目的观察自行研制合成的骨形成蛋白2(BMP2)活性多肽与Ⅰ型胶原复合煅烧骨复合材料修复骨缺损的作用。方法实验分3组。A组:单纯煅烧骨组;B组:含Ⅰ型胶原的煅烧骨组;C组:BMP2活性多肽与Ⅰ型胶原复合煅烧骨组。3组材料植入前分别电镜扫描观察。取大白兔36只,随机分成3组,建立桡骨中段10mm骨缺损模型,分别将材料植入兔桡骨缺损处,术后4、8、12周行X线评分,8、12周行组织形态学观察与评分,比较各组植入材料的成骨作用以及取材后抗折强度。结果36只大白兔均进入结果分析,(1)复合材料电镜扫描结果:孔隙率高,复合结构紧密;(2)术后不同时间X线评分示C组与A组和B组差异有统计学意义(P〈0.05);(3)组织学观察,8周时评分为:A组4.67±0.52、B组5.33±0.52、C组6.83±0.41。12周评分为:A组评分为6.17±0.41、B组为7.33±0.52、C组为8.67±0.52;(4)各组植人材料抗折强度的测定:术后12周,C组材料抗折强度明显高于A组和B组。结论单纯煅烧骨及复合材料组均有修复骨缺损的能力,但以复合BMP2活性多肽的含Ⅰ型胶原的煅烧骨较为理想。
Objective To observe the repair of bone defect with sintered bovine cancellous bone complexed with synthetized BMP2-derived peptide and collagen I. Methods Rabbits were divided into 3 groups. Sintered bovine bone was implanted in group A. Sintered bovine bone eomplexed with collagen I was implanted in group B. Sintered bovine bone complexed with BMP2-derived peptide/collagen I was im- planted in group C. Before implantation, the materials were observed under the environmental scanning electron microscopy (ESEM). Thirty-six rabbits were gained to establish models of 10-mm middle radius bone defects and divided into 3 groups with 12 in each group. Postoperatively, the formed new bone was compared among the three implants at the 4th,8th, 12th week by X ray score, and at the 8th, 12th week by histological score. The bend intensity of implanted materials at the 12th week were tested,respectively. Results Thirty-six rabbits were all involved in the result analysis. ( 1 ) ESEM revealed that the porosity of compound materials was high with close compound. (2) At different postoperative time points, the X ray scores on the group C were significantly greater than in groups A and B ( P 〈 0.05 ). (3) The histological scores at the 4th and 8th week on the group C were 6.83 ± 0.41 abnd 8.67 ± 0.52 respectively, significantly higher than in both group A (4.67 ± 0.52,6.17±0.41 ) and group B (5.33 ± 0. 52,7.33 ±0.52) respectively (P 〈 0.05 ). (4) The bend intensity of implanted materials in group C at the 12th week after operation was higher significantly than that in groups A and B. Conclusion Sintered bovine cancellous bone and its compound materials can repair the bone defect, but the sintered bovine bone complexed with BMP2-derived peptide/collagen I is the most ideal.