Vlasova M I
Department of Operative Surgery and Clinical Anatomy, I. P. Pavlov State Medical University, St. Petersburg.
Morfologiia. 2000;117(1):16-9.
Using anatomical and histological methods individual variability of structure and topography of coeliac plexus 94 preparations of adults of both sexes were studied. In 32% coeliac plexus was presented as a multitude of small ganglia connected by a network of nerve fibres remote from visceral branches of aorta. In 38% the plexus was composed of middle sized ganglia concentrated into groups at the level of coeliac trunk from the left and at the level of the source of superior mesenteric artery without contacts wit lig.arcuatum from right, histologically ganglia had lobular structure with low amount of connective tissue (29%-50%). In 30% it was comprised of 2-4 large conglomerates of ganglia attached to lig.arcuatum from the bottom forming a dense circle around the vessel, decline in neuron relative number was discovered histologically. Single neurons surrounded by rough fibrous tissue were observed instead of lobules (42-94%). Correlation between structure and topography of the plexus and skeletotopy of coeliac trunk, aorta and lig.arcuatum were established which can be used to reveal "risk" groups involving neuroganglionic component in extravasal compression of coeliac trunk.
运用解剖学和组织学方法,对94例成年男女的标本进行了腹腔丛结构和局部解剖的个体差异研究。32%的腹腔丛表现为众多小神经节,由远离主动脉内脏分支的神经纤维网络相连。38%的丛由中等大小的神经节组成,在腹腔干水平从左侧集中成群,在肠系膜上动脉起始处水平,右侧与弓状韧带无接触,组织学上神经节具有小叶结构,结缔组织含量低(29%-50%)。30%的腹腔丛由2-4个大的神经节团块组成,从下方附着于弓状韧带,围绕血管形成致密环,组织学上发现神经元相对数量减少。观察到单个神经元被粗糙纤维组织包围,而非小叶(42%-94%)。建立了丛的结构和局部解剖与腹腔干骨骼定位、主动脉和弓状韧带之间的相关性,可用于揭示在腹腔干血管外压迫中涉及神经节成分的“风险”组。