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[有髓神经纤维再生的定量研究。II. 局部挤压或完全切断后再生神经纤维数量和大小的变化]

[Quantitative studies on the regeneration of myelinated nerve fibers. II. Variations of the number and size of regenerating nerve fibers after localized crushing or total section].

作者信息

Mira J C

出版信息

Arch Anat Microsc Morphol Exp. 1976;65(4):255-84.

PMID:1030937
Abstract
  1. The number and size of myelinated nerve fibers have been determined at standard levels, in the nerve to medial head of right and left gastrocnemius muscles of 112 rats in which the left sciatic nerve had suffered an experimental lesion according one of the following four modalities: localized crushing, total section followed or not by suture and resection of a nervous segment of about 1 cm. 2. In the nerve to medial head of right gastrocnemius muscle (contralateral nerve used as control), the number of myelinated fibers decreased in average to 10% after crushing, 5% or 4% after section followed or not by suture. However, an increase of 6% was observed after resection. The mean values of the mean diameters showed a decrease of 8% after crushing and 5% after section without suture. This value did not seem to be affected by section followed by immediate suture and after resection, it increased of 11%. On the whole, male rats appeared to be more sensitive than female to the effects of the operation. 3. The nerves of 12 rats have been observed from 15 to 334 days after resection of about 1 cm of sciatic nerve. The 20% of the regenerating myelinated nerve fibers which have succeeded to cross over such a distance had a distribution which remained unimodal; the diameter of the large fibres did not exceed 8 micronm. 4. 34 rats have been sacrificed from 15 to 715 days after sciatic nerve section which was not followed by suture. The number of myelinated nerve fibers became normal again during the 4th month and reached afterwards a mean value of 130%, with very marked variations. The nerve fibre distribution was most frequently unimodal, but may came bimodal one year after the operation in certain nerves. Their mean diameter never exceeded 60% of the normal. 5. The nerves of 34 rats have been examined from 15 to 720 days after section and immediate suture. The number of myelinated nerve fibers returned to normal during the second month and increased afterwards to an average of 150% with very important variations. The nerve fiber distribution was generally unimodal, but may become bimodal 7 months after the operation. Their mean diameter reached only 50 to 55% of the normal. 6. 32 rats have been sacrificed from 10 to 720 rats after a localized crushing. The number of myelinated nerve fibers come back to normal during the 4th week and later increased up to a mean of 115%. Their distribution became early bimodal from the 97th day onwards. Although, their mean diameter nerver exceeded 80% of the normal, the histograms of the regenerating nerve and of the control nerve could be almost superposed during the second year.
摘要
  1. 在112只大鼠的左坐骨神经遭受以下四种实验性损伤方式之一后的标准水平上,测定了其右、左腓肠肌内侧头肌神经中髓鞘神经纤维的数量和大小:局部挤压、完全切断(切断后缝合或不缝合)以及切除约1厘米的神经段。2. 在右腓肠肌内侧头肌神经(对侧神经用作对照)中,挤压后髓鞘纤维数量平均减少至10%,切断后缝合或不缝合分别减少至5%或4%。然而,切除后观察到增加了6%。平均直径的平均值在挤压后减少了8%,切断未缝合后减少了5%。该值似乎不受切断后立即缝合的影响,切除后增加了11%。总体而言,雄性大鼠似乎比雌性大鼠对手术效果更敏感。3. 在切除约1厘米坐骨神经后的15至334天内观察了12只大鼠的神经。成功跨越该距离的再生髓鞘神经纤维中有20%的分布保持单峰;大纤维的直径不超过8微米。4. 在坐骨神经切断未缝合后的15至715天内处死了34只大鼠。髓鞘神经纤维数量在第4个月恢复正常,之后达到平均值的130%,且变化非常明显。神经纤维分布最常见的是单峰,但在某些神经中,术后1年可能变为双峰。它们的平均直径从未超过正常的60%。5. 在切断并立即缝合后的15至720天内检查了34只大鼠的神经。髓鞘神经纤维数量在第二个月恢复正常,之后增加到平均150%,且变化非常显著。神经纤维分布通常是单峰的,但在术后7个月可能变为双峰。它们的平均直径仅达到正常的50%至55%。6. 在局部挤压后的10至720天内处死了32只大鼠。髓鞘神经纤维数量在第4周恢复正常,之后增加到平均115%。从第97天起,它们的分布早期变为双峰。尽管它们的平均直径从未超过正常的80%,但在第二年,再生神经和对照神经的直方图几乎可以重叠。

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