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纸质出版:2015
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金相廷,姚远,胡凯,周跃.髓核突出导致大鼠痛觉改变及背根神经节交感神经芽生[J].陆军军医大学学报(原第三军医大学学报),2015,37(08 ):741-745. Jin Xiangting,Yao Yuan,Hu Kai,Zhou Yue.Herniation of nucleus pulposus causes pain and dorsal root ganglion sympathetic sprouting in rats[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(08 ):741-745.
金相廷, 姚远, 胡凯, et al. Herniation of nucleus pulposus causes pain and dorsal root ganglion sympathetic sprouting in rats[J]. Journal of Army Medical University, 2015, 37(8): 741-745.
金相廷,姚远,胡凯,周跃.髓核突出导致大鼠痛觉改变及背根神经节交感神经芽生[J].陆军军医大学学报(原第三军医大学学报),2015,37(08 ):741-745. Jin Xiangting,Yao Yuan,Hu Kai,Zhou Yue.Herniation of nucleus pulposus causes pain and dorsal root ganglion sympathetic sprouting in rats[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(08 ):741-745. DOI:
金相廷, 姚远, 胡凯, et al. Herniation of nucleus pulposus causes pain and dorsal root ganglion sympathetic sprouting in rats[J]. Journal of Army Medical University, 2015, 37(8): 741-745. DOI:
目的 观察单纯自体髓核突出情况下是否可以造成背根神经节(dorsal root ganglion,DRG)内交感芽生现象的发生,并引起大鼠痛阈变化。 方法 雄性SD大鼠110只,按随机数字表法分为正常组、手术组和假手术组,正常组10只,手术组、假手术组术后2、5、7、14、20 d 5个时间点,各时间点10只。手术组将鼠尾近端椎间髓核取出后移植于大鼠L5 DRG表面,制成无机械性压迫的单纯髓核突出模型。假手术组仅通过手术暴露L5 DRG,并不进行髓核移植。不同时间点监测大鼠的机械性痛阈与热痛阈,并处死、灌注固定。将固定后的术侧DRG取出、切片,用酪氨酸羟化酶(TH)抗体进行交感神经免疫组化染色,光学显微镜拍照后通过图像处理软件检测DRG内交感神经的数量、密度。 结果 手术组大鼠自体髓核移植术后,有明显行为学改变,大鼠术侧后足机械性痛阈和热痛阈明显降低,术后7、14、20 d痛阈水平均明显低于假手术组和正常组(P0.05)。同时,手术组术侧DRG内交感神经数量在术后5、7、14、20 d均显著高于假手术组和正常组(P0.01)。术后20 d,手术组DRG内交感神经数量[(19.70±2.67) mm/mm
2
]
明显高于假手术组[(2.75±2.20) mm/mm
2
]
和正常组[(1.11±1.07) mm/mm
2
P<0.01
]
。 结论 大鼠通过单纯自体髓核刺激DRG即可引起DRG内交感神经芽生,并可以引起同侧肢体痛阈降低。
Objective To investigate whether sympathetic sprouting occurs in dorsal root ganglion (DRG) in rats with autologous nucleus pulposus (NP) herniation
so as to provide a new research direction for the diagnosis and treatment of intervertebral disc hernia. Methods A total of 110 male SD rats were randomly divided into three groups: a normal group (n=10)
an operation group and a sham group (n
=10 at each point time after surgery). In operation group
autologous NP of intervertebral disc of the rat proximal tails was transplanted onto the surface of L5 DRG. The rats in the sham group received the same operation but without NP transplantation. The pain threshold of the ipsilateral hind paw was assessed on different days after surgery. Then the rats were sacrificed and fixed by perfusion of 4% paraformaldehyde. The ipsilateral L5 DRGs were taken out
fixed
and sectioned at a thickness of 30 μm to perform immunohistochemical staining with tyrosine hydroxylase (TH) antibody
and the images from the selected sections were captured with an optical microscope. The density of sympathetic nerves was estimated by measuring the nerve length using image analysis software. Results After transplantation of autologous NP
distinct mechanical allodynia and thermal hyperalgesia were found in the operation group. The paw withdrawl threshold (PWT) and thermal withdrawl latency (TWL) in the operation group were significantly lower than those of the sham group or normal group on days 7
14
and 20 (P0.05). Meanwhile
immunohistochemical staining results showed that the density of sympathetic nerves in the operation group was significantly higher than that of the sham group or normal group on days 5
7
14
and 20 (P0.05). In the DRGs from the operation group
the density (19.70±2.67 mm/mm
2
) of sympathetic nerves was significantly higher than that (2.75±2.20 mm/mm
2
) of the sham group and that (1.11±1.07 mm/mm
2
) of the normal group on day 20 after surgery (P0.01). Conclusion Sympathetic sprouting occurs in the DRG of the rats with autologous NP herniation and may lead to lower limb pain caused by intervertebral disc hernia.
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