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十二指肠球部融入胃的远侧关闭机制。

The integration of the bulbus duodeni into the aboral closure mechanism of the stomach.

作者信息

Henrich M

出版信息

Res Exp Med (Berl). 1986;186(2):79-85. doi: 10.1007/BF01851987.

Abstract

The m. sphincter pyloricus does not represent an isolated ring muscle (sphincter). Rather, it is a concentration of muscle bundles deriving from the antrum musculature and woven into the aboral sphincter complex of the stomach. The pyloric canal can be regarded as a narrow gastric segment capable of only a restricted degree of dilatation. Myoarchitectonicly, the prepyloric antrum, the pyloric region, and the bulbus duodeni together belong to the aboral closure mechanism of the stomach (motor unit). If the bulbus duodeni occupies the whole of the pars superior, this sphincter mechanism extends as far as the superior duodenal flexure. In histological section the tunica muscularis first exhibits a polarized character aborally from the bulbus (or below the superior duodenal flexure). Angioarchitectonicly, too, the pars superior is fundamentally different from subsequent sections of the duodenum since it is vascularized from two sides, i.e., the vascularization here is still of a typically gastric character. There is no vascular cuff surrounding the pylorus.

摘要

幽门括约肌并非独立的环形肌(括约肌)。相反,它是由胃窦肌组织衍生而来并交织于胃远侧括约肌复合体的肌束集中区域。幽门管可被视为仅能有限扩张的狭窄胃段。从肌构筑学角度看,幽门前胃窦、幽门区域和十二指肠球共同属于胃的远侧闭合机制(运动单元)。若十二指肠球占据了整个上部,此括约肌机制可延伸至十二指肠上曲。在组织学切片中,肌层在十二指肠球远侧(或十二指肠上曲下方)开始呈现出极化特征。从血管构筑学角度看,十二指肠上部与十二指肠后续部分也存在根本差异,因为它从两侧供血,即此处的血管分布仍具有典型的胃特征。幽门周围没有血管套。

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