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通过选择性结扎兔腰动脉建立改良的脊髓缺血损伤模型

Development of a modified model of spinal cord ischemia injury by selective ligation of lumbar arteries in rabbits.

作者信息

Xiao W, Wen J, Huang Y-C, Yu B-S

机构信息

Shenzhen Key Laboratory of Spine Surgery, Department of Spine Surgery, Peking University Shenzhen Hospital, Shenzhen, China.

Shenzhen Engineering Laboratory of Orthopaedic Regenerative Technologies, Orthopaedic Research Center, Peking University Shenzhen Hospital, Shenzhen, China.

出版信息

Spinal Cord. 2017 Nov;55(11):1028-1032. doi: 10.1038/sc.2017.66. Epub 2017 Jun 13.

Abstract

STUDY DESIGN

Experimental study.

OBJECTIVE

The aim of this study is to develop a modified model of spinal cord ischemia in rabbits.

SETTINGS

Shenzhen Key Laboratory of Spine Surgery, Shenzhen, China.

METHODS

In total, 20 New Zealand rabbits were divided into the following four groups according to the level of ligation of bilateral lumbar arteries: (1) group A, sham group, no ligation, n=5; (2) group B, ligation of bilateral lumbar arteries at three levels (L2-L4, n=5); (3) group C, ligation of bilateral lumbar arteries at four levels (L2-L5, n=5); and (4) group D, ligation of bilateral lumbar arteries at five levels (L1-L5, n=5). The latency of motor-evoked potentials was measured intraoperatively and the modified Tarlov grades were scored, followed by a histological observation of spinal cord, on the seventh day after surgery.

RESULTS

All 10 rabbits in Group A and Group B were electrophysiologically, neurologically and histologically normal. In Group C, moderate spinal cord ischemia injury was found in three of five rabbits: they had prolonged latency of motor-evoked potentials and neuronal karyopyknosis in the anterior horn of spinal cord, and the average Tarlov score was 4.2±0.8. In Group D, severe spinal cord ischemia injury was recorded in all the five rabbits: the latency of motor-evoked potential prolonged in one rabbit, whereas the waveform disappeared in four rabbits; loss of neurons and vacuolation of gray matter were seen in spinal cord sections, and the average Tarlov score was 0.6±0.9.

CONCLUSION

Selective ligation of lumbar arteries was a modified method to induce feasible and reproducible model of spinal cord ischemia in rabbits.

摘要

研究设计

实验性研究。

目的

本研究旨在建立一种改良的兔脊髓缺血模型。

背景

中国深圳脊柱外科重点实验室。

方法

将20只新西兰兔根据双侧腰动脉结扎水平分为以下四组:(1)A组,假手术组,不结扎,n = 5;(2)B组,双侧腰动脉在三个节段(L2 - L4)结扎,n = 5;(3)C组,双侧腰动脉在四个节段(L2 - L5)结扎,n = 5;(4)D组,双侧腰动脉在五个节段(L1 - L5)结扎,n = 5。术中测量运动诱发电位潜伏期并进行改良Tarlov评分,术后第7天对脊髓进行组织学观察。

结果

A组和B组的10只兔在电生理、神经学和组织学方面均正常。C组5只兔中有3只出现中度脊髓缺血损伤:运动诱发电位潜伏期延长,脊髓前角神经元核固缩,平均Tarlov评分为4.2±0.8。D组5只兔均出现严重脊髓缺血损伤:1只兔运动诱发电位潜伏期延长,4只兔波形消失;脊髓切片可见神经元丢失和灰质空泡化,平均Tarlov评分为0.6±0.9。

结论

选择性结扎腰动脉是一种改良方法,可诱导出可行且可重复的兔脊髓缺血模型。

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