人中期因子对椎间盘突出自发吸收的影响。

Effects of human midkine on spontaneous resorption of herniated intervertebral discs.

机构信息

Department of Orthopaedics, Huzhou Central Hospital, Huzhou 313000, China.

出版信息

Int Orthop. 2010 Feb;34(1):103-8. doi: 10.1007/s00264-009-0740-2. Epub 2009 Mar 11.

Abstract

This study was performed in 36 rabbits to investigate the role of midkine (MK) in the resorption of herniated intervertebral discs. The L(1-2) disc was excised and immersed in one of three kinds of solution for two hours before relocation into the L4 epidural space. In the MK-treated group, the weight of relocated intervertebral discs decreased more over time than in the control group. Newly formed vessels and inflammatory cells were more frequently observed in the MK-treated group than in the control group two weeks after surgery. The degradation of matrix was more significant in the MK-treated group than in the control group four weeks after surgery. Larger areas were replaced by fibrous tissues in the MK-treated group eight weeks after surgery. Thus, MK can accelerate the resorption of the intervertebral disc relocation to the epidural space. Epidural injection of MK may contribute to the therapy of lumber disc herniation.

摘要

本研究在 36 只兔子中进行,旨在探讨中期因子(MK)在椎间盘突出吸收中的作用。切除 L(1-2) 椎间盘后,将其浸泡在三种溶液中的一种中两小时,然后重新置于 L4 硬膜外腔。在 MK 处理组中,与对照组相比,重新定位的椎间盘的重量随时间的推移下降得更多。手术后两周,MK 处理组比对照组更频繁地观察到新形成的血管和炎症细胞。手术后四周,MK 处理组的基质降解更为明显。手术后八周,MK 处理组的较大面积被纤维组织取代。因此,MK 可以加速椎间盘向硬膜外腔的吸收。硬膜外注射 MK 可能有助于腰椎间盘突出症的治疗。

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