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脊髓损伤的修复、重建、再生及康复策略

Repair, reconstruction, regeneration and rehabilitation strategies to spinal cord injury.

作者信息

Turbes C C

机构信息

Department of Biomedical Sciences, Creighton University, Omaha, NE 68178, USA.

出版信息

Biomed Sci Instrum. 1997;34:351-6.

PMID:9603065
Abstract

The structural changes seen in the transected spinal cord followed by transplantation of the distal ends (neuroma) of intercostal nerve inserted into the spinal cord proximal and distal to the transection lesion site. This activates CNS axonal regeneration. 2,3,4 These changes refer to the plasticity in the nervous system following damage to the spinal cord. There is regeneration and growth and synapotogenesis and remodeling of synaptic connections, development of reflex activity in the denervated cord. Nerve growth factors and neurotrophic factors sustain and maintain a degree of functional integrity of structural neural circuitry. 2,3,4,13 The end result is standing, stepping, and reflex walking in 28 female mature dogs. 2,3,4,5 Electrical stimulation of the anastomosed intercostal nerves resulted in hind limb movements and recording of the electromyograms of the contracting muscles. Twenty-six control dogs and animals with behavioral depression are unable to follow rehabilitative procedures developed muscle atrophy, ankylosis of joints, decrease in bone density, decrease in reflex activity of the spinal cord distal to the transection. 2,3,4,5

摘要

在横断脊髓后,将肋间神经远端(神经瘤)移植到横断损伤部位近端和远端的脊髓中,可观察到结构变化。这会激活中枢神经系统轴突再生。2,3,4这些变化指的是脊髓损伤后神经系统的可塑性。存在再生、生长、突触发生以及突触连接的重塑,失神经支配脊髓中反射活动的发展。神经生长因子和神经营养因子维持并保持结构神经回路一定程度的功能完整性。2,3,4,13最终结果是28只成年雌性犬能够站立、行走和进行反射性步行。2,3,4,5对吻合的肋间神经进行电刺激会导致后肢运动,并记录收缩肌肉的肌电图。26只对照犬和有行为抑制的动物无法遵循康复程序,出现肌肉萎缩、关节强直、骨密度降低、横断部位远端脊髓反射活动减弱。2,3,4,5

相似文献

1
Repair, reconstruction, regeneration and rehabilitation strategies to spinal cord injury.脊髓损伤的修复、重建、再生及康复策略
Biomed Sci Instrum. 1997;34:351-6.
2
Intercostal nerve nerve neuroma (PNS) implantation in spinal cord anastomosis bridging spinal cord transection--enhancement of central neurons (CNS) axonal regeneration.肋间神经神经瘤(外周神经系统)植入脊髓吻合术中桥接脊髓横断——增强中枢神经元(中枢神经系统)轴突再生
Biomed Sci Instrum. 1997;34:344-50.
3
Peripheral nerve (PNS) spinal cord anastomoses bridging spinal cord transection--enhancement of central neurons (CNS) axonal regeneration.周围神经(PNS)与脊髓吻合以桥接脊髓横断——增强中枢神经元(CNS)轴突再生。
Biomed Sci Instrum. 1997;33:326-31.
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Implantation of multiple intercostal nerve neuromas in lesioned spinal cord-repair, regeneration and rehabilitation strategies.在脊髓损伤修复、再生及康复策略中植入多个肋间神经神经瘤
Biomed Sci Instrum. 2002;38:21-8.
5
Surgical implantation of a peripheral nerve neuroma in lesioned spinal cord and brain--axonal sprouting regeneration and synaptogenesis.在损伤的脊髓和大脑中进行周围神经神经瘤的手术植入——轴突发芽再生和突触形成。
Biomed Sci Instrum. 1999;35:105-9.
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Intercostal nerve nerve neurouma (PNS) implantation in spinal cord transection--enhancement of locomotor recovery.肋间神经(外周神经系统)植入脊髓横断损伤处——增强运动功能恢复
Biomed Sci Instrum. 1999;35:297-302.
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Intercostal nerve neurouma (PNS) implantation in spinal cord bridging spinal cord transection a functional internuncal pathway system result in recovery from paraplegia.
Biomed Sci Instrum. 2001;37:137-42.
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Human neural stem cells promote corticospinal axons regeneration and synapse reformation in injured spinal cord of rats.人神经干细胞促进大鼠脊髓损伤后皮质脊髓轴突再生和突触重塑。
Chin Med J (Engl). 2006 Aug 20;119(16):1331-8.
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[FGF-2-treatment improves locomotor function via axonal regeneration in the transected rat spinal cord].[成纤维细胞生长因子-2治疗通过横断大鼠脊髓轴突再生改善运动功能]
Brain Nerve. 2007 Dec;59(12):1333-9.
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[Are reconstructive operations possible in cases of injuries of the spinal cord?].[脊髓损伤的情况下是否可以进行重建手术?]
Ortop Travmatol Protez. 1989 Jan(1):71-4.

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