射频对膝关节软骨损伤模型中软骨细胞活性影响的实验研究
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摘要
目的:探讨射频对膝关节软骨损伤模型中软骨细胞活性影响的实验研究。方法:以牛膝关节软骨退变模型为研究对象,模拟膝关节镜环境,射频消融气化仪分别设置15W、40W、70W能量下对牛膝关节退变软骨处理1min,同时设置对照组,共4组,每组6份标本,对软骨组织进行培养,观察HE染色、FDA/PI双荧光染色、GAG释出率情况。结果:对照组空泡率为18.69%、死亡率为17.89%,与15W时的28.35%、44.39%比较差异无统计学意义(P>0.05);40W时空泡率为56.25、70W时为66.27%,死亡率均为100%,与对照组比较差异均具有统计学意义(P<0.05);第1、2天对照组与能力15W时GAG释出率比较差异无统计学意义(P>0.05),能力为40W、70W时GAG释出率均明显低于对照组,差异显著(P<0.05),第3天时各组GAG释出率比较差异无统计学意义(P>0.05)。结论:射频消融能量的增加可明显增加软骨细胞的死亡率,加重软骨基质的损伤;射频消融能量的大小与关节软骨细胞、基质的损伤为正相关关系。
Objective:To investigate the effect of radiofrequency on the activity of chondrocytes in articular cartilage injury model.Methods:Bovine knee articular cartilage degeneration model as the research object,the simulation environment of knee arthroscopy,radiofrequency ablation,40 W 15W gasification system were set up,70 W energy of Achyranthes articular cartilage 1min treatment,while control group,a total of 4 groups,each group of 6 specimens of cartilage tissue were cultured by HE staining and FDA/PI double staining,fluorescence the release rate of GAG.Results:The control group of cavitation rate was 18.69%,the mortality rate was 17.89%,no statistical significance compared with 15 W 28.35%,44.39%difference(P>0.05);40W space-time foam rate was56.25,70 W was 66.27%,the mortality rate was 100%,compared with the control group were statistically significant(P<0.05);first,2 the control group and the ability of 15 W day when the release rate of GAG had no significant difference(P>0.05),40 W 70W,GAG capacity release rate was significantly lower than the control group,the difference was significant(P<0.05),the release rate of GAG was no statistically significant difference between the third day(P>0.05).Conclusions:The increase of radiofrequency ablation energy can significantly increase the mortality rate of chondrocytes and aggravate the damage of cartilage matrix.The energy of radiofrequency ablation is positively correlated with the injury of articular cartilage cells and matrix.
引文
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