Reddy P G, Burgio D L, Quirk W S
Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, Detroit, MI 48201, USA.
Otolaryngol Head Neck Surg. 2000 Jul;123(1 Pt 1):97-100. doi: 10.1067/mhn.2000.106192.
Presently, many investigators believe that the dysfunction of microcirculatory mechanisms may be responsible for vestibular symptoms in Meniere's disease. This study, using intravital microscopy (IVM), a technique that provides in vivo microcirculatory measures, was designed to determine whether impaired vestibular blood flow exists in endolymphatic hydrops. Hydrops was induced in the gerbil model by obliteration of the vestibular aqueduct and was confirmed histologically after IVM. Posthydrops gerbil subjects at 8 weeks as well as control animals were prepared for IVM. With a customized intravital microscope, red blood cell velocity and vessel diameter measurements were calculated for individual arterioles and capillaries from the microvascular bed at the horizontal ampulla. Mean arteriole diameter was significantly larger in the control group than in the hydrops group, whereas mean capillary diameters were similar for both groups. No significant difference was observed for mean red blood cell velocity in capillaries or arterioles between control and hydrops animals.
目前,许多研究人员认为,微循环机制功能障碍可能是梅尼埃病前庭症状的原因。本研究采用活体显微镜检查(IVM)技术,该技术可提供体内微循环测量数据,旨在确定内淋巴积水时是否存在前庭血流受损。通过闭塞前庭导水管在沙鼠模型中诱发积水,并在IVM后进行组织学确认。对8周后的积水后沙鼠受试者以及对照动物进行IVM准备。使用定制的活体显微镜,计算水平壶腹微血管床中单个小动脉和毛细血管的红细胞速度和血管直径。对照组的平均小动脉直径显著大于积水组,而两组的平均毛细血管直径相似。在对照动物和积水动物之间,毛细血管或小动脉中的平均红细胞速度没有观察到显著差异。