CAJ | 학술논문

目的探讨使用枸杞多糖(LBP)修复钳夹损伤的海绵体神经(CN),恢复自主勃起功能的可行性.方法 21只雄性SD大鼠随机分成3组,即假手术组、LBP组、损伤对照组,于术后3个月电刺激CN测定海绵体内压(ICP)及平均动脉压(MAP),取CN进行甲苯胺蓝染色检测有髓轴突数目,取阴茎组织进行烟酰胺腺嘌呤二核苷酸磷酸(NADPH)染色检测一氧化氮合酶(NOS)阳性神经纤维数目.结果 LBP组ICP/MAP比值(0.44 ±0.05)明显高于损伤对照组(0.26 ±0.03,P＜0.05),但低于假手术组(0.68 ±0.08,P＜0.05).LBP组CN有髓轴突数目(106.8 ±17.9),与假手术组(180.9 ±15.3)和损伤对照组(64.9±l3.9)比较差异有统计学意义(P＜0.05).阴茎背神经NOS阳性神经纤维数目(164.2±12.2),与假手术组(263.3 ±15.0)和损伤对照组(85.6±14.7)比较差异有统计学意义(P＜0.05).结论 LBP可促进CN钳夹损伤后的神经再生及勃起功能的恢复.
목적 탐토사용구기다당(LBP)수복겸협손상적해면체신경(CN),회복자주발기공능적가행성.방법 21지웅성SD대서수궤분성3조,즉가수술조、LBP조、손상대조조,우술후3개월전자격CN측정해면체내압(ICP)급평균동맥압(MAP),취CN진행갑분알람염색검측유수축돌수목,취음경조직진행연선알선표령이핵감산린산(NADPH)염색검측일양화담합매(NOS)양성신경섬유수목.결과 LBP조ICP/MAP비치(0.44 ±0.05)명현고우손상대조조(0.26 ±0.03,P＜0.05),단저우가수술조(0.68 ±0.08,P＜0.05).LBP조CN유수축돌수목(106.8 ±17.9),여가수술조(180.9 ±15.3)화손상대조조(64.9±l3.9)비교차이유통계학의의(P＜0.05).음경배신경NOS양성신경섬유수목(164.2±12.2),여가수술조(263.3 ±15.0)화손상대조조(85.6±14.7)비교차이유통계학의의(P＜0.05).결론 LBP가촉진CN겸협손상후적신경재생급발기공능적회복.
Objective To investigate the feasibility of erectile function recovery by repairing crushed cavernous nerves (CN) with lyceum barbarum polysaccharides (LBP).Methods Twenty-one male Sprague-Dawley rats were randomly divided into 3 groups:sham group,LBP group,and control group.Erectile function was assessed by cavernous nerve electrostimulation at 3rd month after operation and nerve regeneration was assessed by toluidine blue staining of CN and nicotinamide adenine dinucleotide phosphate (NADPH)-diaphorase staining of penile tissue.Results The peak ICP/MAP ratio in LBP group (0.44 ± 0.05) was significantly higher than in control group (0.26 ± 0.03,P ＜ 0.05),but lower than in sham group (0.68-± 0.08,P ＜ 0.05).The LBP group had more myelinated axons of CNs (106.8 ± 17.9) than the control group (64.9 ± 13.9,P ＜ 0.05),but fewer than the sham group (180.9 ± 15.3,P ＜ 0.05).The LBP group had more NOS diaphorase positive nerve (164.2 ± 12.2) than the control group (85.6 ±14.7,P＜0.05),but fewer than the sham group (263.3 ± 15.0,P＜0.05).Conclusion The application of LBP after CN crush injury promotes nerve regeneration and erectile function recovery.