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在脊髓损伤修复、再生及康复策略中植入多个肋间神经神经瘤

Implantation of multiple intercostal nerve neuromas in lesioned spinal cord-repair, regeneration and rehabilitation strategies.

作者信息

Turbes C C

机构信息

Department of Biomedical Sciences, Creighton University, Omaha, NE 68178, USA.

出版信息

Biomed Sci Instrum. 2002;38:21-8.

Abstract

Multiple intercostals nerve neuromas are surgically implanted in the lesioned spinal cord by bridging transaction lesions at T6 or T8 by removing one centimeter of spinal cord. In these experiments one to four intercostals nerves with origin proximal to the transection and the distal stumps, the neuroma was implanted distal to the transection. These procedures plus rehabilitation resulted in enhancing of regeneration of axons in the spinal cord lesion and dogs developed standing, stepping and reflex walking locomotion. Surgical resection of the implanted nerve resulted in paraplegia. Multiple nerve implants bridging the transaction of 34 mature female dogs. A pattern of neurological deficits developed when a sequence of resection of the implanted nerves were performed. If four nerves were implanted and one nerve resected usually no deficits were observed. When the second nerve was resected certain deficits were observed. When three nerves were resected some dogs became paraplegic, and some dogs showed increased sign of paraplegia but were not completely paralyzed and showed hind limb movements but no weight bearing. When four nerves were resected full paraplegia was observed.

摘要

通过切除1厘米脊髓来桥接T6或T8处的横断性损伤,将多个肋间神经神经瘤手术植入受损脊髓。在这些实验中,选取一到四根肋间神经,其起源位于横断处近端及远端残端,将神经瘤植入横断处远端。这些操作加上康复训练导致脊髓损伤处轴突再生增强,犬类能够站立、迈步并进行反射性行走运动。手术切除植入的神经会导致截瘫。对34只成年雌性犬进行多个神经植入以桥接横断损伤。当按顺序切除植入的神经时,会出现一系列神经功能缺损模式。如果植入四根神经并切除一根神经,通常不会观察到功能缺损。当切除第二根神经时,会观察到某些功能缺损。当切除三根神经时,一些犬会变成截瘫,一些犬截瘫症状加重但未完全瘫痪,后肢有运动但不能负重。当切除四根神经时,会观察到完全截瘫。

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