Department of Clinical Sciences, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran.
Department of Surgery, Faculty of Specialized Veterinary Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran.
Int J Surg. 2014 Dec;12(12):1278-85. doi: 10.1016/j.ijsu.2014.11.004. Epub 2014 Nov 11.
INTRODUCTION: Effect of whole body exposure to pulsed electromagnetic fields (PEMF) on nerve regeneration in a rat sciatic nerve transection model was assessed. METHODS: Sixty male white Wistar rats were divided into four experimental groups (n = 15), randomly: In transected group (TC) left sciatic nerve was transected and stumps were fixed in adjacent muscle. In chitosan group (CHIT) the defect was bridged using a chitosan conduit filled with phosphate-buffered saline. In treatment group (CHIT/PEMF) the whole body was exposed to PEMF (0.3 mT, 2 Hz) for 4 h/day within 1-5 days. In normal control group (NC) sciatic nerve was only dissected and manipulated. Each group was subdivided into three subgroups of five animals each and nerve fibers were studied 4, 8 and 12 weeks after surgery. RESULTS: Behavioral, functional, electrophysiological, biomechanical, gastrocnemius muscle mass findings and morphometric indices confirmed faster recovery of regenerated axons in CHIT/PEMF than in CHIT group (p < 0.05). Immunohistochemical reactions to S-100 in CHIT/PEMF were more positive than that in CHIT group. DISCUSSION: Whole body exposure to PEMF improved functional recovery and morphometric indices of sciatic nerve. Detailed mechanism of neuroprotective action remains to be investigated. CONCLUSION: PEMF combine with chitosan grafting could be considered as an effective, safe and tolerable treatment for peripheral nerve repair in clinical practice.
介绍:评估全身暴露于脉冲电磁场(PEMF)对大鼠坐骨神经横断模型中神经再生的影响。
方法:将 60 只雄性白色 Wistar 大鼠随机分为 4 个实验组(n=15):在横断组(TC)中,左侧坐骨神经被横断,残端固定在相邻的肌肉中。在壳聚糖组(CHIT)中,使用充满磷酸盐缓冲盐水的壳聚糖导管桥接缺损。在治疗组(CHIT/PEMF)中,全身在 1-5 天内每天接受 0.3 mT、2 Hz 的 PEMF 照射 4 小时。在正常对照组(NC)中,仅解剖和操作坐骨神经。每个组进一步分为 5 只动物的 3 个亚组,术后 4、8 和 12 周研究神经纤维。
结果:行为、功能、电生理、生物力学、比目鱼肌质量发现和形态计量学指数证实,CHIT/PEMF 组比 CHIT 组再生轴突更快恢复(p<0.05)。CHIT/PEMF 中的 S-100 免疫组织化学反应比 CHIT 组更阳性。
讨论:全身暴露于 PEMF 可改善坐骨神经的功能恢复和形态计量学指数。神经保护作用的详细机制仍有待研究。
结论:PEMF 联合壳聚糖移植可被认为是临床外周神经修复的有效、安全和可耐受的治疗方法。
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