Wolthers M, Moldovan M, Binderup T, Schmalbruch H, Krarup C
Division of Neurophysiology, Institute of Medical Physiology, Panum Institute, University of Copenhagen, Copenhagen, Denmark.
Microsurgery. 2005;25(6):508-19. doi: 10.1002/micr.20156.
The aim of this study was to establish a nerve lesion model to compare serial electrophysiological and functional outcome measures with histological findings. The relative significance of the parameters in lesions of diverse severity, the time course of recovery, and the tools for serial longitudinal studies after nerve lesions were studied in rats. We compared weekly electrophysiological and functional studies for 100 or 150 days in rats after crush or section/suture of the sciatic nerve at midthigh level. Finally, tibial nerves were taken for histology. We confirmed that recovery was faster and more complete in nerves regenerating after crush than after section, irrespective of method of evaluation. Furthermore, continuous maturational changes occurred in control nerves, and such continuous growth-related changes should be taken into account when evaluating maturational changes during nerve regeneration. A lack of correlation between evaluation methods supports that functional, morphological, and physiological parameters show different aspects of the recovery process after nerve lesions, and that these outcome measures should be included separately in therapeutic studies.
本研究的目的是建立一种神经损伤模型,以比较系列电生理和功能结局指标与组织学结果。在大鼠中研究了不同严重程度损伤中各参数的相对重要性、恢复的时间进程以及神经损伤后系列纵向研究的工具。我们比较了大鼠在大腿中部水平坐骨神经挤压或切断/缝合后100或150天每周的电生理和功能研究。最后,取胫神经进行组织学检查。我们证实,无论评估方法如何,挤压后再生的神经恢复更快且更完全。此外,对照神经中发生了持续的成熟变化,在评估神经再生过程中的成熟变化时应考虑到这种与生长相关的持续变化。评估方法之间缺乏相关性支持了功能、形态和生理参数显示了神经损伤后恢复过程的不同方面,并且这些结局指标应在治疗研究中分别纳入。