中国临床解剖学杂志 ›› 2010, Vol. 28 ›› Issue (5): 566-.

• 实验研究 • 上一篇    下一篇

一种新型慢性压迫性颈脊髓症大鼠模型的建立

龙厚清1, 温春毅2, 胡 勇2, 李广盛1,  刘少喻1, 李佛保1   

  1. 1. 中山大学附属第一医院脊柱外科,  广州   510700; 2. 香港大学李嘉诚医学院矫形及创伤外科
  • 收稿日期:2010-04-05 出版日期:2010-09-25 发布日期:2010-10-18
  • 作者简介:龙厚清(1969-),男,山东人,副教授,副主任医师,医学博士,硕士生导师,从事脊柱脊髓疾患的基础和临床研究

Establish of new type rat model of chronic compressive cervical myelopathy

LONG Hou-qing*,WHEN Chun-yi,  HU Yong, et al.   

  1. *Department of spine surgery, The first affiliated hospital of Sun yat-sen University, Guangzhou 510700, China
  • Received:2010-04-05 Online:2010-09-25 Published:2010-10-18

摘要:

目的 建立一种新型慢性压迫性颈脊髓症动物模型。 方法 20只SD大鼠经颈后路手术、于C5~6水平椎板下植入吸水性聚氨酯胶片,植入体内逐渐吸水胀大,形成对脊髓的慢性持续压迫。术后6个月,进行体感诱发电位(SEP)、微焦点CT(Micro-CT)、组织学(H-E染色)和组织化学(Luxol Fast  Blue,LFB染色)等检测。 结果 20只造模大鼠脊髓侧后方出现明显压迫性形态学改变,Micro-CT显示脊髓灰质和白质扭曲变形,14只出现SEP异常,其中波幅减低5例、潜伏期延长5例、二者均异常4例。SEP反应异常者与正常者组织学、组织化学比较,脊髓后索髓鞘染色显著减少(102±13 vs. 138±7; P<0.05),脊髓后索的对比剂密度有显著性差异(98±5 vs. 88±6; P<0.05),后角内神经元也明显较少(23±8/mm2  vs. 27±6/ mm2; P>0.05);造模大鼠脊髓出现基质海绵样变和静脉扩张、血管增生。 结论 该方法提供了一种操作方便、稳定性好、成功率高、评价指标完整的慢性压迫性脊髓症动物模型。

关键词: 颈脊髓症, 慢性压迫, 动物模型, 大鼠

Abstract:

Objective To establish the new type chronic compressive cervical myelopathy on rat. Methods Total 20 rats were operated with implantation of a water-absorbing polymer sheet in cervical spinal canal(C5~C6), which expanded gradually to induce chronic compression to the spinal cord. At 6 months after surgery, SEP, radiological (Micro-CT) and pathohistological(HE)/histochemistry(LFB) evaluations were done. Results All 20 rats’ spinal cord showed significant morphological compressed deformity after chronic compression. It was also characterized by higher contrast intensity, distortion of gray matter and whiter matter under Micro-CT evaluations. 14 of 20 showed prolonged latency and/or decreased amplitude: decreased amplitude (n=5), prolonged latency (n=5), prolonged latency and decreased amplitude (n= 4). Compared with 6 rats with normal SEP responses, these 14 rats spinal cord showed significant less myelin staining in white matter (102±13 vs. 138±7; P<0.05),significant different regarding contrast medium density in posterior dorsal column(98±5 vs. 88±6; P<0.05), and lower neuron density and cavitation in gray matter(23±8/mm2  vs. 27±6/mm2; P>0.05). Histological cystic cavitations, angiogenesis, and sinusoidal dilation of veins were noted in spinal cord with significant distortion after compression. Conclusion This new animal model provided convenient, intuitive, high succeed rate, multi-parameters, and stable tool for studying the mechanism of cervical spondylotic myelopathy.

Key words: Cervical myelopathy, Chronic compression, Animal model, Rat

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