Sakakibara A, Okumura N, Hayakawa T, Kanzaki M
Am J Gastroenterol. 1982 Jul;77(7):498-503.
Histological changes in the pancreas at an early stage of pancreatolithiasis were observed using a canine model in which obstruction was induced by partial ligation of the major pancreatic duct. Light micrographs demonstrated pancreatic lesions similar to those in humans. Electron micrographs revealed dilated lumens of small ducts and degenerated ductal cells 3 months after the ligation. These changes became more severe and appeared more often when the period of ligation was prolonged up to 1 yr. Acinar cells demonstrated dilation of the rough endoplasmic reticulum and the Golgi apparatus, swelling of the mitochondria, and increase in the number of prezymogen granules. Microfilamentous substance appeared in markedly dilated rough endoplasmic reticulum and in the intercellular space as acinar cell lesions progressed and the basal membrane became disrupted. The substance might be involved in calculous formation, the incidence of which reached a plateau after 6 months of ligation, coinciding with the peak in appearance of the substance.
使用犬类模型观察胰腺结石形成早期胰腺的组织学变化,该模型通过部分结扎主胰管诱导梗阻。光学显微镜照片显示胰腺病变与人类相似。电子显微镜照片显示结扎3个月后小导管管腔扩张和导管细胞变性。当结扎时间延长至1年时,这些变化变得更加严重且更频繁出现。腺泡细胞显示粗面内质网和高尔基体扩张、线粒体肿胀以及酶原颗粒数量增加。随着腺泡细胞病变进展和基底膜破坏,微丝状物质出现在明显扩张的粗面内质网和细胞间隙中。该物质可能与结石形成有关,结石发生率在结扎6个月后达到平台期,与该物质出现的峰值一致。