Merck W, Hoppe-Seyler G, Cürten I
Arch Otorhinolaryngol. 1976 Aug 31;214(1):63-70. doi: 10.1007/BF00455109.
Looking for the morphological correlation of uremic inner ear damage a 5/6 resection of kidney parenchyma in rats was performed. A biochemically proven chronic uremia was so created. The ultrastructural examination of the stria vascularis showed a marked swelling of the intermediate cells, compressing occasionally stria vessels. The stria was enlarged and the mitochondria of the dark and light cells swollen. In the spiral ligament connective tissue cells were moderately swollen and blood vessels partially obstructed by swelling of the endothelium. These changes are proved not to be dependent on the urea. The pathophysiological significance for uremic inner ear damage can only be determined after further examination of cochlear tissue.
为探寻尿毒症性内耳损伤的形态学关联,对大鼠进行了肾实质的5/6切除。由此造成了经生化验证的慢性尿毒症。血管纹的超微结构检查显示中间细胞明显肿胀,偶尔压迫血管纹血管。血管纹增大,暗细胞和亮细胞的线粒体肿胀。螺旋韧带结缔组织细胞中度肿胀,血管因内皮肿胀而部分阻塞。已证实这些变化不依赖于尿素。尿毒症性内耳损伤的病理生理意义只有在对耳蜗组织进行进一步检查后才能确定。