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[睫状神经营养因子在猫面神经切断后再生中的作用]

[Role of ciliary neurotrophic factor in regeneration of severed facial nerve of cats].

作者信息

Zou Yuan-bin, Huang Jian-nan, Liu Qing-hao, Guo Meng-he, Zhang Xue-hui, Lai Huang-wen, Li Jian

机构信息

Departmant of Otorhinolaryngology and Head and Neck Surgery, Second People's Hospital of Guangdong Province, Guangzhou 510317, China.

出版信息

Di Yi Jun Yi Da Xue Xue Bao. 2005 Aug;25(8):979-82.

Abstract

OBJECTIVE

To study the role of extrinsic (CNTF) in the regeneration of severed facial nerve in cats.

METHOD

The facial nerve in temporal bone of adult cats were severed and the severed ends were connected with CNTF or saline applied at the connection. Electrophysiological examination and immunocytochemistry were performed with immunoelectron microscope for morphological analysis at 2, 4 and 8 weeks after the operation.

RESULTS

Two weeks after operation, both CNTF and saline groups failed to exhibit muscular excitement by facial nerve stimulation, but the amount of myelinated nerve fibers had statistical difference between the two groups (P<0.05). At 4 weeks, the latency of the facial muscle excitement was 7.832+/-2.695 ms in CNTF group and 16.120+/-3.516 ms in saline group, and the average number of myelinated axons was significantly different between the two groups (1,435+/-318 vs 957+/-269, P<0.05). At the 8th weeks, the latency of facial muscle excitement was reduced to 3.125+/-0.165 ms in CNTF group and to a comparable level of 3.095+/-0.178 ms in saline group (P>0.05), and the average number of myelinated axons increased to 1,695+/-283 and 1,543+/-320 respectively in the two groups (P>0.05). Significant increase of Schwann cells was noted in both groups at this stage.

CONCLUSION

Local application of CNTF may enhance facial early-stage nerve regeneration in adult cats, but its long-term effects remain unclear.

摘要

目的

研究外源性睫状神经营养因子(CNTF)在猫面神经切断后再生中的作用。

方法

切断成年猫颞骨内的面神经,将断端用CNTF或生理盐水处理后连接。术后2、4和8周进行电生理检查及免疫细胞化学检查,并用免疫电子显微镜进行形态学分析。

结果

术后2周,CNTF组和生理盐水组经面神经刺激均未出现肌肉兴奋,但两组有髓神经纤维数量有统计学差异(P<0.05)。4周时,CNTF组面肌兴奋潜伏期为7.832±2.695毫秒,生理盐水组为16.120±3.516毫秒,两组有髓轴突平均数量有显著差异(1435±318对957±269,P<0.05)。8周时,CNTF组面肌兴奋潜伏期降至3.125±0.165毫秒,生理盐水组降至3.095±0.178毫秒(P>0.05),两组有髓轴突平均数量分别增至1695±283和1543±320(P>0.05)。此阶段两组雪旺细胞均显著增多。

结论

局部应用CNTF可促进成年猫面神经早期再生,但其长期效果尚不清楚。

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