Pascual J I, Insausti R, Gonzalo L M
Department of Urology, Hospital of Navarra, Pamplona, Spain.
J Urol. 1993 Aug;150(2 Pt 1):500-4. doi: 10.1016/s0022-5347(17)35535-0.
The distribution of afferents innervating the urinary bladder in the spinal cord of male rats has been studied with the axonal tracer horseradish peroxidase conjugated to wheat germ agglutinin (WGA-HRP) injected into various portions of one side of the urinary bladder (dome, body, base, or neck) and other pelvic organs (prostate and rectum). Labeled neurons were found in dorsal root ganglia of the lumbosacral cord (L1-S3, peak in S1-S2). The strongest and most extensive transganglionic labeling of primary afferents resulted after injections in the body of the bladder. Primary afferents were observed bilaterally in Lissauer's tract and laminae I-II at the apex of the dorsal horn, from L6 to S3. The projection extended laterally up to the sacral parasympathetic nucleus and medially up to the gray matter dorsal to the central canal, where they formed a plexus of fibers and terminals. Deposits in the dome and base of the bladder labeled more heavily the medial projection, while the least intense projection was seen after injections in the bladder neck. Our results indicate a common pattern of termination of primary afferents from the bladder, although some topographical differences exist.
利用与麦胚凝集素(WGA-HRP)偶联的轴突示踪剂辣根过氧化物酶,将其注入雄性大鼠一侧膀胱(顶部、体部、底部或颈部)以及其他盆腔器官(前列腺和直肠)的不同部位,对支配膀胱的传入神经在脊髓中的分布进行了研究。在腰骶部脊髓的背根神经节(L1-S3,峰值在S1-S2)中发现了标记神经元。在膀胱体部注射后,初级传入神经产生了最强且最广泛的跨神经节标记。在背角顶端,从L6到S3,在双侧的 Lissauer 束和 I-II 层观察到了初级传入神经。该投射向外侧延伸至骶副交感核,向内侧延伸至中央管背侧的灰质,在那里它们形成了纤维和终末的丛。膀胱顶部和底部的注射标记使内侧投射的标记更重,而在膀胱颈部注射后观察到的投射强度最低。我们的结果表明,尽管存在一些局部差异,但来自膀胱的初级传入神经具有共同的终止模式。