Terada T, Nakanuma Y, Ohta G
Liver. 1987 Feb;7(1):1-8. doi: 10.1111/j.1600-0676.1987.tb00308.x.
The morphology and distribution of the glandular elements around the intrahepatic bile ducts, hitherto poorly described, were examined in autopsied human livers with the aid of postmortem cholangiographs. The glands could be divided into intramural and extramural. The former were small in number, scattered within the bile duct walls, and were simple tubular mucous glands. The latter were more abundant, located in the periductal connective tissue, and were branched tubuloalveolar seromucous glands. Serial section observations revealed that neither gland communicated with the hepatic parenchyma, and the extramural glands drained into the large bile duct lumina via the conduits. The mucous cells of both glands contained neutral, carboxylated and sulfated glycoproteins. The extramural glands were distributed from the hepatic to the segment ducts in almost all livers, and were also discerned around the area ducts in two-fifths of the livers. The glands seemed to decrease in number as the bile ducts became more branched.
借助尸检胆管造影术,对肝内胆管周围腺性成分的形态和分布进行了研究,此前对此描述甚少。这些腺体可分为壁内腺和壁外腺。前者数量较少,散在于胆管壁内,为单纯管状黏液腺。后者数量较多,位于导管周围结缔组织内,为分支管状泡状浆液黏液腺。连续切片观察显示,两种腺体均不与肝实质相通,壁外腺通过导管排入大胆管腔。两种腺体的黏液细胞均含有中性、羧化和硫酸化糖蛋白。壁外腺在几乎所有肝脏中均从肝管分布至段胆管,在五分之二的肝脏中,在区域胆管周围也可辨认。随着胆管分支增多,腺体数量似乎减少。