Xiao Jun, Qiu Gui-xing, Wu Zhi-hong, Xu Jin, Wang Ting, Wang Yi-peng, Weng Xi-sheng
Department of orthopaedics, PUMC and CAMS, Beijing 100730, China.
Zhonghua Yi Xue Za Zhi. 2006 Oct 24;86(39):2781-5.
To explore an improved operation approach to make up the ethical deficiency of classical bipedal rat model.
20 SD rats were randomly divided into an improved group and a traditional group averagely. Improved group were operated with plexus brachialis nerve amputation, while traditional group with forelimbs amputation close to shoulder joint. Forelimb and shoulder joint movements were observed and electromyography of the peripheral muscles around shoulder joint were recorded to make certain the paralytic scope. Operation duration and axillary artery hurt probability of both the improved and traditional operation were compared to evaluate the operation risk of improved approach. Mean total upright time on 2 d, 1 w, 2 w, 4 w and 6 w post-operation and upright posture on 6 w post-operation were recorded to evaluate the human-upright-posture-simulating effect of bipedal rats operated with improved approach.
Compared with classical amputation approach, improved approach exhibited simpler operation procedure, shorter operation duration and lower axillary artery hurt probability. Electromyography revealed that all forelimb muscles and most shoulder-peripheral muscles were denervated, forelimbs of the improved bipedal rats were absolutely paralyzed and shoulder joint reserved only slight abduction function. The mean total upright time of improved bipedal rats was longer than the classical ones after 2 w post-operation, while upright posture showed no difference with classical bipedal rats.
The improved operation approach not only simplified operation procedures, but also achieved even better effect than classical amputation operation and exempted bipedal rat model from the ethical shadow.
探索一种改进的手术方法,以弥补经典双足大鼠模型的伦理缺陷。
将20只SD大鼠平均随机分为改良组和传统组。改良组行臂丛神经切断术,传统组行靠近肩关节的前肢截肢术。观察前肢和肩关节活动情况,并记录肩关节周围外周肌肉的肌电图,以确定麻痹范围。比较改良手术和传统手术的手术时间及腋动脉损伤概率,评估改良手术方法的手术风险。记录术后2天、1周、2周、4周和6周的平均总直立时间以及术后6周的直立姿势,以评估采用改良方法手术的双足大鼠模拟人类直立姿势的效果。
与经典截肢方法相比,改良方法手术操作更简单,手术时间更短,腋动脉损伤概率更低。肌电图显示,所有前肢肌肉和大部分肩部周围肌肉均失神经支配,改良双足大鼠的前肢完全麻痹,肩关节仅保留轻微外展功能。改良双足大鼠术后2周后的平均总直立时间长于经典双足大鼠,而直立姿势与经典双足大鼠无差异。
改良手术方法不仅简化了手术操作,而且比经典截肢手术效果更好,使双足大鼠模型摆脱了伦理阴影。