Ishikawa T, Mori M, Ichikawa Y, Kitoh J, Yamashita K
Department of Anatomy, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8602, Japan. tomoko/
Anat Rec. 2000 Nov 1;260(3):228-37. doi: 10.1002/1097-0185(20001101)260:3<228::AID-AR30>3.0.CO;2-S.
The three-dimensional (3D) relationship among the hepatic domains and the efferent central and afferent portal veins was investigated by macroscopy, microscopy, and computer-aided 3D reconstruction methods. To clearly distinguish the pericentral domain from the periportal, we used CCl(4)-treated mice and diabetic house musk shrews, which show typical pericentral necrosis and deposition of fat, respectively. The 3D findings obtained were verified against normal control animals using advantages of our unique observations by light and fluorescent microscopy, which made it possible to differentiate the two domains well. The pericentral domains in the mice and shrews appeared three-dimensionally as continuous branched columns, and the periportal domains exist in a sponge-like network that fills the parenchymal space among the columnar pericentral domains. The efferent central veins were concentrically surrounded by the pericentral domain, and segments of the central veins flowed into large sublobular and lobar veins. The walls of these large veins faced the pericentral domain at the confluence with the central veins; the remaining portions of the walls faced the periportal domain. The afferent portal veins were placed at the two-dimensional center of the network of the periportal domain and gave off smaller portal branches radially at the intersections of the network. Three types of liver lobules-classic, portal, and acinar-have been discussed repeatedly at the (2D) level. At the 3D level, it is reasonable to consider that the liver parenchyma consists of the two continuous domains corresponding to the distribution of the vessels that we found.
通过大体观察、显微镜检查和计算机辅助三维重建方法,研究了肝区与传出中央静脉和传入门静脉之间的三维关系。为了清楚地区分中央周围区和门周区,我们使用了四氯化碳处理的小鼠和糖尿病麝鼩,它们分别表现出典型的中央周围坏死和脂肪沉积。利用我们独特的光学和荧光显微镜观察优势,将获得的三维结果与正常对照动物进行了验证,这使得能够很好地区分这两个区域。小鼠和麝鼩的中央周围区在三维上呈现为连续的分支柱状结构,而门周区则存在于填充柱状中央周围区之间实质空间的海绵状网络中。传出中央静脉被中央周围区同心包围,中央静脉的节段流入大的小叶下静脉和叶静脉。这些大静脉的壁在与中央静脉汇合处面向中央周围区;壁的其余部分面向门周区。传入门静脉位于门周区网络的二维中心,并在网络的交叉点处径向发出较小的门静脉分支。经典、门管和腺泡三种类型的肝小叶在二维水平上已被反复讨论。在三维水平上,有理由认为肝实质由与我们发现的血管分布相对应的两个连续区域组成。