目的:机械分离、培养小鼠耳蜗螺旋神经元,并进行免疫荧光细胞学鉴定,为后期进一步的实验研究提供实验材料。方法:采用初出生1~5天以内的昆明小鼠进行解剖、机械分离以获得螺旋神经节组织,进行原代培养后,应用神经微丝蛋白(Neurofilament protein,NFP-H)单克隆抗体进行免疫荧光细胞学鉴定。结果:机械分离后获得的螺旋神经节组织中的螺旋神经元,在体外培养条件下可以存活并进行正常分化。典型的螺旋神经元,其细胞形态呈椭圆形,胞体透明光滑、接近生理形态。荧光染色标记后,胞体和神经突起均显色好,Schwann细胞和成纤维细胞未着色。结论:应用机械分离的方法获得小鼠耳蜗螺旋神经节组织并进行培养,耳蜗螺旋神经元在体外可以稳定地存活生长。培养获得的细胞形态和生存状态接近生理状态,满足电生理、免疫细胞化学、药理学等研究。应用特异性的神经微丝蛋白对培养获得的螺旋神经元进行免疫荧光细胞学鉴定,特异性好,荧光显色好。
Objective To explore the effect of arthroscopy on diagnosing and treating suppurative arthritis of knee joint. Methods The clinical data of 22 patients with suppurative arthritis of knee joint diagnosed between January 2012 and December 2013 were analyzed retrospectively, including 13 males and 9 females with the age of 7-56 years (average 28.5 years). The duration of disease history was from 7 days to 4.5 months with the average of 2.8 months. All of the patients had swelling, pain, and limitation of motion of the knee joint in different degrees. Among them, 20 patients were diagnosed definitely and remaining 2 were osteoarthritis with atypical infections. Patients were investigated by Lysholm questionnaires during the follow-up period. Results All of the 22 patients were followed up for 3-10 months with the average of 8.5 months. The diagnosis was confirmed by pathological and arthroscopic examination after the surgery, and no recurrence was found. Lysholm score ranged from 77 to 99 with the average of 92.8. Only 1 patient had the motion range of 10-40°of the knee joint after several treatment. Conclusion Early arthroscopic treatment for suppurative arthritis of knee joint with continuous postoperati ve lavage and irrigation combined with comprehensive physiotherapy and rehabilitation has the advantages of high efficacy, maximum recovery of knee function, and quick recovery, which should be promoted in the clinical application