Tos M
Arch Otorhinolaryngol. 1975 Aug 28;209(4):315-24. doi: 10.1007/BF00456551.
In 60 foetuses and prematures, ranging in age from the 10th to the 30th menstrual week, the entire mucous membrane from the rhinopharynx and pharynx was removed and stained in toto with PAS-alcian blue, PAS, and osmium whole-mount methods. The development, spread, and density of goblet cells as well as the differentiation of the epithelium were studied. Goblet-cell development started in the 12th week, 3-4 weeks later than the development of ciliated cells, below the tubal orifice. Thereupon, goblet cells gradually spread behind the tubal orifice, towards the roof and further on to the nose. Thus, by the 17th week goblet cells and ciliated cells are present throughout the rhinopharynx and in the upper half of the pharynx. In the lower half of the rhinopharynx and upper part of the pharynx as well as in the posterior wall, the density is fairly low during the first weeks, and later it becomes even lower. In these sites the epithelium differentiation into startified squamous and transitional epithelium. In the roof of the rhinopharynx and in the fossa of Rosenmüller the density increases steadily, and in these sites respiratory tract epithelium is present. Transformation of the epithelium, which originally contains ciliated cells and goblet cells, into startified squamous epithelium and transitional epithelium is instituted at an early stage of development and continues throughout, but possibly it is promoted postnatally by mechanical contact between the walls.
对60例年龄在月经周期第10至30周的胎儿和早产儿,切除鼻咽部和咽部的整个黏膜,采用过碘酸-阿尔辛蓝、过碘酸和锇全片染色法进行全片染色。研究了杯状细胞的发育、分布和密度以及上皮的分化。杯状细胞的发育始于第12周,比纤毛细胞的发育晚3 - 4周,位于输卵管口下方。随后,杯状细胞逐渐在输卵管口后方扩散,向顶部并进一步向鼻部扩散。因此,到第17周时,鼻咽部和咽部上半部分都有杯状细胞和纤毛细胞。在鼻咽部下半部分、咽部上半部分以及后壁,最初几周杯状细胞密度相当低,之后密度更低。在这些部位,上皮分化为复层鳞状上皮和移行上皮。在鼻咽顶部和咽鼓管隐窝,杯状细胞密度稳步增加,这些部位存在呼吸道上皮。原本含有纤毛细胞和杯状细胞的上皮向复层鳞状上皮和移行上皮的转化在发育早期就开始并持续进行,但可能在出生后受到壁间机械接触的促进。