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成年大鼠慢性脊髓损伤周围神经移植修复的实验研究

[Experimental study of peripheral nerve grafts for repairing of chronic spinal cord injury in adult rats].

作者信息

Ma Wen-qian, Zhang Shao-cheng, Li Ming, Yan Yong-bi, Ni Can-rong

机构信息

Department of Orthopaedics, Songjiang Central Hospital of Shanghai, Shanghai 201600, China.

出版信息

Zhongguo Gu Shang. 2008 Jul;21(7):519-21.

Abstract

OBJECTIVE

To explore the pathological mechanism in the repair of chronic spinal cord injury with free grafting of autoperipheral nerve tissues in rats.

METHODS

The SD rats were used to establish SCI model with modified Allen method. The rats were divided into two groups at 12 weeks after the injury, each group had 20 rats. In the experimental group, the sural nerves were removed epineurium and transplanted into SCI lesion by using microsurgical technique; and in the control group, the rats were treated without any operation. The survival and differentiation of the grafts, and the ability of repairing host spinal cord were observed under the light microscope at the postoperative 4th and 12th week. Regeneration rates of nerve tracts in spinal cord were evaluated by using HRP tracing technique at the postoperative 4th and 12th week. The morphological changes were observed at section of spinal cord and the motor functions of both hind legs of rats were detected.

RESULTS

In the control group, spinal cord exhibited degeneration with cicatrices and cavitates. In the experimental group, peripheral nerve was almost survived, fused with the spinal tissue and axons could regrow into or span the place of injured spinal cord. Higher number of labeled nerve tracts in spinal cord were observed in experimental group, there was significant difference when compared with the control group. Motor function of hind legs of rats recovered significantly in the treatment group.

CONCLUSION

Autoperipheral nerve graft tissues transplantation could survive and integrate with the host and have repairing effects on chronic spinal cord injury in rats.

摘要

目的

探讨大鼠自体周围神经组织游离移植修复慢性脊髓损伤的病理机制。

方法

采用改良Allen法建立SD大鼠脊髓损伤模型。损伤后12周将大鼠分为两组,每组20只。实验组采用显微外科技术去除腓肠神经的外膜并将其移植到脊髓损伤部位;对照组大鼠不进行任何手术处理。术后第4周和第12周在光镜下观察移植体的存活及分化情况、宿主脊髓的修复能力。术后第4周和第12周采用HRP示踪技术评估脊髓神经纤维束的再生率。观察脊髓切片的形态学变化并检测大鼠双后肢的运动功能。

结果

对照组脊髓呈现变性,伴有瘢痕形成和空洞。实验组周围神经基本存活,与脊髓组织融合,轴突可长入或跨越损伤脊髓部位。实验组脊髓中标记神经纤维束数量较多,与对照组相比差异有统计学意义。治疗组大鼠后肢运动功能明显恢复。

结论

自体周围神经移植组织能在宿主体内存活并与之整合,对大鼠慢性脊髓损伤具有修复作用。

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