Barros Thiago Felipe Dos Santos, Paulos Renata Gregorio, Iwase Fernanda DO Carmo, Santos Gustavo Bispo Dos, Rezende Marcelo Rosa DE, Mattar Rames
Universidade de São Paulo, Medical School, Hospital das Clínicas, Institute of Orthopedics and Traumatology, Hand Surgery and Reconstructive Microsurgery Group, São Paulo, SP, Brazil.
Acta Ortop Bras. 2022 Apr 15;30(2):e191015. doi: 10.1590/1413-785220223002191015. eCollection 2022.
To evaluate histological changes in peripheral nerves of rats after sciatic nerve neurorrhaphy, according to the time of exposure to hyperbaric oxygen chamber treatment.
Twenty-five Wistar rats were divided into 5 groups according to the amount of exposure to hyperbaric oxygen chamber treatment. Group 1 was the control and there was no use of hyperbaric oxygen chamber; group 2 received one week of therapy; group 3, two weeks; group 4, three weeks; and group 5, four weeks. After the fourth postoperative week, the animals were submitted to euthanasia and a sciatic nerve sample sent for histological analysis. Axons proximal and distal to the neurorrhaphy were counted with axonal regeneration index measurement.
We observed that the number of axons distal to neurorrhaphy increases with the amount of hyperbaric oxygen chamber exposure, the results were more expressive from the third week of treatment. However, the statistical analysis found no significant difference between the groups.
The descriptive analysis suggests benefit of using hyperbaric oxygen chamber directly proportional to the time of therapy. The study, however, did not present statistically relevant results, probably due to the reduced sample size. Subsequent studies with more significant sampling would be of great value.
根据暴露于高压氧舱治疗的时间,评估大鼠坐骨神经神经缝合术后周围神经的组织学变化。
将25只Wistar大鼠根据暴露于高压氧舱治疗的时长分为5组。第1组为对照组,未使用高压氧舱;第2组接受1周治疗;第3组,2周;第4组,3周;第5组,4周。术后第4周,对动物实施安乐死,并将坐骨神经样本送去进行组织学分析。通过测量轴突再生指数,对神经缝合处近端和远端的轴突进行计数。
我们观察到,神经缝合处远端的轴突数量随着高压氧舱暴露时长的增加而增多,从治疗第3周起结果更为明显。然而,统计分析发现各组之间无显著差异。
描述性分析表明,使用高压氧舱的益处与治疗时间成正比。然而,该研究未得出具有统计学意义的结果,可能是由于样本量较小。后续进行的具有更大量样本的研究将具有重要价值。