骨骺損傷后預防骨橋形成的研究進展
首發時間:2018-10-30
摘要:骺板又名生長板,是連接骨骺與干骺端的層狀軟骨。骨骼縱向生長是骺板軟骨細胞增殖發育及軟骨內骨化的結果。骺板具有生長骨骼的功能,但也是骨骼生長發育過程中最薄弱環節,可因外傷、腫瘤、輻射、細菌感染等造成損傷。當骺板損傷后骨骺與干骺端的血管各自形成側支,并延伸至骺板缺損區相互吻合,形成纖維血管橋,最終導致骨橋形成。骨橋形成后可引起骺板部分或全部早閉,引起骨骼生長障礙或紊亂,導致肢體成角和(或)短縮畸形。臨床中兒童骺板損傷治療主要以預防骨橋形成為主,但效果不甚理想。本文圍繞骨骺損傷后骨橋形成的機制及預防骨橋形成的研究進展進行綜述。
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Advances in the Prevention of Bone Bridge Formation after Epiphyseal Injury
Abstract:The epiphyseal plate, also known as the growth plate, is the layered cartilage that connects the epiphyseal to the epiphyseal. The longitudinal growth of bone is the result of the growth of epiphyseal chondrocytes and endochondral ossification. The epiphyseal plate has the function of growing bone, but it is also the weakest link in the process of bone growth. It can cause damage due to trauma, tumor, radiation and bacterial infection. After the epiphyseal plate injury, vessels respectively form side branches which will extend to the epiphyseal defect area, forming the fiber vessel bridge, which eventually leads to the formation of the bone bridge. After the formation of the bone bridge, some or all of the epiphyseal plate may be closed early, resulting in bone growth disorder or disorder, which may result in limb angulation and/or shortening. The clinical treatment of epiphyseal plate injury in children is mainly to prevent the formation of bone bridge, but the effect is not ideal. This review focuses on the mechanism of bone bridge formation after epiphysis injury and the research progress of prevention of bone bridge formation.
Keywords: eiphyseal plate injury review bone bridge research progress?????
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骨骺損傷后預防骨橋形成的研究進展
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