Wang Wen-ting, Zhou Mou-wang, Huang Hong-shi, Chen Ya-ping, Yang Yan-yan, Zeng Fan-shuo
Department of Rehabilitation Medicine, Peking University Third Hospital, Beijing 100191, China.
Zhonghua Yi Xue Za Zhi. 2010 Sep 7;90(33):2363-6.
To investigate the selective innervation of sacral anterior rootlets to micturition and erection function in SD rats.
Forty male SD rats of clean grade, aged 6 weeks old, were selected. Ten rats received a retrograde nerve tract tracing study. Thirty rats were chosen for an electro-physiological study. The L6, S1 spinal cord segment anterior rootlets of anesthetic rats were electrostimulated respectively. The intravesical pressure, urethral perfusion pressure and intracavernous pressure were recorded simultaneously and innervation effectiveness was analyzed.
CB-HRP labeled neurons were observed mainly in L6 and S1 spinal cords. When some anterior rootlets of L6 and S1 were electrostimulated, the intravesical pressure rose gradually, but the urethral perfusion pressure and the intracavernous pressure curve changed slightly; when other rootlets of the same anterior root were stimulated, the urethral perfusion pressure could reach the peak; while others were stimulated, the intracavernous pressure rose quickly, but there were no great changes in intravesical pressure and urethral perfusion pressure. Some other rootlets might lead to the simultaneous changes of 2 or 3 above-mentioned pressures.
The innervations of L6 and S1 anterior rootlets to rats' bladder detrusor, external urethral sphincter and penile cavernous body are significantly distinct. Different rootlets may be distinguished by microanatomy and electrostimulation.
研究SD大鼠骶前神经根对排尿和勃起功能的选择性支配。
选取40只6周龄清洁级雄性SD大鼠。10只大鼠进行逆行神经束追踪研究。30只大鼠用于电生理研究。分别对麻醉大鼠的L6、S1脊髓节段前根进行电刺激。同时记录膀胱内压、尿道灌注压和海绵体内压,并分析神经支配效能。
CB-HRP标记的神经元主要见于L6和S1脊髓。电刺激L6和S1的部分前根时,膀胱内压逐渐升高,但尿道灌注压和海绵体内压曲线变化轻微;刺激同一前根的其他根时,尿道灌注压可达到峰值;刺激其他根时,海绵体内压迅速升高,但膀胱内压和尿道灌注压无明显变化。还有一些根可能导致上述2种或3种压力同时变化。
L6和S1前根对大鼠膀胱逼尿肌、尿道外括约肌和阴茎海绵体的神经支配存在显著差异。可通过显微解剖和电刺激区分不同的神经根。