Department of Cranio-Maxillofacial Surgery, Klinikum Bremen-Mitte, Bremen, Germany.
Microsurgery. 2009;29(7):560-7. doi: 10.1002/micr.20658.
Walking track analysis was used to measure global functional recovery following sciatic nerve injury. The correlation of morphologic outcome and different sciatic functional indices (SFIs) depends on different variables. The objective of this study was to compare three different SFIs and their correlation with histomorphometric findings in a sciatic nerve allograft repair model in the rat without (group I, n = 8) or with (group II, n = 8) daily intramuscular administration of 0.1 mg/kg FK 506. The correlation of SFIs with each other and with the myelin basic protein (MBP) density of nerve sections proximal, median, and distal to sciatic nerve grafts (1.5 cm) at 4, 8, 12, and 16 weeks postoperation (p.o.) was calculated, and unoperated animals served as controls (n = 8). Significant differences between SFIs calculated for experimental groups I and II at 12 and 16 weeks p.o. suggested that superior functional nerve recovery occurred in group II. However, there were significant differences between all SFIs at 16 weeks p.o. in group II, whereas only differences between SFI 1 and SFI 2 + 3 occurred in group I. SFIs of group II did not reach the values of the unoperated group. There were significant differences between the histomorphometric outcomes of groups I and II. There was no significant difference of MBP density between group II and the unoperated group, suggesting complete morphologic recovery. In conclusion, we found significant correlation between the MBP densities of groups I and II and all SFIs, suggesting a close relationship between histomorphometric and functional findings. (c) 2009 Wiley-Liss, Inc. Microsurgery, 2009.
行走轨迹分析用于测量坐骨神经损伤后的整体功能恢复。形态学结果与不同的坐骨神经功能指数(SFIs)的相关性取决于不同的变量。本研究的目的是比较三种不同的 SFIs 及其与大鼠坐骨神经同种异体移植修复模型中组织形态学发现的相关性,该模型中未(I 组,n = 8)或每日肌肉内给予 0.1mg/kgFK506(II 组,n = 8)。在术后 4、8、12 和 16 周,计算 SFIs 之间以及与神经移植段近端、中部和远端(1.5cm)髓鞘碱性蛋白(MBP)密度之间的相关性,未手术动物作为对照(n = 8)。术后 12 和 16 周时,实验组 I 和 II 的 SFIs 存在显著差异,表明 II 组的神经功能恢复更好。然而,在术后 16 周时,II 组的所有 SFIs 之间存在显著差异,而在 I 组中仅 SFI1 和 SFI2+3 之间存在差异。II 组的 SFIs 未达到未手术组的水平。I 组和 II 组的组织形态学结果存在显著差异。MBP 密度在 II 组与未手术组之间无显著差异,提示完全形态恢复。总之,我们发现 I 组和 II 组的 MBP 密度与所有 SFIs 之间存在显著相关性,提示组织形态学和功能发现之间存在密切关系。(c)2009 Wiley-Liss,Inc.《显微外科》,2009 年。