Lou W, Dong M, Dong M
First Affiliated Hospital, Henan Medical University, Zhengzhou.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1994;29(2):85-8.
Forty-day old quails were given kanamycin (KM) at a dose of 400mg/kg per day for ten days. Evoked potential thresholds induced by both click and tone burst were obtained at 1 day or 1, 2, 3, 4 and 6 weeks respectively after the last injection, and compared with the thresholds of age-matched control animals. The cochlea of the animals was examined by scanning electron microscopy (SEM). The results showed that the application of KM for 10 days produced massive destruction of the basilar papilla at 1 day posttreatment. The damaged region began at the base and extended apically to the position about 50-70% of the total distance along the papilla, with most severe damage in the basal end. The auditory thresholds measured at the same time revealed a significant elevation at 2 and 4 kHz. However, the number of hair cells in the damaged region recovered rapidly with time, and so did the function. By the end of 3 weeks postinjection, almost all the hair cells reappeared in the pathologic region and the function improved further, with nearly normal thresholds at all frequencies but 4kHz. Six weeks after KM treatment, the basilar papilla showed a nearly normal appearance, but there was no further functional improvement at 4kHz, with the threshold shift by 17.5 dB (P < 0.01). The results of the present study demonstrated that structural recovery was faster than functional one.
给40日龄鹌鹑每天注射400mg/kg的卡那霉素(KM),持续10天。分别在最后一次注射后1天、1周、2周、3周、4周和6周测量短声和短纯音诱发的听阈,并与年龄匹配的对照动物的听阈进行比较。用扫描电子显微镜(SEM)检查动物的耳蜗。结果显示,应用KM 10天后,治疗后1天基底乳头出现大量破坏。损伤区域始于底部,向顶端延伸至沿乳头总长度约50-70%的位置,基底端损伤最严重。同时测量的听阈显示,2kHz和4kHz处有显著升高。然而,损伤区域的毛细胞数量随时间迅速恢复,功能也随之恢复。注射后3周结束时,病理区域几乎所有毛细胞重新出现,功能进一步改善,除4kHz外所有频率的阈值几乎正常。KM治疗6周后,基底乳头外观几乎正常,但4kHz处功能无进一步改善,阈值偏移17.5dB(P<0.01)。本研究结果表明,结构恢复比功能恢复快。