您的位置:山东大学 -> 科技期刊社 -> 《山东大学学报(医学版)》

山东大学学报(医学版)

• 论文 • 上一篇    下一篇

兔急性脊髓损伤后磁刺激运动诱发电位与病理变化的相关性

侯勇1,聂林1,吴琦2,邵军3,吕丽红3   

  1. 山东大学 1. 齐鲁医院骨创科; 2. 医学院解剖学教研室;3. 医学院手术学教研室, 济南 250012
  • 收稿日期:2008-07-15 修回日期:1900-01-01 出版日期:2008-09-16 发布日期:2008-09-16
  • 通讯作者: 聂林

Transcranial magnetic stimulation motor evoked potentials and pathologicchanges in rabbit spinal cord injury

HOU Yong1, NIE Lin1, WU Qi2, SHAO Jun3, LV Li-ping3   

  1. 1. Department of Orthopaedic, Qilu Hospital of Shan Dong University; 2. Department of anatomy; 3. Department of Surgery, School of Medicine, Shandong University, Jinan 250012, China
  • Received:2008-07-15 Revised:1900-01-01 Online:2008-09-16 Published:2008-09-16
  • Contact: NIE Lin

摘要: 目的观察兔急性脊髓损伤后经颅磁刺激运动诱发电位(transcranial magnetic stimulation motor evoked pontentials,TMS-MEP)的变化规律,并与脊髓病理变化相比较,探讨其相关性。方法将日本大耳兔32只随机分为4组,每组8只。A组为对照组,B、C、D组为实验组(脊髓损伤组)。然后对每组动物分别于麻醉后、暴露脊髓后、伤后5min、30min、1h、6h、1d、3d、7d检测TMS-MEP,对所得波形数据进行统计学分析。于伤后1d、3d、7d采用后肢的Tarlov分级行运动功能评分。以损伤部位为中心切取脊髓标本,行HE染色光镜、电镜观察。结果随着脊髓损伤的加重,MEP的潜伏期逐渐延长,波幅在逐渐减小,病理显示白质纤维脱髓鞘越重,神经细胞损伤数目越多,MEP的潜伏期延长和波幅降低越明显。结论经颅磁刺激运动诱发电位与脊髓病理变化有明显的相关性,TMS-MEP对脊髓损伤十分敏感,能客观地检测脊髓运动功能,反映脊髓损伤程度。

关键词: 病理, 兔, 脊髓损伤, 运动诱发电位, 经颅磁刺激

Abstract: To explore the changes of transcranial magnetic stimulation motor evoked potentials(TMSMEP) and spinal cord pathology in rabbit spinal cord injury, and to explore their correlation. MethodsA digital weight drop apparatus induced spinal cord lesion was performed to mimic human SCI. Based on the drop height, 32 rabbits were randomly divided into four groups: the control, 2cm, 4cm and 6cm injured groups. TMSMEP was used to assess neurologic function. The MEP was recorded at 5min, 15min, 30min, 60min, 6h, 24h, 3d, 7d post-injury and before spinal cord injury in injury groups. Tarlov behaviour score was performed before and after surgery at 1, 3, 7 days. Light and electron microscope were used to observe the pathological changes. Results Spinal cord injury resulted in a gradual decrement in the peak latency and significant increment in the peak amplitude. Simultaneously, histological studies showed that the drop causes a ischemia lesion, which was found in human spinal cord injury. ConclusionTMSMEP has a significant association with spinal cord pathological changes and will be a noninvasive examination for spinal cord function.

Key words: Transcranial magnetic stimulation, Motor evoked potential, spinal cord injury, Pathology, Rabbits

中图分类号: 

  • R322.81
[1] 赵立星 宋代辉 魏魁杰 殷恺. 颞下颌关节骨关节病动物模型的建立[J]. 山东大学学报(医学版), 2209, 47(6): 25-27.
[2] 赵相瑞,阴勇成,方跃鹏,杨志杰,宁斌. 基质Gla蛋白在脊髓损伤后纤维瘢痕形成中的作用机制[J]. 山东大学学报 (医学版), 2026, 64(5): 50-60.
[3] 齐硕,刘可宇,徐展望,谭国庆,张强. 改良活检优化宏基因组二代测序腰椎间盘感染早期诊断策略[J]. 山东大学学报 (医学版), 2026, 64(2): 96-103.
[4] 罗淇,王霞,姜孟. 脑功能网络分析在失语症诊疗中的应用:病理机制分析、临床诊断与疗效评价[J]. 山东大学学报 (医学版), 2025, 63(8): 111-126.
[5] 王立童,王战,吴静仪,吴艳盈,李永娜,唐洪. 耳穴电针联合高频重复经颅磁刺激对卒中后抑郁的疗效[J]. 山东大学学报 (医学版), 2025, 63(11): 53-60.
[6] 刘翔,高玮,王超,张晓艳. 基于Web of Science的脊髓损伤致截瘫患者康复研究可视化分析[J]. 山东大学学报 (医学版), 2025, 63(11): 75-86.
[7] 周永康,孙境,张帅,钱向阳. 胸腹主动脉瘤开放修复脊髓保护策略的研究进展[J]. 山东大学学报 (医学版), 2024, 62(9): 49-54.
[8] 孙境,张帅,齐红霞,李远,周永康,胡可鉴,钱向阳. 常温自身动脉转流内脏优先策略在胸腹主动脉置换手术中的脊髓保护作用[J]. 山东大学学报 (医学版), 2024, 62(9): 80-85.
[9] 吴霖,石晨曦,童星. 肺良性转移性平滑肌瘤病7例并文献复习[J]. 山东大学学报 (医学版), 2024, 62(4): 78-84.
[10] 李国华,陆艺,王胜秋. 不同频率重复经颅磁刺激治疗脑梗死后失语症的疗效[J]. 山东大学学报 (医学版), 2023, 61(7): 83-89.
[11] 杨咏青,赵鹏,汪玉,马文静,田迷迷,程亚旎,祖璐,林祥涛. 细胞外容积分数对62例不同病理类型肺癌的诊断价值[J]. 山东大学学报 (医学版), 2023, 61(2): 88-94.
[12] 李喆,张振坤,张淑坤. SMARCA2缺失的未分化肠癌4例并文献复习[J]. 山东大学学报 (医学版), 2023, 61(11): 82-88.
[13] 郭孙伟,刘惜时. 子宫腺肌病发病机制和病理生理研究进展[J]. 山东大学学报 (医学版), 2022, 60(7): 6-19.
[14] 王静,刘粉,曾荣,黄思源,许长娟,梁子婷,董亮. 以胸膜病变为特征的IgG4相关性肺疾病1例[J]. 山东大学学报 (医学版), 2022, 60(3): 114-116.
[15] 田祥奇,王皓,徐新荣,方雨晴,毛飞,赵张宁,赵海龙,吴丙云,李秀华. 超低频经颅磁刺激对帕金森病睡眠障碍患者的疗效观察[J]. 山东大学学报 (医学版), 2022, 60(12): 19-25.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!