Hurme T, Lehto M, Falck B, Tainio H, Kalimo H
Department of Pathology, Paavo Nurmi Center, Finland.
Acta Physiol Scand. 1991 Aug;142(4):443-56. doi: 10.1111/j.1748-1716.1991.tb09179.x.
Healing of the partially ruptured rat gastrocnemius muscle was studied correlating electromyographical findings with morphological changes. Fibrillation potentials and positive sharp waves were seen both proximal and distal to the injury 7 days after the injury and disappeared in the proximal part by day 14 and in the distal part by day 21. Late components of motor action potential were observed from day 14 onwards. Denervation was mainly myogenic, i.e. caused either by rupture of myofibres, whence the abjunctional stump lost its contact with the neuromuscular junction on the adjunctional stump, or by necrosis of the segment of the ruptured myofibre lying underneath the neuromuscular junction. Lesser extent of denervation was neurogenic, i.e. caused by damage to intramuscular nerve fibres. The reinnervation occurs either by regeneration of the necrotized myofibres, by regeneration of the severed nerves, or by collateral innervation of new neuromuscular junctions in the abjunctional stumps. The present study indicates that electromyography may be useful in the diagnosis and follow-up of skeletal muscle injuries.
通过将肌电图检查结果与形态学变化相关联,对大鼠腓肠肌部分断裂的愈合情况进行了研究。损伤后7天,在损伤部位近端和远端均可见纤颤电位和正锐波,至第14天近端部分消失,第21天远端部分消失。从第14天起观察到运动动作电位的晚期成分。去神经支配主要是肌源性的,即要么是由于肌纤维断裂,导致非连接端残端与连接端残端的神经肌肉接头失去联系,要么是由于位于神经肌肉接头下方的断裂肌纤维段坏死所致。较小程度的去神经支配是神经源性的,即由肌内神经纤维损伤引起。再支配通过坏死肌纤维的再生、切断神经的再生或非连接端残端新神经肌肉接头的侧支神经支配发生。本研究表明,肌电图检查在骨骼肌损伤的诊断和随访中可能有用。