Oni O O, Stafford H, Gregg P J
University Department of Orthopaedic Surgery, Glenfield General Hospital, Leicester, England.
Int J Microcirc Clin Exp. 1988 Jan;7(1):31-41.
The routes of venous escape from the diaphyseal marrow have been demonstrated by directly perfusing the marrow cavity of canine and rabbit long bones with barium sulphate suspension. Plain radiographs immediately after perfusion revealed prompt escape of dye into the systemic veins via a number of large transcortical emissary veins. A central venous sinus as usually described was not found; instead the dye occupied the whole of the medullary cavity extending from metaphysis to metaphysis. This suggests that the marrow is an open circulatory system with ill-defined boundaries. Radiographs of thin sections of the perfused bone after decalcification, which permitted visualisation of the fine vessel arrangements, revealed numerous haversian venules. These drained the marrow into a separate extraosseous venous network on the surface of the bone.
通过用硫酸钡悬浮液直接灌注犬和兔长骨的骨干骨髓腔,已证实了骨髓从骨干骨髓逸出的途径。灌注后立即拍摄的普通X线片显示,染料通过许多大的穿皮质导静脉迅速逸入体静脉。未发现通常所描述的中央静脉窦;相反,染料占据了从一个干骺端延伸至另一个干骺端的整个髓腔。这表明骨髓是一个边界不明确的开放循环系统。脱钙后灌注骨薄片的X线片能够显示细微血管排列,显示出许多哈弗斯微静脉。这些微静脉将骨髓引流至骨表面一个独立的骨外静脉网络。