对大鼠坐骨神经区新去神经支配模型的研究:选择性运动或感觉去神经支配

Selman Hakkı Altuntaş, Levent Sarikcioglu, Hasan Rifat Koyuncuoğlu, İbrahim Metin Çiriş, Fuat Uslusoy, Osman Gurdal, Mustafa Asım Aydın
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引用次数: 0

摘要

目的本研究旨在引入一种可靠、实用的大鼠坐骨神经选择性感觉或运动去神经化模型,以获得临床和实验室结果:方法:通过对大鼠坐骨神经根的详细尸体解剖和横断面组织解剖确定手术技术。将 40 只动物分为假组、感觉去神经(SD)组、运动去神经(MD)组和联合去神经(CD)组,并通过捏拿试验和观察进行临床评估。实验还进行了电生理测试、逆行神经元标记以及组织学和放射学研究。对坐骨神经支配的肌肉重量进行了测量:结果:L4 水平的神经根地形图是一致的。半椎板切除术成功地暴露了坐骨神经的所有神经根,并选择性地剥夺了坐骨神经的感觉区和运动区。感觉神经去神经化导致足部畸形和伤口问题,SD患者的这些问题比MD和CD患者更严重。神经组织形态计量学、电生理学测试、逆行神经元标记研究和肌肉重量测量也证实了去神经支配:本研究表明,通过单层半椎板切除术进行选择性(感觉或运动)坐骨神经去神经支配是可行的。结论:这项研究表明,通过单层半椎板切除术进行选择性(感觉或运动)坐骨神经去神经支配是可行的,手术技术是可靠的,并且对步态有影响。在大鼠身上,感觉神经去神经化比运动神经去神经化和联合去神经化造成的足部问题更严重。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigation into a new denervation model of the sciatic nerve zones in rats: Selective motor or sensorial denervation.

Objective: This study aimed to introduce a reliable and useful model of selective sensorial or motor denervations of the sciatic nerve in rats with clinical and laboratory outcomes.

Methods: The surgical technique was determined via detailed cadaveric dissections of rat sciatic nerve roots and cross-sectional histoanatomy. Forty animals were divided into the sham, sensorial denervation (SD), motor denervation (MD), and combined denervation (CD) groups and evaluated clinically via the pinch test and observation. Electrophysiological tests, retrograde neuronal labeling, and histologic and radiographic studies were performed. The weights of the muscles innervated by the sciatic nerve were measured.

Results: The nerve root topography at the L4 level was consistent. Hemilaminectomy satisfactorily exposed all the roots contributing to the sciatic nerve and selectively denervated its sensorial and motor zones. Sensorial denervation caused foot deformities and wound problems, which were more severe in SD than in MD and CD. Nerve histomorphometry, electrophysiological tests, retrograde neuronal labeling studies, and measurements of the muscle weights also verified the denervations.

Conclusion: This study has shown the feasibility of selective (sensory or motor) sciatic nerve denervation through a single-level hemilaminectomy. The surgical technique is reliable and has a confounding effect on gait. Sensorial denervation had more severe foot problems than motor and combined denervation in rats.

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