Takahashi H, Yamamuro T, Okumura H, Kasai R, Tada K
Department of Orthopaedic Surgery, Faculty of Medicine, Kyoto University, Japan.
J Orthop Res. 1990 May;8(3):393-400. doi: 10.1002/jor.1100080311.
The goal of this study was to investigate the acute and chronic effects of paralysis induced by spinal cord section or sciatic neurotomy on bone blood flow in the rat. Regional bone blood flow was measured in the early stage with the hydrogen washout technique and the change of whole bone blood flow was measured in the early and the late stages with the radioactive microsphere technique. Four to 6 h after cordotomy at the level of the 13th thoracic vertebra, the regional bone blood flow in the denervated tibia increased significantly (p less than 0.01). After hemicordotomy with rhizotomy at the same level, the regional bone blood flow in the denervated tibia increased significantly (p less than 0.05) 6 h postoperatively. The whole bone blood flow in the denervated tibia had also increased significantly (p less than 0.05) at 6 h and at 4 and 12 weeks postoperatively. After sciatic neurotomy, the regional and the whole bone blood flow in the paralytic tibia did not change significantly. The present study demonstrated that monoplegic paralysis caused an increase in bone blood flow in the denervated hind limb from a very early stage. It was suggested that the spinal nervous system contributed to the control of bone blood flow.
本研究的目的是调查脊髓横断或坐骨神经切断术所致瘫痪对大鼠骨血流的急性和慢性影响。早期采用氢洗脱技术测量局部骨血流,早期和晚期采用放射性微球技术测量全骨血流变化。在第13胸椎水平进行脊髓切断术后4至6小时,去神经支配胫骨的局部骨血流显著增加(p<0.01)。在同一水平进行半脊髓切断术并切断神经根后,术后6小时去神经支配胫骨的局部骨血流显著增加(p<0.05)。去神经支配胫骨的全骨血流在术后6小时以及术后4周和12周也显著增加(p<0.05)。坐骨神经切断术后,麻痹胫骨的局部和全骨血流无显著变化。本研究表明,单瘫从很早阶段就导致去神经支配后肢的骨血流增加。提示脊髓神经系统参与骨血流的调控。