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[豚鼠耳蜗导水管阻塞用于外淋巴检查(作者译)]

[Blockage of cochlear aqueduct for examination of perilymph (guinea pig) (author's transl)].

作者信息

Bergmann K, Haupt H, Scheibe F, Rogge I

出版信息

Arch Otorhinolaryngol. 1979;224(3-4):257-65.

PMID:526188
Abstract

To prevent the perilymph (guinea pig) from contamination with CSF during the sampling the aqueductus cochleae (AC) was blocked by injection of tissue adhesive into the meningeal aperture. The control of an exact blockage of AC was carriedout by examination of perilymph-outflow after opening the cochlea (injection of fluorescein-Na into the CSF-space), analysis of perilymph-protein-concentration, macroscopic and microscopic examination of the temporal bones. In all cochleae we have found the same morphological structures, notwithstanding whether the AC was blocked (for a time from 30 min to 7 weeks) or not: The cochlear aqueduct is filled with a mesh of mesenchymal tissue, which grows more dense towards the cochlear aperture andcontinues into the round window membrane. From scala tympani the AC is always limited by one layer of cells forming a sort of membrane (under light microscope). It seems possible that CSF moves in the inner of the round window membrane between AC and subepithelian space of middle ear mucosa, whereas perilymph of scala tympani is not in direct contact with the flow of CSF. The scala tympanic side of the round window membrane may be a big area for diffusion and there also may be an exchange between CSF and perilymph. The outflow of CSF into the cochlea after experimental opening of the cochlea is an artifact, caused by damage of pressure equilibration between CSF-space and cochlea. 30 min and 5--7 weeks after blockage no morphologicaland electrophysiological alterations from those of the control ears were to be seen. The protein concentration, however, increased significantly 5--7 weeks after blockage from normally about 200 mg/100 ml toalmost the double especially in the scala tympani (see Table 1).

摘要

为防止采样过程中内淋巴液(豚鼠)被脑脊液污染,通过向脑膜孔注射组织粘合剂来阻塞蜗水管(AC)。通过打开耳蜗后检查内淋巴液流出情况(向脑脊液间隙注射荧光素钠)、分析内淋巴液蛋白浓度、对颞骨进行宏观和微观检查来控制AC的精确阻塞。在所有耳蜗中,无论AC是否被阻塞(阻塞时间为30分钟至7周),我们都发现了相同的形态结构:蜗水管充满间充质组织网,该组织网向蜗孔方向变得更加致密,并延续至圆窗膜。在鼓阶,AC始终由一层形成某种膜的细胞所限制(在光学显微镜下)。脑脊液似乎有可能在圆窗膜内部在AC和中耳黏膜上皮下间隙之间流动,而鼓阶的内淋巴液与脑脊液流动没有直接接触。圆窗膜的鼓阶侧可能是一个很大的扩散区域,脑脊液和内淋巴液之间也可能存在交换。实验性打开耳蜗后脑脊液流入耳蜗是一种假象,是由脑脊液间隙和耳蜗之间压力平衡的破坏引起的。阻塞30分钟和5 - 7周后,未观察到与对照耳相比有形态学和电生理学改变。然而,阻塞5 - 7周后,蛋白浓度显著增加,从正常的约200mg/100ml几乎增加一倍,尤其是在鼓阶(见表1)。

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