被恢复。它显示出在诊所为骨头缺点的重建使用这个方法的潜力。
简介:Objective:ToinvestigatethedynamicsofplasmacAMP/Cgmpinpatientsduringcardiacsurgery,anditsrelationshiptotraumaticstress.Methods:Sixteenpatients,aged19.31years±10.4years,whounderwentanopenheartoperationwithcardiopulmonarybypass(CPB)andhypothermiawereservedassubjects.Thearterialplasmaconcentrationsofcyclicadenosinemonophosphate(Camp)andcyclicguanosinemonophosphate(Cgmp)weremeasuredbyradioimmunoassay2hoursbeforeoperation,afterheparinization,20minutesfollowingCPB,attheendoftheoperation,and24and72hourspostoperatively,respectively.Thepatients'preoperativebloodsampleswereheparinizedandthevenousbloodsamplesof30healthyblooddonorsweretakentomeasurethelevelsofCampandcGMPasheparinandnormalcontrolsseparately.Results:Therewerenostatisticaldifferenceamongtheheparincontrol,preoperativelevelandnormalcontrol.ThepeakvaluesofCampandCgmpoccurredduringCPBandplasmaCamplevelschangedsynchronouslywithintensitiesofoperativestimulustohumanbody.HowevercGMPlevelwasmainlyrelatedtotheoperativestimulustotheheartandCPB.TheCampvaluewaspositivelycorrelatedwiththeCgmpvalue(r=0.6313,P<0.001).Conclusions:Dynamicvariationofplasmacyclicribonucleotidecanbeconsideredasareferenceparameterforintensityoftraumaticstress.
简介:Objective:Toobservetheeffectsofthermalstressonproliferationofhumanvascularendothelialcells(VECs)andexploreitssignificance.Methods:ChangesofVECsproliferationwereinvestigatedwith3H-TdRincorporationmethodafterECV304wastreatedat43℃for2hours,whileexpressionsofintercellularadhesionmolecule-1(ICAM-1),inhibitorofdifferentiation-1(ID1),andP16andP21proteinsweredeterminedbyWesternBlotting.Results:TheeffectofinhibitionofVECsgrowthafterthermalstresswasdetectedby3H-TdRincorporationexperiment.WesternblottingshowedICAM-1,amarkerofactivatedendothelialcells,wasincreasedmarkedlyafterthermalstress.ExpressionofID1proteindeclinedgraduallywithincreasingexpressionsofitsdownstreamgenes,P16andP21followingthethermalstress.Conclusions:ThermalstresscouldstronglyactivateVECsandinhibitproliferationofVECsthroughID1,thusdownregulatingcyclin-dependentkinaseinhibitors,P16andP21,whichmightbeanessentialpathwayforrecoveryofVECsafterthermalstress.
简介:Objective:Toprovideanewmethodtoestimatetheeffectivenessofthoracolumbarvertebralfiniteelementmodel.Methods:amechanicalmodelofhumanthoracolumbarvertebraemotionsegmentwasmadeusingthree-dimensionalfiniteelementmethodandthestressdistributionofverticallycompressedthoracolumbarvertebraewasanalyzed,meanwhile,20patientswithburstfractureofthoracolumbarvertebraeweretestedbyCTtocalculatedaverageCTvalueatascertaineddifferentpointsofthoracolumbarvertebrae.Thecalculatedresultsandeffectivestressatthesamepositionwereanalyzedwithstraightlinecorrelation.Results:ThestresslevelofdifferentpositionofthoracolumbarvertebraeunderverticalcompressiveforcewaspositivelycorrelatedwiththecorrelativeCTvalue,andtheregressivestyle,Y-214.028±45.268x,r=0.7386,P<0.05(N=8)showedastatisticalsignificance.Conclusions:Tostudymechanismofthoracolumbarvertebraeinjuriesunderdifferentforceshasclinicalsignificance.
简介:Objective:Tostudythechangeofthestressshieldingrateofstress-relaxationplateinvivoanditsinfluenceonfracturehealing.Methods:Thediaphysesofbilateraltibiasin70NewZealandrabbitswereosteotomizedandfixedwithstressrelaxationplates(SRP,theSRPgroup)andrigidplates(RP,theRPgroup),respectively.Thefracturehealingprocessinthese2groupswasinvestigatedbyradiography,lightandpolarizedlightmicroscopyandbiomechanicaltestat2to48weekspostoperatively.Results:Earlyafterfixationthestressshieldingratewasabout70%inbothgroups.WhileintheSRPgroupthestressshieldingratedecreasedgraduallyastimepassed,whyichwassignificantlylowerthanthatoftheRPgroup(P<0.05)bytheendofthe8thpostoperativeweek,andstabilizedatthelevelofabout27%at36-48weeksafterfixation.AbundantexternalcallusassociatedwiththeformationofcartilaginouscalluscouldbeobservedintheSRPgroupat2-4weekspostoperatively.Thetransformationofthecallusintothelamellarbonebeganat8-12weeks,thecollagengraduallyarrangedinorder,andthemechanicalnatureoftheunitedbonewasgraduallystrengthened,too.IntheRPgroup,theexternalcalluswasscarceattheearlystageoffracturehealing,andthecallusremodelingatthelatestageoffracturehealingwasdominatedbyboneabsorption.Theultimatebendingstrength(UBS)wasonly57.95%ofthatofthenormalby48weeks.Conclusions:ThedecreaseofthestressshieldingrateofSRPinvivowaswellinterrelatedwiththetimeoffixation.TheapplicationofSRPcouldpromotethecallusformationandbonereconstructionthustofavortherecoveryofthemechanicalstrengthoftheunitedbone.
简介:Objective:Tostudytheinfluenceofstress-relaxationplateondisorganizationandrepairofthecortexbeneaththeplate.Methods:Awashermadeofviscoelasticpolyethylenewasplacedbetweenthescrewandthescrewholeofconventionalstainlessrigidplate(RP)toproduceastressrelaxationplate(SRP).BothSRPandRPwereappliedtoosteotomizedtibiain48NewZealandrabbits.HealingprocessofthefracturewitheitherSRPorRPfixation(control)wascomparativelystudiedwithpolarizedlightmicroscopy,insituhybridizationofcollagenmRNAandimmunohistochemicaltechniquefrom2to36weekspostoperatively.Results:ThestudyofplatedboneremodelingshowedthatthedegreeofcortexosteoporosisbeneaththeplatewassimilarbetweentheSRPandRPgroupwithin12weekspostoperatively.Incomparison,thedisorganizationofbonestructureinSRPgrouphappenedlaterandmilderthanthatofRPgroup,andtherepairprocessbeganat12weeksafterimplantation.Asaconsequence,theabsorptioncavitiesbecamesmallerandthestructureofcollagenfibersbecamewellorientedalongwiththesechangesbypolarizedlightmicroscopy.Inadditiontothese,theinsituhybridizationanalysisofcollagengenesandtheimmunohistochemicalstudyoftypeI,Ⅲcollagenat8to12weeksafterimplantation.fromthistimeon,thechangesabovebecamemoreevidentsignificantlybeforemostofcavitieswererepairedby36weeks.IncontrasttothechangesintheSRPgroup,noexpressionandsynthesisofanykindofcollagencouldbeobservedduring12to36weeksafterimplantationinRPgroup.Conclusions:Withoutremovaloftheboneplate,theSRPfixationnotonlyreducesthedegreeofplatedboneosteoporosis,butalsomakesthedisorganizedbonestructurerestoredtonormalintermsoftheexpressionandsynthesisoftypeIcollagenmRNAofosteoblastslyingonthesurfaceofabsorptioncavities.