Ye Y
PUMC Hospital, Beijing.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 1990 Apr;12(2):84-9.
The endolymphatic hydrops was induced successfully in 13 guinea pigs by blocking the endolymphatic duct and sac, and the morphological and functional alterations (especially on semicircular canal function) after hydrops were studied by means of ENG, EcochG and serial section techniques. Hydrops in the cochlear duct was evident in the apical and/or near apical turns, especially in earlier stages. Dilation of the saccule was seen in all samples, but was barely noticeable in the utricle and semicircular canal's endolymphatic space. Degeneration in the corti's apparatus, stria vasculi and spiral ganglion occurred late. No evident changes of the sensory components in the saccule, utricle and semicircular canals were seen under the light microscope. The hearing loss in earlier stages of hydrops was evident at lower frequencies: later stages showed effects at all frequencies. The cochlear recruitment and fluctuation phenomena were observed in a few of the operated animals. The value of -SP/CAP in a few animals was significantly after operation. The functional changes of semicircular canals were demonstrated by the semicircular paralysis (CP), directional preponderance (DP), vestibular recruitment (VR) and elevated threshold of nystagmus to angular acceleration stimuli. There was no significant correlation between the degrees of hearing loss and impaired semicircular function. The criteria of ENG elicited by the quantitative angular acceleration stimuli for evaluating the semicircular canal function in guinea pigs is proposed for the first time in our experiment.
通过阻塞内淋巴管和内淋巴囊,成功地在13只豚鼠中诱发了内淋巴积水,并借助眼震电图(ENG)、耳蜗电图(EcochG)和连续切片技术研究了积水后的形态和功能改变(尤其是对半规管功能的影响)。耳蜗管内的积水在顶部和/或接近顶部的转弯处明显,尤其是在早期阶段。在所有样本中均可见球囊扩张,但在椭圆囊和半规管的内淋巴间隙中几乎不明显。柯蒂器、血管纹和螺旋神经节的退变发生较晚。在光镜下,球囊、椭圆囊和半规管中的感觉成分未见明显变化。积水早期的听力损失在低频时明显:后期则在所有频率上均有影响。在少数手术动物中观察到了耳蜗重振和波动现象。少数动物术后的-SP/CAP值显著。半规管的功能变化通过半规管麻痹(CP)、方向优势(DP)、前庭重振(VR)以及眼震对角加速度刺激的阈值升高得以证实。听力损失程度与半规管功能受损之间无显著相关性。在我们的实验中首次提出了用于评估豚鼠半规管功能的定量角加速度刺激诱发的ENG标准。