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肾盂积水:一种可视化传入血管、传出血管和肾小球网络的新方法。

Hydronephrosis: a new method to visualize vas afferens, efferens, and glomerular network.

作者信息

Steinhausen M, Snoei H, Parekh N, Baker R, Johnson P C

出版信息

Kidney Int. 1983 Jun;23(6):794-806. doi: 10.1038/ki.1983.98.

Abstract

We have developed a new preparation for in vivo visualization of the glomerular microcirculation, the vas afferens and the vas efferens. This preparation utilizes postischemic hydronephrosis (PIH) to destroy the renal tubular system while preserving a portion of the cortex. In this preparation, glomeruli and associated vasculature remained intact. Observations can be made with either incident light or transillumination. The inner diameter of the vas afferens, measured within 50 microns of the glomerular vascular pole, was 7.9 +/- 0.5 microns (N = 12; SEM) while that of the vas efferens was 7.7 +/- 0.5 microns (N = 12). Both vessels were narrower adjacent to the glomerulus; minimal diameters in this region were 4.5 +/- 0.5 microns (N = 10) and 4.3 +/- 0.5 microns (N = 11), respectively. A specialized round cell, which may act as a sphincter, was seen in the vas efferens. In a second series of experiments, blood velocity was measured in the vas afferens and efferens about 100 microns from the vascular pole. Mean control velocities at these sites were 5.9 +/- 0.9 (N = 14) and 4.6 +/- 1.3 (N = 9) mm X sec-1, respectively; diameters at these same sites were 10.3 +/- 0.6 microns and 11.2 +/- 0.7. During angiotensin II infusion (first series, 0.2 to 0.4 micrograms X min-1 X kg-1, i.v.) the vas efferens in the vicinity of the glomerulus constricted by 22% whereas the corresponding vas afferens showed no consistent response. During angiotensin II infusion, the filtration fraction (GFR/RPF) may, therefore, be elevated by an increased resistance in the vas efferens, particularly at the outflow point of the glomerulus. In the second series of experiments higher dosages of angiotensin II caused vasoconstriction of both vessels, especially at sites more distant from the glomerulus. Furthermore, the new approach is suitable for observing the flow direction within single capillaries of one third to one half of the glomerulus. Therefore, for the first time it is possible to determine the real flow direction in a three-dimensional way.

摘要

我们开发了一种用于肾小球微循环、入球小动脉和出球小动脉体内可视化的新制剂。该制剂利用缺血后肾积水(PIH)破坏肾小管系统,同时保留部分皮质。在这种制剂中,肾小球和相关脉管系统保持完整。可以通过入射光或透照进行观察。在肾小球血管极50微米范围内测量的入球小动脉内径为7.9±0.5微米(N = 12;标准误),而出球小动脉内径为7.7±0.5微米(N = 12)。两条血管在靠近肾小球处都较窄;该区域的最小直径分别为4.5±0.5微米(N = 10)和4.3±0.5微米(N = 11)。在出球小动脉中可见一种可能起括约肌作用的特殊圆形细胞。在第二系列实验中,在距血管极约100微米处测量入球小动脉和出球小动脉中的血流速度。这些部位的平均对照速度分别为5.9±0.9(N = 14)和4.6±1.3(N = 9)毫米×秒⁻¹;这些相同部位的直径分别为10.3±0.6微米和11.2±0.7微米。在静脉输注血管紧张素II期间(第一系列,0.2至0.4微克×分钟⁻¹×千克⁻¹),肾小球附近的出球小动脉收缩了22%,而相应的入球小动脉没有一致的反应。因此,在血管紧张素II输注期间,滤过分数(GFR/RPF)可能会因出球小动脉阻力增加而升高,特别是在肾小球的流出点。在第二系列实验中,更高剂量的血管紧张素II导致两条血管收缩,尤其是在距肾小球更远的部位。此外,这种新方法适用于观察肾小球三分之一至二分之一的单个毛细血管内的血流方向。因此,首次有可能以三维方式确定实际的血流方向。

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