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将雄性大鼠尿道横纹括约肌分为结构和功能不同的部分。

Division of the male rat rhabdosphincter into structurally and functionally differentiated parts.

作者信息

Lehtoranta Mari, Streng Tomi, Yatkin Emrah, Paranko Jorma, Kolts Ivo, Talo Antti, Santti Risto

机构信息

Department of Anatomy, Institute of Biomedicine, University of Turku, Turku, Finland.

出版信息

Anat Rec A Discov Mol Cell Evol Biol. 2006 May;288(5):536-42. doi: 10.1002/ar.a.20318.

Abstract

In order to understand the structure-function relationship in the male rat rhabdosphincter, the 3D structure of the striated muscle and associated dense connective tissue was reconstructed from representative serial sections cut from the proximal urethra harboring the muscle. The 3D structure was correlated with electromyography (EMG) of the rhabdosphincter, urodynamic parameters (bladder pressure and flow rate), and longitudinal contraction force of the proximal urethra. The muscular component of the rhabdosphincter consisted of a homogeneous population of the fast-twitch-type fibers. In the cranial part, striated muscle formed a complete ring encircling the urethra, deferent ducts, and ducts from seminal vesicles and prostatic lobes. Toward the middle part, the amount of densely packed connective tissue lacking type III collagen increased anteriorly and posteriorly and penetrated the muscular ring that became divided first posteriorly and then anteriorly into two symmetrical halves. In the caudal part, a thin midsagittal dense connective tissue septum remained posteriorly. EMG recordings suggested that the rhabdosphincter muscle was functionally divided into two parts. Unlike the cranial and middle parts, the caudal part did not show the first depolarization peak. It appears that rapid oscillatory oblique-to-circular muscular contractions proceeding in craniocaudal direction in the cranial and middle part draw the anterior wall supported by arch-like dense connective tissue closer to the posterior wall supported by a more rigid rhomboidal raphe. Longitudinal contractions of the urethra are possibly evoked from the proximal and caudal parts of rhabdosphincter. These could lead to simultaneous increase in urethral pressure ensuring rapid urine flow rate. The caudal part could augment the opening of urethral lumen during oscillatory voiding.

摘要

为了解雄性大鼠横纹括约肌的结构-功能关系,从含有该肌肉的近端尿道切取代表性连续切片,重建了横纹肌及相关致密结缔组织的三维结构。将三维结构与横纹括约肌的肌电图(EMG)、尿动力学参数(膀胱压力和流速)以及近端尿道的纵向收缩力进行关联分析。横纹括约肌的肌肉成分由均一的快肌纤维组成。在头侧部分,横纹肌形成一个完整的环,环绕尿道、输精管以及来自精囊和前列腺叶的导管。向中间部分,缺乏III型胶原蛋白的致密结缔组织量在前后方增加,并穿透肌肉环,该肌肉环先在后方然后在前方分成两个对称的半环。在尾侧部分,后方保留有一个薄的矢状中致密结缔组织隔。EMG记录表明,横纹括约肌在功能上分为两部分。与头侧和中间部分不同,尾侧部分未显示第一个去极化峰。似乎在头侧和中间部分沿头尾方向进行的快速振荡性斜向至环形肌肉收缩,将由拱形致密结缔组织支撑的前壁拉向由更坚硬的菱形缝支持的后壁。尿道的纵向收缩可能由横纹括约肌的近端和尾侧部分诱发。这些可能导致尿道压力同时升高,确保快速的尿流率。尾侧部分可在振荡性排尿期间增大尿道腔的开口。

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