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大鼠坐骨神经损伤后关节支内的轴突再生

Axonal regeneration in an articular branch following rat sciatic nerve lesions.

作者信息

Povlsen B, Hildebrand C

机构信息

Department of Plastic Surgery, Hand Surgery and Burns, Linköping University Hospital, Sweden.

出版信息

J Neurol Sci. 1993 Dec 15;120(2):153-8. doi: 10.1016/0022-510x(93)90267-3.

Abstract

This study examines the outcome of axonal regeneration in the posterior articular nerve of the adult rat knee joint (PAN), after sciatic nerve lesions. Some animals had previously been subjected to chemical sympathectomy with guanethidine. In crushed cases the number of myelinated PAN axons was 50% above control level. The occurrence of C-fibers was doubled, mainly due to an increased number of sympathetic efferents. In neurotomy/suture cases the number of myelinated fibers was clearly elevated, but the number of C-fibers was close to normal. Most C-fibers were sensory. Similar, but less marked, post-regeneration abnormalities were seen in the nerve to the lateral gastrocnemius muscle. The sural nerve exhibited moderately increased numbers of myelinated and unmyelinated fibers in crushed cases. In neurotomy cases, the myelinated axons had increased and the C-fibers had decreased in number. The size distribution of myelinated PAN axons was less abnormal in crushed cases than after neurotomy, like in the other nerves. These results show that the outcome of axon regeneration in an articular branch of the lesioned rat sciatic nerve differs from that in non-articular branches, and suggest that joints may become hyperinnervated by C-fibers after nerve crush lesions.

摘要

本研究检测了成年大鼠膝关节后关节神经(PAN)在坐骨神经损伤后的轴突再生结果。部分动物先前已接受胍乙啶化学交感神经切除术。在神经挤压损伤的情况下,有髓PAN轴突数量比对照水平高出50%。C纤维的数量翻倍,主要是由于交感传出纤维数量增加。在神经切断/缝合的情况下,有髓纤维数量明显增加,但C纤维数量接近正常。大多数C纤维是感觉性的。在腓肠外侧肌神经中也观察到了类似但不太明显的再生后异常。在神经挤压损伤的情况下,腓肠神经有髓和无髓纤维数量适度增加。在神经切断的情况下,有髓轴突数量增加,C纤维数量减少。与其他神经一样,神经挤压损伤情况下有髓PAN轴突的大小分布比神经切断后异常程度小。这些结果表明,受损大鼠坐骨神经关节支的轴突再生结果与非关节支不同,并提示神经挤压损伤后关节可能会被C纤维过度支配。

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