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垂体能否直接向大脑分泌?(肯定的解剖学证据)

Can the pituitary secrete directly to the brain? (Affirmative anatomical evidence).

作者信息

Bergland R M, Page R B

出版信息

Endocrinology. 1978 May;102(5):1325-38. doi: 10.1210/endo-102-5-1325.

Abstract

Vascular casts of 10 rhesus monkey pituitary glands and three vascular casts of the rhesus monkey cavernous sinus were examined by scanning electron microscopy. A continuous neurohypophyseal capillary bed was found uniting the infundibulum, infundibular stem, and infundibular process. The neurophypophysis was supplied by three groups of arteries: superior hypophyseal, middle hypophyseal, and inferior hypophyseal. Numerous anastomoses were found between individual arteries, and some hypophyseal arteries formed anastomotic links between different portions of the circle of Willis. Veins located at the caudal pole of the infundibular process, capillaries linking the infundibulum to the hypothalamus, and portal vessels extending from the infundibulum to the adenohypophysis provided efferent vascular pathways from the neurohypophysis. The adenohypophysis received no direct arterial supply; its entire afferent vascular supply was provided by portal vessels. Lateral hypophyseal veins were not found; small adenohypophyseal veins joined larger neurohypophyseal veins to form confluent pituitary veins which extended to the cavernous sinus. The capacity of the venous connections draining the adenohypophysis directly to the cavernous sinus appeared small when compared to that of of the long portal vessels supplying the adenohypophysis. However, many of the short portal vessels interposed between the adenohypophysis and the infundibular stem and process were well arranged to function as alternative efferent routes from the adenohypophysis. The limited potential for venous drainage directly to the cavernous sinus suggests that blood leaves the adenohypophysis by other routes; blood carried via long portal vessels from the infundibulum to the adenohypophysis may return to the neurohypophyseal capillary bed via short portal vessels. This anatomical study suggests that hypothalamic and adenohypophyseal secretions are conveyed to the capillary bed of the neurohypohysis. These secretions may leave the neurohypophysis via any of seven potential routes: one efferent route is directed to the adenohypophysis, another route is directed to the systemic circulation, but five of the potential efferent routes are directed toward the brain.

摘要

通过扫描电子显微镜检查了10个恒河猴垂体的血管铸型以及3个恒河猴海绵窦的血管铸型。发现一个连续的神经垂体毛细血管床连接着漏斗、漏斗柄和漏斗突。神经垂体由三组动脉供血:垂体上动脉、垂体中动脉和垂体下动脉。在各条动脉之间发现了许多吻合支,一些垂体动脉在Willis环的不同部分之间形成了吻合连接。位于漏斗突尾极的静脉、连接漏斗与下丘脑的毛细血管以及从漏斗延伸至腺垂体的门静脉提供了神经垂体的传出血管途径。腺垂体没有直接的动脉供血;其全部传入血管供应由门静脉提供。未发现垂体外侧静脉;小的腺垂体静脉与较大的神经垂体静脉汇合形成汇合的垂体静脉,延伸至海绵窦。与供应腺垂体的长门静脉相比,直接将腺垂体引流至海绵窦的静脉连接能力似乎较小。然而,位于腺垂体与漏斗柄和漏斗突之间的许多短门静脉排列良好,可作为腺垂体的替代传出途径。直接引流至海绵窦的静脉引流潜力有限,这表明血液通过其他途径离开腺垂体;经长门静脉从漏斗输送至腺垂体的血液可能通过短门静脉返回神经垂体毛细血管床。这项解剖学研究表明,下丘脑和腺垂体的分泌物被输送至神经垂体的毛细血管床。这些分泌物可能通过七种潜在途径中的任何一种离开神经垂体:一种传出途径指向腺垂体,另一种途径指向体循环,但五种潜在传出途径指向脑。

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