[Experimental study of pathophysiological changes for peripheral nerve after neurolysis].
OBJECTIVE
To investigate the changes of regeneration and conduction function for peripheral nerve after neurolysis by nerve special staining and electrophysiology.


METHODS
Sixty Sprague-Dawley male rats were randomly divided into four groups(n = 15), four methods were designed on rats models of sciatic nerve compression. There were simple decompression as group A, internal neurolysis after decompression as group B, lemithason(0.5 mg/kg) injected in the epineurium after decompression as group C, and lemithason(0.5 mg/kg) injected around the epineurium after decompression and internal neurolysis as group D. Motor nerve conduction velocity(MNCV) and motor latency (Lan) were monitored at 1,2,3,4,5 weeks after decompression, sections were regularly taken from the previously compressed area to perform morphometric analysis.


RESULTS
After 2 weeks of decompression, the significant recovery were observed in both MNCV and Lan of four groups. Up to the 5th week of decompression, recovery of electrophysiology was significantly faster in group C and D than that of group A and B, particular in group C(P < 0.05), while group A compared with group B, there was no statistical difference in both MNCV and Lan(P > 0.05). Morphometric analysis showed that a lot of neural regeneration fibers were observed in group C and D after 3 weeks of decompression.


CONCLUSIONS
Decompression can improve nerve conduction function significantly, while injection of lemithason in epineurium after decompression can promote the structure and function recovery of injured nerve.
Guo
Y X
YX
Department of Surgery, Third Affiliated Hospital of Hebei Medical University, Shijiazhuang Hebei, P. R. China 050051.
Wang
X L
XL
Meng
Q Y
QY
D000818:Animals; D019299:Decompression, Surgical; D004594:Electrophysiology; D008297:Male; D009408:Nerve Compression Syndromes / Q000503:physiopathology / Q000601:surgery*; D009416:Nerve Regeneration; D009431:Neural Conduction; D011897:Random Allocation; D051381:Rats; D017207:Rats, Sprague-Dawley; D012584:Sciatic Nerve / Q000503:physiopathology / Q000601:surgery*