迷走神经对胃运动影响的实验研究,特别是选择性迷走神经切开术和选择性近端迷走神经切开术的意义

Yoshiki Tanaka, Y. Shimizu, T. Sato, H. Sasa, Y. Inoue, Y. Murayama, H. Mashiko, Y. Yamazaki, Masayuki Kouyama, T. Koga, T. Matsushima, F. Nagao
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引用次数: 0

摘要

18只狗被用于实验。选择迷走神经切断术、选择近端迷走神经切断术、选择迷走神经切断术合并幽门成形术和剖腹手术(对照)后分别在胃上植入电极,并记录电极植入后1个月的肌电图。用应变计法观察30只狗在迷走神经各分支方脉冲刺激下的胃运动。结果表明:1)迷走神经切除犬的反蠕动放电明显增加。2)选择性迷走神经切断后,正常和选择性迷走神经切断后,正常和选择性迷走神经切断后,正常和选择性迷走神经切断后,正常和选择性迷走神经切断后,正常和选择性迷走神经切断后,正常和选择性迷走神经切断后,正常和选择性迷走神经切断后,正常和选择性迷走神经切断后,正常和选择性迷走神经切断后,正常和选择性迷走神经切断后,正常和选择性迷走神经切断的正常蠕动频率模式差异显著。选择性迷走神经近端切除犬的迷走神经运动模式与正常犬相似。4)根据阻滞或各节段神经刺激的结果,认为迷走神经前支也控制下体的运动。繁殖非常快,不同于反蠕动。通过幽门支的刺激,几乎不发生抗蠕动。幽门成形术联合选择性迷走神经切开术对减少固体饮食后的反蠕动排泄效果不明显。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
EXPERIMENTAL STUDIES ON THE INFLUENCE OF VAGUS NERVE ON THE GASTRIC MOTILITY ESPECIALLY ON THE SIGNIFICANCE OF SELECTIVE VAGOTOMY AND SELECTIVE PROXIMAL VAGOTOMY
Eighteen dogs were used for experiments. Electodes were implanted on the stomach after selective vagotomy, selective proximal vagotomy, selective vagotomy with pyloroplasty and laparotomy (control) and electromyograms were recorded until a month after the implantation. Thirty dogs were exmained their gastric motility by means of strain gage meth od under the stimulation of various branches of vagus nerve by square pulses.Results were:1) Both vagotomized dogs showed remarkable increase of anti-peristaltic electrical discharges. In contrast there was no remarkable change on the normo peristaltic discharges.2) On the selectively vagotomized dogs both peristaltic electrical discharges descreased in height contrary to normals.3) After solid diet or hot milk, difference of patterns of normo peristaltic frequency between normal and selectively vagotomized dogs became remarkable. And its pattern in selective proximally vagotomized dogs was resemble to normals'.4) According to results of the stimulation with block or various sections of nerves it is considered that the antral branch of vagus nerve controls also motility of lower corpus. The propagation was very quick differing from anti-peristalsis. And it was considered to be cholinergic.5) By the stimulation of pyloric branch anti-peristalsis was scarcely occured. The pyloroplasty combined with selective vagotomy was not effective to decrease anti-peristaltic discharges after solid diet.
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