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EXPERIMENTAL KEMİK DEFEKTLERİNİN İYİLEŞMESİNDE REKOMBİNANT Bİ YO SENTETİK GROWTH HORMON TEDAVİSİNİN VE OKTREOTİD ASETATIN ROLÜ

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Abstract (2. Language): 
thetic growth hormone is a synthetic hormone produced with recombinant DMA technique and having the same aminoacid arrangement with hypophysis growth hormone, secreted naturally. Octreotide Acetate is a long-acting somatostatin analogue, in addition to the inhibitor effect of growth hormone release, it is also effective on the whole endocrine, paracrine and otocrine glands. [ n this study, we aimed to investigate the effect of biosynthetic growth hormone on fracture fusion and defect healing. In our study, we have opened 3 mm-diamctcred cavity in right tibia of 36 matured rabbits under general anaesthesia and sutured skin, underskin and pcriost. Then, th4 rabbits were divided into three equal groups. From the beginning of operation for 20 days. 0.08 biosynthetic growth hormone was injected for the first group. 5 microgram/kg octreotide; acetate was injected for the second group, and serum physiologic in the same volumes was injected for the third group. On the 20L^ day, rabbits nere sacrificd, and defective regions were extracted. Kruskal- Wallis statistic test was applied to the data obtained in the result of histopathologic survcry ol specimens. In conclusion, when sponginoz bone formation, bone marrow and the formation of cortex and bone welding were taken up totally, it was found out that there was statistical significance among three groups. While the fastest recovering is seen in the group administered growth hormone, the slowest recovering is seen in the group administered octreotide.
Abstract (Original Language): 
İJiyûScîîttîik bii\UîTjC hüiTTiüIii] Lubü GuLflik salgılanan htpofiz büyüme hormonu ile aynı aminoasit dizilişine sahip, rekombinant DNA teknolojisi ile üretilen sentetik bir hormondur. Oktrcotid asetat ist uzun etkili, somatostatin analogu olup, büyüme hormonu sal mimini inhibe etmesinin vamsıra, tüm endokrin, parakrin ve otokrin bezlerde de clkil idir. Bu çalışmada biyosentetik büyüme hormonunun kırık kaynamasına vc del eki iyileşmesine olan etkisini İncelemeyi amaçiadık. Çalışmamızda 36 adetınatür tavşanın sağ LibiaEanna genel urı es tezi altında 3 mm çapında kaviteler açılarak, cilt, cilt altı ve periost sütürc edildi. Daha sonra tavşanlar 3 eşit gruba ayrılarak operasyon gününden itibaren 2Q gün süreyle; 1. gruba : 0.08 mg/ kg biyosentetik büyüme hormonu. 2- gruba : 5 rntkrogram/ kg oktreotid asetat 3 gruba • Aynı hacimlerde sertim fizyolojik enjeksiyonları yapıldı Tavşanlar 20. günde sak ri fiye edilerek defekt bölgeleri çıkarıldı. Spcsmenlerin histopatolojik olarak incelenmesi neticesinde elde edilen verilere Kruskal- Wallis istatistik testi uygulandı. Sonuçta: kemik kaynaması, üpongioz kemik formasyonu, kemik iliği vc korteksin oluşumu total olarak ele alındığında 3 grup arasında istalisLiksel anlamlılık görülmüştür. Büyüme hormonu verilen grupta en hızlı iyileşme görülürken en yavaş iyileşmenin oktrcotid verilen grupta olduğu
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