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[面神经实验性手术。外源性神经节苷脂腹腔内应用的评估]

[Experimental surgery of the facial nerve. Evaluation of the intraperitoneal use of exogenous gangliosides].

作者信息

Montovani J C, Prado R G, Bacchi C E

机构信息

Faculty of Medicine of Botucatu, Departments of Ophthalmology and Otorhinolaryngology, UNESP, Botucatu, Brazil.

出版信息

Rev Laryngol Otol Rhinol (Bord). 1995;116(3):163-7.

PMID:7569385
Abstract

Compression and section of the facial nerve were performed in 48 rats in order to study the anatomopathological alterations occurring after daily intraperitoneal injections of 100 mg of exogenous gangliosides (Sinaxial) for 45, 90, 180 days. In groups submitted to nerve compression, the histopathological changes were discrete and in the 180-day subgroups the nerve was practically normal. In animals submitted to section and neurorrhaphy there was formation of an amputation neuroma, a granuloma around the suture, axonal unstructuration and inter and perineural fibrosis. No significant differences were observed between the groups submitted or not to injection of exogenous gangliosides, indicating that the major factors involved in the quality of nerve regeneration were the technique and the formation of fibrosis and of an amputation neuroma.

摘要

为了研究在45天、90天、180天内每日腹腔注射100毫克外源性神经节苷脂(辛那克斯)后发生的解剖病理学改变,对48只大鼠进行了面神经压迫和切断术。在接受神经压迫的组中,组织病理学变化不明显,在180天的亚组中神经基本正常。在接受切断和神经缝合的动物中,形成了截肢性神经瘤、缝合处周围的肉芽肿、轴突结构破坏以及神经内和神经周纤维化。在接受或未接受外源性神经节苷脂注射的组之间未观察到显著差异,这表明参与神经再生质量的主要因素是技术以及纤维化和截肢性神经瘤的形成。

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