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围产期前后人类空肠和回肠血管切除术的系统化(作者译)

[Systematization of the angioarchietectomy of the jejunum and the ileum in man around the perinatal period (author's transl)].

作者信息

Wolfram-Gabel R

出版信息

Arch Anat Histol Embryol. 1980;63:39-141.

PMID:7008700
Abstract

The vascularization of the different layers of the jejunum and the ileum was studied in 35 human intestins between the 23d foetal week and the first postnatal year. The vascular systems in all 35 cases were injected with gelatinous inda ink. During the perinatal period the submucosal layer is a true vascular crossroad formed by an intricate plexus of blood vessels, both arterial and venous, similar in structure and whose density increases with the development of the intestinal wall. The vascularization of the muscularis, essentially a tributary of the submucosal layer, is assured by long and short muscular arteries whose structure and number vary with age. The venous system of the muscularis is a satellite of the arterial system. The arteries of the serosa originate essentially from straight arteries and accessorily from the intervascular mesenteric arches. Their terminal and collateral branches form an anastomotic network caracteristic of the perinatal period. Drainage is assumed by veins of the serosa, which are tributaries of straight veins, and similar to the arteries, undergo progressive densification parallel with development. The arteries of the mucosa are tributaries of the submucosal network and abandon precapillary arterioles and two capillary networks: one surrounds the Lieberkühn glands, the other is destined for the intestinal villus. These dense networks and the vascular networks of the other layers help preserve the intstinal villus and glands during development. Finally, the venous drainage of the mucosa flows into the submucosal venous network.

摘要

在23周胎儿期至出生后第一年之间的35例人体肠道中,对空肠和回肠不同层的血管形成情况进行了研究。对所有35例的血管系统注射了凝胶状印度墨水。在围产期,黏膜下层是一个真正的血管交叉点,由错综复杂的动静脉血管丛构成,其结构相似,且随着肠壁的发育,其密度增加。肌层的血管形成基本上是黏膜下层的一个分支,由长短不一的肌动脉供应,其结构和数量随年龄变化。肌层的静脉系统是动脉系统的附属部分。浆膜的动脉主要起源于直动脉,其次来自血管间的肠系膜弓。它们的终末分支和侧支形成围产期特有的吻合网络。浆膜的静脉负责引流,这些静脉是直静脉的分支,与动脉相似,随着发育逐渐致密化。黏膜的动脉是黏膜下网络的分支,并分出毛细血管前微动脉和两个毛细血管网:一个围绕利伯库恩腺,另一个供应肠绒毛。这些致密的网络以及其他层的血管网络有助于在发育过程中保护肠绒毛和腺体。最后,黏膜的静脉引流流入黏膜下静脉网络。

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