江苏医药文献:关节软骨缺损的修复

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江苏医药
JIANGSU MEDICAL JOURNAL
2007 Vol.33 No.5 P.511-512
关节软骨缺损的修复
顾强荣 
王黎明 
摘 要:由创伤或各种骨关节疾病造成的关节软骨损伤在临床上较为常见.由于其自身修复能力很差,关节软骨一旦损伤将很难修复.长期以来临床上用来治疗关节软骨损伤的方法较多,主要包括:软骨下骨钻孔技术、截骨术、骨软骨移植、软骨移植、骨膜移植、骨髓细胞移植,疗效多不令人满意.近年来随着组织工程学的发展,新的载体材料的出现,软骨工程学应运而生,为软骨细胞的移植提供了更好的方法与手段,为成功治愈关节软骨缺损带来了新的希望.
文章编号:0253-2685(2007)05-0511-02
作者单位:顾强荣(210006,南京医科大学附属南京第一医院骨科) 
     王黎明(210006,南京医科大学附属南京第一医院骨科) 
参考文献:
[1]DePalma AF,McKeever CD,Subin DK.Process of repair of articular cartilage demonstrated by histology and autoradiography with tritated thymidine[J].Clinical Orthopaedics and Related Research,1966,48:229-242.
[2]葛志强,冯传汉,吕厚山,等.不同孔径钻孔术对兔关节软骨缺损修复的影响[J].中华创伤杂志,1997,13(2):93-95.
[3]葛志强,冯传汉,吕厚山,等.孔数不同的软骨下骨钻孔术对兔软骨缺损修复的影响[J].中华骨科杂志,1997,17(6):389-391.
[4]董启榕,郑祖根.自体镶嵌式骨软骨移植修复膝关节软骨缺损[J].中华创伤杂志,2003,19(8):461-462.
[5]Carter TR.Osteochondral allografts[J].Techniques in Knee Surgery,2005,4(1):2-11.
[6]Malinin TI,Mnaymneh W,Lo HK,et al.Cryopreservation of articular cartilage.Ultra stuctural observations and long-term results of experimental distal femoral transplantation[J].Clinical Orthopaedics and Related Research,1994,(303):18-32.
[7]O'Driscoll SW.Technical considerations in periosreal grafting for osteochondral injuries[J].Clin Sports Med,2001,20(2):379-402.
[8]楼跃,潘新华,唐凯,等.自体游离骨膜移植修复关节软骨大面积缺损的实验研究[J].江苏医药,2002,28(8):589-592.
[9]于至悌,张雪华,张书永,等.自体软骨膜、骨膜游离移植修复软骨缺损治疗骨性关节炎[J].临床骨科杂志,1998,1(1):13-16.
[10]王玉发,李庆霖,张巨,等.筋膜蒂骨膜移植修复关节软骨缺损的实验研究[J].中国微创外科杂志,1997,20(2):120-122.
[11]Johnstone,Yoo JU.Autologous mesenchymal progenitor cells in articular cartilage repair[J].Clinical Orthopaedics and Related Research,1999,367(Suppl):156-162.
[12]Yoo JU,Barthel TS,Nishimura K,et al.The chondrogenic potential of human bone-marrow-derived mesenchymal progenitor cells[J].J Bone Joint Surg,1998,80(12):1745-1757.
[13]徐建强,杨庆铭,邓廉夫,等.诱导后自体骨髓基质细胞移植修复兔关节软骨缺损[J].中华骨科杂志,2001,21(3):179-183.
[14]Breinan HA,Minas T,Hsu HP,et al.Effect of cultured autologous chondrocytes on repair of chondral defects in a canine model[J].J Bone Joint Surg,1997,79(10):1439-1451.
[15]许鹏,郭雄.培养自体软骨细胞移植修复软骨缺损的分子生物学基础[J].中华创伤杂志,1999,15(Suppl):104-106.