Rochkind S, Nissan M, Alon M, Shamir M, Salame K
Department of Neurosurgery, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel Aviv University, Israel.
Lasers Surg Med. 2001;28(3):216-9. doi: 10.1002/lsm.1041.
The purpose of the present study was to examine the recovery of the crushed sciatic nerve of rats after low-power laser irradiation applied to the corresponding segments of the spinal cord.
STUDY DESIGN/MATERIALS AND METHODS: After a crush injury to the sciatic nerve in rats, low-power laser irradiation was applied transcutaneously to corresponding segments of the spinal cord immediately after closing the wound by using 16 mW, 632 nm He-Ne laser. The laser treatment was repeated 30 minutes daily for 21 consecutive days.
The electrophysiologic activity of the injured nerves (compound muscle action potentials--CMAPs) was found to be approximately 90% of the normal precrush value and remained so for up to a long period of time. In the control nonirradiated group, electrophysiologic activity dropped to 20% of the normal precrush value at day 21 and showed the first signs of slow recovery 30 days after surgery. The two groups were found to be significantly different during follow-up period (P < 0.001).
This study suggests that low-power laser irradiation applied directly to the spinal cord can improve recovery of the corresponding insured peripheral nerve.
本研究旨在探讨低功率激光照射大鼠脊髓相应节段后,其坐骨神经挤压伤的恢复情况。
研究设计/材料与方法:大鼠坐骨神经挤压伤后,伤口缝合完毕后立即用16 mW、632 nm氦氖激光经皮照射脊髓相应节段。每天重复激光治疗30分钟,连续进行21天。
发现损伤神经的电生理活性(复合肌肉动作电位——CMAPs)约为挤压前正常值的90%,且在很长一段时间内保持这一水平。在未照射的对照组中,电生理活性在第21天时降至挤压前正常值的20%,并在术后30天首次出现缓慢恢复的迹象。在随访期间发现两组有显著差异(P < 0.001)。
本研究表明,直接对脊髓进行低功率激光照射可改善相应受损外周神经的恢复。