大鼠坐骨神经去细胞基膜管异体移植的比较研究

    Experimental study on repairing sciatic nerve defects by two kinds of acellular basal lamina grafts

    • 摘要: 目的: 探讨化学萃取法(CEN)、冻融法(FTN)制备的异种鼠坐骨神经去细胞基膜管移植术后8、13、23天神经再生轴突距离、Schwann细胞迁入、再血管化及炎症反应异同。方法: 将36只雌性Wistar鼠随机配对,分为CEN组与FTN组,每组18只,分别桥接移植两种方法制备的Sprague-Dawley鼠坐骨神经去细胞基膜管。观察术后8、13、23天移植物物理性状及组织形态学变化。结果: 术后8、13、23天,神经轴突再生距离、近和远端Schwann细胞数、再血管化及炎症反应差异有显著性(P<0.05),CEN组优于FTN组。结论: 化学萃取法制备的异种周围神经去细胞基膜管较冻融法能更快、更好地修复周围神经缺损,亦应有更大的临床实用价值。

       

      Abstract: Objective: To explore the difference in axon regeneration distance,Schwann cells,visualization of blood vessels and macrophages of two kinds of allografted acellular basal lamina tubes pretreated respectively by chemical extraction procedure and freeze-thawed procedure.Methods: Thirty six Wistar rats were divided randomly into two groups,chemical extracted nerve(CEN) group and freeze-thawed nerve(FTN) group,which were allografted by two kinds of acellular basal lamina tubes of Sprague-Dawley rats' sciatic nerves.At day 8,13 and 23 after the operation,the grafts,together with a proximal and distal nerve segment,were removed and were observed by histochemistry and immunohistochemistry to reveal the morphological difference.Results: CEN was better than FTN at supporting the outgrowth of axon,migration of Schwann cells,visualization of blood vessels and macrophages.Conclusions: The chemical extraction procedure can offer a better solution to the repair of a gap in the continuity of the peripheral nerve.

       

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