Cai W Q, Gabella G
J Anat. 1983 Mar;136(Pt 2):237-50.
A study of the gall bladder and the biliary pathways was carried out in the guinea-pig by light and electron microscopy. The musculature of the distended gall bladder measures only about 220 microns in thickness and consists of muscle bundles running in various directions. The muscle cells are loosely packed and are much smaller than the muscle cells of the intestinal muscularis externa. They resemble, in structure and arrangement, the cells of the muscularis mucosae of the intestine. In the cystic duct, the hepatic duct and the upper third of the bile duct, the musculature is similar to that of the gall bladder but is sparser and mixed with abundant connective tissue (fibromuscular layer). In the middle and lower portions of the bile duct there is a progressive increase in the amount of musculature. While the outer diameter of the organ remains constant (about 1.3 mm), the amount of muscle in a transverse section of the duct increases more than ten times along the length of the duct. Here the muscle cells are large and densely packed and closely resemble those of the duodenal muscularis externa. The bile duct forms with the duodenum an angle of about 30 degrees and it opens into a large cavity within the duodenal wall, the ampulla, which has a complex muscular system of its own. The ampulla is drained into the duodenal lumen through a duct within the papilla, around which lies a ring of circular musculature. The pancreatic duct opens independently into the duodenum about 6 cm aboral to the bile duct.
通过光学显微镜和电子显微镜对豚鼠的胆囊和胆道系统进行了研究。扩张胆囊的肌肉层厚度仅约220微米,由向各个方向走行的肌束组成。肌细胞排列疏松,比小肠外肌层的肌细胞小得多。它们在结构和排列上类似于小肠黏膜肌层的细胞。在胆囊管、肝管和胆管的上三分之一处,肌肉组织与胆囊的相似,但更稀疏,并混有丰富的结缔组织(纤维肌层)。在胆管的中下部,肌肉组织的数量逐渐增加。虽然器官的外径保持恒定(约1.3毫米),但沿胆管长度方向,胆管横切面上的肌肉量增加了十多倍。此处的肌细胞大且密集排列,与十二指肠外肌层的肌细胞非常相似。胆管与十二指肠形成约30度的角,并开口于十二指肠壁内的一个大腔,即壶腹,壶腹有其自身复杂的肌肉系统。壶腹通过乳头内的导管排入十二指肠腔,乳头周围有一圈环形肌肉组织。胰管在胆管口下方约6厘米处独立开口于十二指肠。