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论文摘要

下颌牵张成骨术对咀嚼肌影响的组织形态学及酶组织化学的实验研究

A Histomorphologic and Enzyme Histochemical Study of Masticatory Muscles Affected by Distraction Osteogenesis of Mandible

作者:肖文林,尚伟,李薇,纪祥瑞

Author:Xiao Wenlin, Shang Wei,Li Wei, et al

收稿日期:2002-10-25          年卷(期)页码:2002,20(05):333-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:牵张成骨术,下颌骨,咀嚼肌,酶组织化学,

Key words:distraction osteogenesis,mandible,masticatory muscles,enzyme histochemistry,

基金项目:

中文摘要

目的:研究下颌牵张成骨对咀嚼肌的影响。方法:3组共6只狗的左侧下颌骨进行了时间不等的牵张后,切取咀嚼肌标本进行HE染色及酶组织化学染色,光镜观察其组织形态学改变并结合图像分析仪(VIDAS)分析酶含量变化。结果:¹嚼肌表现为持续萎缩,而二腹肌表现为组织形态的萎缩、肥大至正常的再构建过程。º咀嚼肌酶含量的改变与其组织形态学改变相适应。结论:与牵张方向相同的二腹肌,通过组织形态改建适应牵张,酶含量由减少到增高再趋于正常;与牵张方向不同的嚼肌,出现持续萎缩,酶含量持续减少,代谢降低。

英文摘要

Objective:The purpose of this study was to study the masticatory muscles affected by distraction osteogenesis of the mandible.Methods:The distraction osteogenesis (DO) was applied to distract the leftmandible of 6 mongrel dogs thatwere divid- ed into three experimental groups. After different distraction phase and consolidation phase, the masseter and the digastric muscle were taken out. The specimenswere stained using hematoxylin/eosin and enzyme histochemistry. Afterwards, the specimenswere observed with a light microscope to study the morphologic changes of the muscles. The contents of enzyme in the different groups were measured by VIDAS.Results:The masseter showed consequently atrophy, but the digastric muscle showed a progress of his- tomorphologic reconstruction, including atrophy and hypertrophy. The changes of the contents of enzyme and histomorphology were identical in the masticatory muscles.Conclusion:The digastric muscle parallel to the vector of mandibular distraction adapts the distraction by the way of atrophy, regeneration and hypertrophy. And the contents of enzyme appear to decrease at the beginning, increase afterwards, and return to the normal level finally. But the masseter perpendicular to the vector of mandibular distraction shows consequent atrophy, and the contents of enzyme consequently decrease, which means the metabolism decrease.

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