邢叔星,黄 强,李正疆,班照楠,何 欣,钟 航,曹万全,吉海波,吴昭君.兔前交叉韧带损伤后膝关节本体感觉、残端血运及膝关节腔尿激酶型纤溶酶原激活物变化的实验研究[J].现代生物医学进展英文版,2021,(22):4244-4248. |
兔前交叉韧带损伤后膝关节本体感觉、残端血运及膝关节腔尿激酶型纤溶酶原激活物变化的实验研究 |
Experimental Study on Changes of Knee Proprioception, Stump Blood Supply and Urokinase-Type Plasminogen Activator in the Knee Cavity after Anterior Cruciate Ligament Injury in Rabbit |
Received:March 27, 2021 Revised:April 23, 2021 |
DOI:10.13241/j.cnki.pmb.2021.22.009 |
中文关键词: 前交叉韧带 膝关节本体感觉 残端血运 尿激酶型纤溶酶原激活物 |
英文关键词: Anterior cruciate ligament Knee proprioception Stump blood supply Urokinase-type plasminogen activator |
基金项目:四川省卫生健康委员会科研项目(17PJ198);成都市卫生和计划生育委员会医学科研项目(2018019) |
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中文摘要: |
摘要 目的:研究兔前交叉韧带(ACL)损伤后膝关节本体感觉、残端血运及膝关节腔尿激酶型纤溶酶原激活物(u-PA)的变化情况。方法:选取80只新西兰兔进行研究,将其以随机数字表法分作模型组及空白对照组各40只。模型组建立单侧ACL损伤模型,空白对照组仅切开关节。比较两组术前及术后2周、4周、8周时膝关节本体感觉、残端血运及膝关节腔u-PA水平的差异。结果:模型组新西兰兔术后2周、4周、8周时的体感诱发电位(SEP)、肌电图(EMG)潜伏期均高于空白对照组,而SEP、EMG波幅均低于空白对照组(P<0.05)。模型组新西兰兔术后2周、4周、8周时的残端组织微血管密度分别为(2.04±0.24)n/mm2、(2.75±0.61)n/mm2、(1.60±0.33)n/mm2,均高于空白对照组的(1.34±0.24)n/mm2、(1.34±0.25)n/mm2、(1.35±0.26)n/mm2,差异均有统计学意义(P<0.05)。模型组新西兰兔术后2周、4周、8周时的膝关节液u-PA水平分别为(173.97±14.29)pg/mL、(188.37±15.82)pg/mL、(171.38±14.76)pg/mL,均高于空白对照组的(158.02±10.18)pg/mL、(157.68±10.20)pg/mL、(157.37±10.07)pg/mL,差异均有统计学意义(P<0.05)。结论:ACL损伤后会在不同程度上影响膝关节本体感觉、残端血运及膝关节腔u-PA含量,值得临床进一步研究。 |
英文摘要: |
ABSTRACT Objective: To study the changes of knee proprioception, stump blood supply and urokinase-type plasminogen activator (u-PA) in the knee cavity after anterior cruciate ligament (ACL) injury in rabbits. Methods: 80 New Zealand rabbits were selected for the study, and they were divided into model group and blank control group with 40 rabbits each by random number table method. A unilateral ACL injury model was established in the model group, and only the joint was cut open in the blank control group. The knee proprioception, stump blood supply and u-PA level in the knee cavity were compared between the two groups before and 2, 4 and 8 weeks after operation. Results: The incubation period of somatosensory evoked potential (SEP) and electromyography (EMG) in the model group were higher than those in the blank control group at 2, 4 and 8 weeks after operation, while the amplitude of SEP and EMG were lower than those in the blank control group (P<0.05). The microvessel density of stump tissue in the model group at 2, 4 and 8 weeks after operation were (2.04±0.24) n/mm2, (2.75±0.61) n/mm2 and (1.60±0.33) n/mm2 respectively, which were higher than those in the blank control group (1.34±0.24) n/mm2, (1.34±0.25) n/mm2, (1.35±0.26) n/mm2, the differences were statistically significant (P<0.05). The u-PA level of articular fluid in the model group at 2, 4 and 8 weeks after operation were (173.97±14.29) pg/mL, (188.37±15.82) pg/mL, (168.38±14.76) pg/mL respectively, which were higher than those in blank control group (158.02±10.18) pg/mL, (157.68±10.20) pg/mL, (157.37±10.07) pg/mL, the differences were statistically significant (P<0.05). Conclusion: After ACL injury, the knee proprioception, stump blood supply and u-PA content in the knee cavity can be affected to different degrees, which is worthy of further clinical study. |
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