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视乳头的微血管结构

Microangioarchitecture of optic papilla.

作者信息

Zhao Y, Li F M

出版信息

Jpn J Ophthalmol. 1987;31(1):147-59.

PMID:3626174
Abstract

Two hundred postmortem normal human eyes of 100 cases were studied by four methods to investigate the microangioarchitecture of the optic papilla. The following results have been obtained. The Zinn's circle is important to the blood supply of the optic papilla. It gives off tributaries to the papillar prelaminar and laminar layers and pial vessel network at the retrolaminar portion. The blood supply of the prelaminar layer comes directly from the branches of the short posterior ciliary arteries and Zinn's circle, while the choroidal vessels contribute only a few branches to this area. The above two results are not consistent with Hayreh's idea. Between the central retinal artery system and short posterior ciliary artery system, there are anastomoses at the pial vessel network and in the optic nerve at the retrolaminar portion, but none is found, obviously, in the intraocular portion of the optic nerve. The microangioarchitecture of the optic papilla is accommodated to the nerve in which it resides. The most superficial vessels are radiating, those in the prelaminar and laminar layers are lamellar, and those in the retrolaminar portion are an interwoven network. The caliber of the capillary at the prelaminar and laminar layers is the narrowest, therefore, an ischemic change easily takes place right here.

摘要

通过四种方法对100例200只正常人类死后眼球进行研究,以探究视乳头的微血管结构。获得了以下结果。Zinn环对视乳头的血液供应很重要。它向乳头层前和层状层以及层后部分的软脑膜血管网发出分支。层前层的血液供应直接来自睫状后短动脉和Zinn环的分支,而脉络膜血管仅向该区域贡献少数分支。上述两个结果与Hayreh的观点不一致。视网膜中央动脉系统和睫状后短动脉系统之间,在软脑膜血管网处以及在层后部分的视神经中有吻合,但显然在视神经的眼内部分未发现吻合。视乳头的微血管结构与其所在的神经相适应。最浅表的血管呈放射状,层前和层状层的血管呈层状,层后部分的血管是交织的网络。层前和层状层处的毛细血管口径最窄,因此,此处很容易发生缺血性改变。

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