两种卵巢切除术式建立大鼠骨质疏松模型的优势比较

Comparison of advantages of two kinds of ovarian resection in establishing osteoporosis model in rats

  • 摘要: 目的 对比两种卵巢切除术式建立大鼠骨质疏松模型的便捷性及安全性。 方法 40只3月龄雌性SD大鼠随机均分为2组,背侧部双切口手术组(OVX 1,n=20)、腹部正中切口手术组(OVX 2,n=20)分别进行相对应卵巢切除术,对比两种术式手术用时、出血量、术后并发症及骨密度(bone mineral density,BMD)情况。 结果 OVX 1组与OVX 2组手术平均时间分别为(26.35±7.55) min和(30.95±6.39) min,OVX 1组较OVX 2组手术时间短(P< 0.05)。OVX 1组与OVX 2组平均出血量分别为(1.81±0.81) g和(1.82±0.77) g,差异无统计学意义(P> 0.05)。OVX 1组与OVX 2组术者操作成长曲线(大鼠数量-手术时间,大鼠数量-手术出血量)均呈现负性相关(r=-0.846 8,P=0.000,r=-0.788 2,P=0.000;r=-0.903 4,P=0.000,r=-0.891 2,P=0.000)。OVX 2组1例术后切口开裂感染,两组大鼠均未出现死亡情况,OVX 1组术前与术后3个月第5腰椎平均骨密度分别为(0.376±0.021) g/cm2和(0.264±0.026) g/cm2,OVX 2组为(0.371±0.016) g/cm2和(0.275±0.019) g/cm2,BMD均明显降低(P< 0.05)。3个月后两组大鼠剖腹探查发现,OVX 1组无腹腔粘连,OVX 2组腹腔粘连严重。 结论 背侧部双切口卵巢切除术建立大鼠骨质疏松模型操作更为简便、手术用时少、安全性高。

     

    Abstract: Objective To compare the simplicity and safety of two operative methods in inducing osteoporosis in rats. Methods Forty 3-month old female SD rats were divided into two groups randomly:OVX 1 group (n=20) and OVX 2 group (n=20). In the first group, ovariectomy was a double dorsal-lateral incision. In the second group, ovariectomy was a midline abdominal incision. Surgical operation time, blood loss, postoperative complications and BMD were compared between two groups. Results The average operation time of OVX 1 group was significantly shorter than that of OVX 2 group (26.35±7.55 min vs 30.95±6.39 min, P< 0.05). The average blood loss of OVX 1 group and OVX 2 group was 1.81±0.81 g and 1.82±0.77 g, respectively, with no significant difference (P> 0.05). The level of surgery time and blood loss were negative correlated with the number of rats in OVX 1 and OVX 2 group (r=-0.846 8, P=0.000, r=-0.788 2, P=0.000; r=-0.903 4, P=0.000, r=-0.891 2, P=0.000). One case in OVX 2 group had complication of incision infection. No rats died in two groups. All rats had undergone Dual X-ray Absorptiometry (DXA) Measurement before and three months after operation. The bone mineral density (BMD) of the fifth lumbar was 0.376±0.021 g/cm2before operation and 0.264±0.026 g/cm2three months after operation in OVX 1 group, and 0.371±0.016 g/cm2and 0.275±0.019 g/cm2in OVX 2 group, which were significantly reduced (P< 0.05). Rats in OVX 2 group had severe abdominal cavity adhesion after three month. Conclusion The double dorsal-lateral incision of ovariectomization is technically easier, less time consuming and more safety in establishing the rat model of osteoporosis.

     

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