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使用可生物降解和不可生物降解导管重建大鼠坐骨神经。

Reconstruction of the Rat Sciatic Nerve by Using Biodegradable and Non-Biodegradable Conduits.

机构信息

Associate Professor, Department of Histology, Cytology, and Embryology; Privolzhsky Research Medical University, 10/1 Minin and Pozharsky Square, Nizhny Novgorod, 603005, Russia.

Senior Lecturer, Department of Histology, Cytology, and Embryology; Privolzhsky Research Medical University, 10/1 Minin and Pozharsky Square, Nizhny Novgorod, 603005, Russia.

出版信息

Sovrem Tekhnologii Med. 2021;12(5):48-54. doi: 10.17691/stm2020.12.5.05. Epub 2020 Oct 28.

Abstract

UNLABELLED

was to compare two types of conduits made of either non-resorbable Reperen or resorbable Tissucol for their effects on the regeneration of the rat sciatic nerve under conditions of stump diastasis.

MATERIALS AND METHODS

The experiments were carried out using outbred white male rats of the reproductive age (n=14). The animals were divided into three groups: group 1, intact (n=5), used for studying the morphology of the sciatic nerve; group 2 (n=4) - nerve plastic surgery was performed using a conduit made of non-resorbable Reperen; group 3 (n=5) - surgery was performed using a conduit made of resorbable Tissucol. The animals were anesthetized with isoflurane. After a complete transection of the sciatic nerve in the middle third of the thigh, its stumps were inserted into a conduit of an internal diameter of 2 mm and a length of 10 mm, filled with saline. Diastasis of 5 mm in length was created by spreading the nerve ends and securing the epineurium to the tube edges with 8/0 polypropylene sutures. A total count of myelinated nerve fibers was performed in the area of repair (tubulation) and the distal part of the nerve; the formation of connective tissue sheaths was assessed 14 weeks after the operation.

RESULTS

According to the morphological assessment, both types of conduits (resorbable and non-resorbable) caused the similar number of fibers to restore in the distal part of the repaired nerve; clinical characteristics of the animals in both groups were close to each other and to the norm.

CONCLUSION

The results allow us to consider the conduit made of non-resorbable Reperen as a device promising for neuroplasty along with the resorbable conduit made of Tissucol.

摘要

目的

比较两种类型的导管,即不可吸收的 Reperen 或可吸收的 Tissucol,观察它们在神经断端分离的情况下对大鼠坐骨神经再生的影响。

材料和方法

本实验使用生殖期的雄性白化大鼠(n=14)进行。将动物分为三组:第 1 组(n=5)为完整组,用于研究坐骨神经的形态;第 2 组(n=4)-使用不可吸收的 Reperen 导管进行神经整形手术;第 3 组(n=5)-使用可吸收的 Tissucol 导管进行手术。使用异氟烷对动物进行麻醉。在大腿中段完全横断坐骨神经后,将其断端插入内径为 2mm、长 10mm 的导管中,并用生理盐水填充。通过伸展神经末端并用 8/0 聚丙烯缝线将神经外膜固定在管边缘来创建 5mm 长度的分离。在修复(套管)区域和神经远端进行有髓神经纤维的总数计数;术后 14 周评估结缔组织鞘的形成。

结果

根据形态学评估,两种类型的导管(可吸收和不可吸收)在修复神经的远端都引起相似数量的纤维恢复;两组动物的临床特征彼此接近且接近正常。

结论

结果表明,不可吸收的 Reperen 导管可作为神经成形术的一种有前途的装置,与可吸收的 Tissucol 导管一样。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c185/8596261/1391a3911c87/STM-12-5-05-f1.jpg

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