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将分离的神经片段作为远端植入物置于硅胶管中后大鼠坐骨神经横断后的再生情况

Regeneration of transected rat sciatic nerves after using isolated nerve fragments as distal inserts in silicone tubes.

作者信息

Jenq C B, Coggeshall R E

出版信息

Exp Neurol. 1986 Jan;91(1):154-62. doi: 10.1016/0014-4886(86)90033-6.

Abstract

We determined blood vessel and perineurial fascicle densities as well as axonal numbers in regenerated rat sciatic nerves 8 weeks after the nerves had been transected, the proximal stumps placed into the proximal ends of silicone tubes, and isolated fragments of nerve placed into the distal ends of the same tubes. The data are compared with data from the normal nerve and from regeneration in a similar paradigm in which the distal stumps were used as the inserts into the distal end of the silicone tubes. A major difference between the two regeneration paradigms was that axons were discouraged from reaching the periphery when the distal insert was an isolated fragment and encouraged to reach the periphery when the distal insert was the distal stump. We found that fascicle and blood vessel densities were greater than normal but less than with the distal stump as the distal insert. Thus we concluded that the nature of the distal insert had a bearing on how many vessels and perineurial fascicles were formed during regeneration in these conditions. Myelinated axon numbers did not differ in the two conditions whereas there were more unmyelinated axons with the isolated distal stump as the distal insert. Thus at this regeneration time the numbers of myelinated axons were not as dependent on the nature of the distal insert as were the numbers of unmyelinated axons. Finally the length of the gap had a great influence on the numbers of axons that regenerated.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在大鼠坐骨神经横断8周后,我们测定了再生神经中血管和神经束膜束密度以及轴突数量。神经横断后,将近端残端置于硅胶管近端,将分离的神经片段置于同一硅胶管远端。这些数据与正常神经以及在类似模式下以远端残端作为硅胶管远端植入物的再生数据进行比较。两种再生模式的主要区别在于,当远端植入物为分离片段时,轴突难以到达外周,而当远端植入物为远端残端时,轴突则易于到达外周。我们发现,束密度和血管密度高于正常,但低于以远端残端作为远端植入物时。因此,我们得出结论,在这些条件下,远端植入物的性质对再生过程中形成的血管和神经束膜束数量有影响。两种条件下有髓轴突数量无差异,而以分离的远端残端作为远端植入物时,无髓轴突更多。因此,在这个再生时间点,有髓轴突数量不像无髓轴突数量那样依赖于远端植入物的性质。最后,间隙长度对再生轴突数量有很大影响。(摘要截短于250字)

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