Terada N
Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo.
Nihon Seikeigeka Gakkai Zasshi. 1995 Sep;69(9):754-66.
Skeletal muscle has a potential for recovery with muscle tissue when the lacerated stumps are maintained in contact. However, when there is no contact, this potential for recovery is unknown. Here we report our studies on the correlation between the recovery and the separation distance between the stumps in partially lacerated muscles in Wistar rat. The gastrocnemius muscle was subjected to a partial wedge-shaped laceration which allowed the surrounding tissue to hold a constant separation distance between the stumps throughout the duration of the study. Groups each of 7 rats were examined at 1, 2, and at 4 days, and at 1, 2, 2, and at 6 weeks after the laceration was performed. In each group, 5 rats underwent histological and immunohistological examinations, while the other 2 underwent electronmicroscopic examination. The muscle stumps initially degenerated, and then began to regenerate at 4 days after the laceration. During this period, local basement membranes remained intact allowing regeneration of muscle fibers. However, the absence of basement membrane between the stumps led to a random regeneration pattern of myotubes growing into the granulation tissue in the wedge-shaped gap. The electronmicroscopic findings showed that these growing myotubes had no basement membrane. The maximum growth of these myotubes was found to be 1.20 +/- 0.31 mm reached at 3 weeks after the laceration, suggesting that the maximum gap was approximately 1.0 mm across which there is a potential for recovery through regeneration.
当撕裂的残端保持接触时,骨骼肌具有与肌肉组织一起恢复的潜力。然而,当没有接触时,这种恢复潜力是未知的。在此,我们报告了关于Wistar大鼠部分撕裂肌肉中恢复情况与残端之间分离距离相关性的研究。对腓肠肌进行部分楔形撕裂,在整个研究期间,周围组织可使残端之间保持恒定的分离距离。在撕裂后1天、2天、4天以及1周、2周、2周和6周,分别对每组7只大鼠进行检查。每组中,5只大鼠接受组织学和免疫组织学检查,另外2只接受电子显微镜检查。肌肉残端最初发生退化,在撕裂后4天开始再生。在此期间,局部基底膜保持完整,允许肌纤维再生。然而,残端之间缺乏基底膜导致肌管随机再生,长入楔形间隙的肉芽组织中。电子显微镜检查结果显示,这些生长中的肌管没有基底膜。这些肌管的最大生长长度在撕裂后3周达到1.20±0.31毫米,这表明最大间隙约为1.0毫米,在这个间隙范围内存在通过再生实现恢复的潜力。