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实验性脊柱转移所致脊髓受压的病理分析

Pathological analyses on the compressed cord by the experimental spinal metastasis.

作者信息

Manabe S, Higo Y, Park P, Tanaka H, Ohno T

机构信息

Department of Orthopaedic Surgery Teikyo University School of Medicine.

出版信息

No Shinkei Geka. 1989 Aug;17(8):725-31.

PMID:2586714
Abstract

The purpose of the present experimental spinal metastasis developed in rats by inoculation of Walker's cancer cells through the spinous process is to find the factor which causes the initial damage of the cord in this disorder. In the early stage of paralysis, microangiogram exhibited that the degenerated posterior funiculus originated from the small hemorrhagic area in the posterior column of the involved cord. Scanning electron microscopic findings showed that the hemorrhage was of the intrinsic vein resulting from the disturbance of venous drainage in the compressed portion. In the early stage of compression, however, vascular permeability was observed in the white matter, but histologic degeneration was not. It was concluded that the trigger to induce the initial damage on the cord in spinal metastasis was likely to be the intrinsic venous hemorrhage.

摘要

本实验通过经大鼠棘突接种沃克癌细胞来制造脊髓转移瘤,目的是找出该疾病中导致脊髓最初损伤的因素。在瘫痪早期,微血管造影显示,变性的后索起源于受累脊髓后柱的小出血区。扫描电子显微镜检查结果表明,出血是由受压部位静脉引流紊乱导致的脊髓内静脉出血。然而,在压迫早期,在白质中观察到血管通透性,但未见组织学变性。得出的结论是,脊髓转移中诱导脊髓最初损伤的触发因素很可能是脊髓内静脉出血。

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