Hakelius L, Nyström B, Stålberg E
Scand J Plast Reconstr Surg. 1975;9(1):15-24. doi: 10.3109/02844317509022851.
Free autologous transplants of previously denervated whole muscles in adult cats were studied with histochemical and electromyographical methods. The transplants were placed in contact with normal intercostal muscles in intercostal spaces and removed at intervals from 5 days to 44 weeks after transplantation. Normal muscles as well as transplanted muscles without previous denervation and muscles denervated and left in situ were also studied.. The fibres of the previously denervated grafts survived the first avascular period, but a de-differentiation of enzymatic characteristics of the red and white fibres occurred and endured during the first 6 weeks after grafting. The first signs of reinnervation could be identified with electromyography after 4 weeks and with histochemical techniques after 6. Reinnervation of most of the fibres of the transplants was completed about 14-18 weeks after grafting. No fibrillations were then found electromyographically and in the histochemical preparations most fibres had attained near-normal staining characteristics. Type grouping was apparent but less pronounced than reported after reinnervation through the motor nerve. There was conclusive evidence that previously denervated muscles survived transplantation and became structurally and enzymatically mature whereas muscles transplanted without previous denervation undergo extensive fibrotic changes.
采用组织化学和肌电图方法,对成年猫先前去神经支配的整块肌肉进行自体移植研究。将移植肌肉置于肋间间隙与正常肋间肌接触,于移植后5天至44周的不同时间取出。同时研究正常肌肉、未预先去神经支配的移植肌肉以及去神经支配后留在原位的肌肉。先前去神经支配的移植肌肉纤维在最初的无血管期存活下来,但红、白纤维的酶学特性在移植后的前6周发生去分化并持续存在。4周后通过肌电图可识别出再支配的最初迹象,6周后通过组织化学技术可识别。移植肌肉大部分纤维的再支配在移植后约14 - 18周完成。此时肌电图检查未发现纤颤,组织化学制剂中大多数纤维已获得接近正常的染色特性。出现了类型分组,但不如通过运动神经再支配后报道的明显。有确凿证据表明,先前去神经支配的肌肉在移植后存活,并在结构和酶学上成熟,而未预先去神经支配的移植肌肉则发生广泛的纤维化改变。