中华耳科学杂志
中華耳科學雜誌
중화이과학잡지
CHINESE JOURNAL OF OTOLOGY
2014年
1期
128-135
,共8页
于进涛%丁大连%孙虹%Richard Salvi
于進濤%丁大連%孫虹%Richard Salvi
우진도%정대련%손홍%Richard Salvi
面神经管%大鼠%耳蜗微音器电位%总和电位%听神经复合动作电位
麵神經管%大鼠%耳蝸微音器電位%總和電位%聽神經複閤動作電位
면신경관%대서%이와미음기전위%총화전위%은신경복합동작전위
耳蜗生物电包括耳蜗内淋巴直流电位(EP),耳蜗微音器电位(CM),总和电位(SP),及听神经复合动作电位(CAP),这些不同的电位成份分别起源于耳蜗内不同的组织器官。除了EP是反映血管纹功能状态的静息电位之外,其它耳蜗生物电位都是声刺激诱发的耳蜗内不同组织细胞的电反应。因此,记录耳蜗生物电是直接反映耳蜗功能的最佳观察指标。许多传统的耳蜗生物电引导方法由于把电极置放到中耳腔内难免损伤中耳组织和结构而大都仅适用于急性或亚急性动物实验却不利于开展慢性实验的长期记录和观察。尤其在大鼠目前还缺少一种稳定可靠的长时期观察耳蜗生物电的引导方法。本实验将银丝电极经大鼠茎乳孔插入到面神经管水平段,由于面神经管水平段与耳蜗仅以很薄的骨壁相隔,因此可以从近距离引导出良好的耳蜗生物电反应。同时,由于电极埋藏在面神经管内而无需打开中耳腔,因此也避免了中耳粘膜或听骨链损伤以及因此而可能发生的术后中耳感染。我们在电极植入到同一动物测试耳面神经管水平段后不同时间测试的CAP和CM以及SP波形清晰并具有可靠的重复性,但是在不同动物之间的耳蜗生物电振幅却存在一定的差异,提示本方法引导的耳蜗生物电更适合于对同一测试耳进行实验前后的比较和观察。经面神经管这一天然骨性管道把引导耳蜗生物电的电极巧妙地植入到耳蜗隔壁,为更有效直接观察耳蜗各个组织器官对声刺激的反应提供了有益的参考经验。本文还就各种耳蜗生物电反应的特点及其相互内在联系以及与ABR之间的关系展开了讨论。
耳蝸生物電包括耳蝸內淋巴直流電位(EP),耳蝸微音器電位(CM),總和電位(SP),及聽神經複閤動作電位(CAP),這些不同的電位成份分彆起源于耳蝸內不同的組織器官。除瞭EP是反映血管紋功能狀態的靜息電位之外,其它耳蝸生物電位都是聲刺激誘髮的耳蝸內不同組織細胞的電反應。因此,記錄耳蝸生物電是直接反映耳蝸功能的最佳觀察指標。許多傳統的耳蝸生物電引導方法由于把電極置放到中耳腔內難免損傷中耳組織和結構而大都僅適用于急性或亞急性動物實驗卻不利于開展慢性實驗的長期記錄和觀察。尤其在大鼠目前還缺少一種穩定可靠的長時期觀察耳蝸生物電的引導方法。本實驗將銀絲電極經大鼠莖乳孔插入到麵神經管水平段,由于麵神經管水平段與耳蝸僅以很薄的骨壁相隔,因此可以從近距離引導齣良好的耳蝸生物電反應。同時,由于電極埋藏在麵神經管內而無需打開中耳腔,因此也避免瞭中耳粘膜或聽骨鏈損傷以及因此而可能髮生的術後中耳感染。我們在電極植入到同一動物測試耳麵神經管水平段後不同時間測試的CAP和CM以及SP波形清晰併具有可靠的重複性,但是在不同動物之間的耳蝸生物電振幅卻存在一定的差異,提示本方法引導的耳蝸生物電更適閤于對同一測試耳進行實驗前後的比較和觀察。經麵神經管這一天然骨性管道把引導耳蝸生物電的電極巧妙地植入到耳蝸隔壁,為更有效直接觀察耳蝸各箇組織器官對聲刺激的反應提供瞭有益的參攷經驗。本文還就各種耳蝸生物電反應的特點及其相互內在聯繫以及與ABR之間的關繫展開瞭討論。
이와생물전포괄이와내림파직류전위(EP),이와미음기전위(CM),총화전위(SP),급은신경복합동작전위(CAP),저사불동적전위성빈분별기원우이와내불동적조직기관。제료EP시반영혈관문공능상태적정식전위지외,기타이와생물전위도시성자격유발적이와내불동조직세포적전반응。인차,기록이와생물전시직접반영이와공능적최가관찰지표。허다전통적이와생물전인도방법유우파전겁치방도중이강내난면손상중이조직화결구이대도부괄용우급성혹아급성동물실험각불리우개전만성실험적장기기록화관찰。우기재대서목전환결소일충은정가고적장시기관찰이와생물전적인도방법。본실험장은사전겁경대서경유공삽입도면신경관수평단,유우면신경관수평단여이와부이흔박적골벽상격,인차가이종근거리인도출량호적이와생물전반응。동시,유우전겁매장재면신경관내이무수타개중이강,인차야피면료중이점막혹은골련손상이급인차이가능발생적술후중이감염。아문재전겁식입도동일동물측시이면신경관수평단후불동시간측시적CAP화CM이급SP파형청석병구유가고적중복성,단시재불동동물지간적이와생물전진폭각존재일정적차이,제시본방법인도적이와생물전경괄합우대동일측시이진행실험전후적비교화관찰。경면신경관저일천연골성관도파인도이와생물전적전겁교묘지식입도이와격벽,위경유효직접관찰이와각개조직기관대성자격적반응제공료유익적삼고경험。본문환취각충이와생물전반응적특점급기상호내재련계이급여ABR지간적관계전개료토론。
Cochlear bioelectric activities, including endocochlear potential (EP), cochlear microphonics (CM), summat-ing potential (SP) and compound action potential (CAP) originate from different structures and cells of the cochlea. Except for the EP, which is a resting potential mainly reflecting the function of stria vascularis, other cochlear potentials actually are the auditory evoked responses from cochlear sensory hair cells or auditory nerve fibers of spiral ganglion neurons respectively. Therefore, cochlear bioelectric activity recording is an ideal technique to study cochlear physiological functions. Many tradi-tional techniques for cochlear bioelectricity recording through middle ear cavity are not suited for long-term observation due to potential surgical injury or infection to the middle ear. With the expanding use of rats, rat model has been investigated to gain insights into the mechanisms underlying noise or drug-induced hearing loss. However, there lacks effective method for long-term recording of cochlear bioelectricity in rats. A stable long-term recording technique of cochlear potentials in rats is described in this report. A silver electrode was implanted into the horizontal segment of facial nerve canal via stylomastoid fora-men. Since the cochlear cavity is separated from facial nerve canal only by a thin osteal wall, the waveform of cochlear bioelec-tric activities can be easily recorded from within the facial nerve canal. In addition, this electrode insertion does not require opening the middle ear cavity and hence helps avoid surgical damage and infection to the middle ear. The CAP, CM and SP can be reliably recorded following electrode implantation. However, the amplitude of CAP and CM can vary among indivdual animals. This suggests that data analysis is probably more reliable with pre-vs post-treatment design than comparison across animals. In conclusion, electrode insert at the dissepiment of cochlea for recording of cochlear bioelectric activities may pro-vide a useful approach for hearing physiological studies in rats. Moreover, this paper also discusses the characteristics and in-trinsic relationships between different cochlear potentials.