Fenwick B W, Kruckenberg S
Am J Vet Res. 1987 Aug;48(8):1276-81.
Five commonly used methods of collecting canine intestinal tissues for histologic examination were compared by analysis of the histologic artifact frequency, types, and severity, using a double-blind study design. Tissue samples from the duodenum, jejunum, ileum, and colon from 12 dogs were collected, using the following methods: method 1, longitudinally incising the intestine along the antimesenteric border and stapling the free ends of the intestine to a wooden tongue depressor; method 2, ligating the ends of an unopened length of intestine and injecting the lumen with formalin; method 3, longitudinally incising the intestine along the antimesenteric border and laying the opened intestine on a dry paper towel with the serosal surface down; method 4, placing a segment of unopened and uninjected intestine directly into formalin; and method 5, longitudinally incising the intestine along the antimesenteric border. All tissues were fixed by immersion in neutral-buffered 10% formalin and were processed, using routine histologic techniques. Two of these dogs were perfused IV with formalin before tissues were collected. Samples of intestinal tissue were examined by scanning electron microscopy to confirm the histologic findings. Method 2 resulted in significantly fewer and less severe artifacts (P less than 0.02) than did the other methods. Method 4 resulted in significantly more artifacts of greater severity (P less than 0.02) than did the other methods. The number of artifacts and the severity of artifacts induced by methods 1, 3, and 5 were not significantly different. Significantly (P less than 0.05) more artifacts and artifacts of greater severity occurred in the duodenum and jejunum than occurred in the ileum and colon, regardless of the method used.
采用双盲研究设计,通过分析组织学假象的频率、类型和严重程度,比较了五种常用的犬肠道组织采集方法用于组织学检查的情况。从12只犬的十二指肠、空肠、回肠和结肠采集组织样本,采用以下方法:方法1,沿肠系膜对侧缘纵向切开肠道,将肠道的游离端钉在木制压舌板上;方法2,结扎一段未打开的肠道两端,向肠腔内注入福尔马林;方法3,沿肠系膜对侧缘纵向切开肠道,将打开的肠道浆膜面朝下放置在干纸巾上;方法4,将一段未打开且未注射的肠道直接放入福尔马林中;方法5,沿肠系膜对侧缘纵向切开肠道。所有组织均浸入中性缓冲10%福尔马林中固定,并采用常规组织学技术进行处理。其中两只犬在采集组织前经静脉灌注福尔马林。通过扫描电子显微镜检查肠道组织样本以确认组织学结果。方法2产生的假象明显比其他方法少且严重程度低(P<0.02)。方法4产生的假象明显比其他方法多且严重程度高(P<0.02)。方法1、3和5诱导产生的假象数量和严重程度没有显著差异。无论使用何种方法,十二指肠和空肠中出现的假象及严重假象明显(P<0.05)多于回肠和结肠。