Zhao Zeju, Xu Qian, Lu Li, Luo Xu, Fu Xiaoyun
Department of Urology, Affiliated Hospital of Zunyi Medical College Zunyi 563003, P. R. China.
Int J Clin Exp Med. 2014 Dec 15;7(12):5083-9. eCollection 2014.
In clinical, the relationship between bladder intramuscular nerve and function is also elusive. This study aims to compare the bladder intramuscular nerve distribution and its characteristics and significance in human and dog. Eleven dogs' bladders were stained by Sihler's and HE techniques. Fifteen human bladders were adopted by Sihler's staining, using 10% formaldehyde to fix 12 weeks, 7 by HE dyeing fixes 24 hours. Results indicated that man's bladder was triangularpyramid-shaped. While dog's bladder was spherical-shaped and its muscle fibers arrange were irregularly shaped. Longitudinal muscle of the outer layer is fleshy, the terminal is at the bladder neck without exception, and vesical trigone has relatively obvious three layers of structure. After dyeing dog's bladder was transparent jelly, the nerve was purple color, enter bladder at the ureter-bladder junction with different forms. Man's bladder nerves, no ganglion, were more trivial than that of dogs, and with smaller branches, the large nerve ganglion. The links with the nerve fibers and forms the network on the dog's bladder wall, and the nerve fibers crosses comparatively little on both the left and right sides in the midline. The right nerve branch gains advantage on the man's bladder wall, the situations is opposite on the dog's. In conclusion, bladder nerves which scatter to the bladder wall have branches to lower ureter at the ureter-bladder junction, the structure and distribution of intramuscular nerves are different, the existence of intramuscular ganglia is relating to the bladder function both in man and dog.
在临床上,膀胱肌层内神经与功能之间的关系也尚不明确。本研究旨在比较人和犬膀胱肌层内神经的分布及其特征和意义。11只犬的膀胱采用西勒氏(Sihler's)染色法和苏木精-伊红(HE)染色技术。15个人类膀胱采用西勒氏染色法,用10%甲醛固定12周,7个采用HE染色固定24小时。结果表明,人的膀胱呈三角锥形。而犬的膀胱呈球形,其肌纤维排列不规则。外层纵肌肉质化,末端均位于膀胱颈,膀胱三角区有相对明显的三层结构。犬膀胱染色后呈透明胶冻状,神经呈紫色,以不同形式在输尿管-膀胱连接处进入膀胱。人的膀胱神经无神经节,比犬的更细小,分支也较小,有大的神经节。神经纤维在犬膀胱壁上相互连接并形成网络,在中线左右两侧神经纤维交叉较少。右侧神经分支在人的膀胱壁上占优势,在犬的膀胱壁上情况则相反。总之,分散至膀胱壁的膀胱神经在输尿管-膀胱连接处有分支至输尿管下段,肌层内神经的结构和分布不同,肌层内神经节的存在与人及犬的膀胱功能均有关。