骨缺损范围可控ORNJ动物模型的建立
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甘肃省中医院口腔颌面外科 甘肃兰州 730050

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甘肃省科技计划


Establishment of a controllable ORNJ animal model with bone defect range
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Department of stomatology in Gansu Provincial Hospital of Traditional Chinese Medicine

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Gansu Province Science and Technology Plan

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    摘要:

    目的:以颌骨放射性骨坏死(ORNJ)新的诊断标准为依据,建立一种可控骨缺损范围的,具有早期、轻型ORNJ特征的动物模型。方法:应用电子直线加速器单次高剂量照射的方法,根据照射剂量分为a组对照组,b组12Gy组,c组14Gy组,每组随机分配新西兰大白兔6只,b、c两组统一选择右侧下颌骨部位进修放疗照射,1周后所有动物于右侧下颌角处制备直径5mm,深1mm标准骨缺损。4周后处死,进行大体观察;下颌骨标本CBCT扫描及HU值对比;H-E染色组织学观察;Trap染色组织学观察及破骨细胞计数对比。试验结果应用SPSS23.0软件进行统计学分析。结果:造骨缺损4周后b组、c组术区软组织轻度肿胀,皮肤发紫,口腔粘膜可观察到糜烂破溃,c组更为显著;CBCT检查提示b、c两组照射部位骨皮质毛糙,c组骨皮质连续性欠佳,骨缺损范围各组均未观察到明显变化。HU值对比提示b、c两组较a组显著减小;H-E染色组织学观察提示b、c两组骨连续性变差,可见大量纤维组织增生,无细胞空白骨陷窝增多,并能观察到炎细胞浸润;Trap染色破骨细胞计数提示c组破骨细胞较a组显著增多。结论:应用电子直线加速器,选取新西兰大白兔,对下颌角部位进行14Gy单次照射,照射部位制造规格一致骨缺损,4周后可以建立符合ORNJ早期诊断标准,并且骨缺损范围、程度一致性可控的动物模型。

    Abstract:

    Objective: Based on the new diagnostic criteria for osteoradionecrosis of jaws (ORNJ), to establish an animal model with controllable bone defect range and early and mild ORNJ characteristics. Method: The method of single high-dose irradiation using an electron linear accelerator was applied. According to the irradiation dose, the animals were divided into group a as control group, group b as 12Gy group, and group c as 14Gy group. Six New Zealand white rabbits were randomly assigned to each group. Group b and group c were uniformly selected for further radiotherapy in the right mandibular area. After one week, all animals were prepared with a standard bone defect with a diameter of 5mm and a depth of 1mm at the right mandibular angle. Execute after 4 weeks and conduct a general observation; Comparison of CBCT scan and HU values of mandibular specimens; H-E staining histological observation; Observation of Trap staining histology and comparison of osteoclast counts. The experimental results were statistically analyzed using SPSS23.0 software. Result: Four weeks after the bone defect was created, the soft tissue in the surgical area of group b and group c showed mild swelling, the skin turned purple, and erosion and ulceration of the oral mucosa were observed, with group c showing more significant changes; CBCT examination showed that the cortical bone of the irradiated areas in groups b and c was rough, while the cortical bone of group c had poor continuity. No significant changes were observed in the extent of bone defects in each group. The comparison of HU values suggests that groups b and c have significantly decreased compared to group a; H-E staining histological observation suggests that the bone continuity of groups b and c has deteriorated, with a large amount of fibrous tissue proliferation, an increase in blank bone pits without cells, and infiltration of inflammatory cells; Trap staining revealed a significant increase in osteoclasts in group c compared to group a. Conclusion: By using an electron linear accelerator and selecting New Zealand white rabbits, a single 14 Gy irradiation was applied to the mandibular angle area to create bone defects with consistent specifications. After 4 weeks, an animal model that meets the early diagnostic criteria of ORNJ and has controllable consistency in the range and degree of bone defects can be established.

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  • 收稿日期:2024-09-18
  • 最后修改日期:2024-12-25
  • 录用日期:2025-02-19
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