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[掌腱膜挛缩症和雷诺病患者手部的血流:功能与形态学研究(作者译)]

[The blood-flow in hands with Dupuytren's contracture and Raynaud disease: functional and morphological studies (author's transl)].

作者信息

Bauer M, Köpfel-Kreiner I, Schlögel R

出版信息

Z Kardiol. 1979 Oct;68(10):711-6.

PMID:516845
Abstract

Concerning the question whether a correlation between the vasospasm and morphological changes in the neuro-myo-arterial glomerular (Hoyer-Grosser-Organ) exists also in Dupuytren disease, a series of 18 patients with Dupuytren and 5 patients with Raynaud disease were studied by finger venous occlusion plethysmography and finger tip biopsies. No typical histological changes were found in Dupuytren's Contracture, particularly none in the 13 cases (70%) which had a latent vasospasm and none in the 5 cases (30%) which had a normal plethysmogram, whereas in all the patients with Raynaud disease the typical morphological changes of wall, lumen and morphometric counts of the "Suquet-Hoyer" canals were found in correspondance to the abnormal plethysmogram. According to these results the vasospasm of Dupytren and Raynaud disease seems to be pathogenetically different.

摘要

关于在掌腱膜挛缩症中是否也存在血管痉挛与神经 - 肌 - 动脉小球(霍耶 - 格罗斯器官)形态学变化之间的相关性这一问题,我们通过手指静脉阻塞体积描记法和指尖活检对18例掌腱膜挛缩症患者及5例雷诺病患者进行了研究。在掌腱膜挛缩症中未发现典型的组织学变化,特别是在13例(70%)存在潜在血管痉挛的病例以及5例(30%)体积描记图正常的病例中均未发现,而在所有雷诺病患者中,均发现了与异常体积描记图相对应的“苏凯 - 霍耶”管的壁、管腔和形态计量学计数的典型形态学变化。根据这些结果,掌腱膜挛缩症和雷诺病的血管痉挛在发病机制上似乎有所不同。

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