Fan W B
252th Military Hospital of People's Libiration Army, Baoding.
Zhonghua Wai Ke Za Zhi. 1993 Oct;31(10):633-4.
A study was carried out on the intrahepatic topography and histological structure of bile duct system and its relations to arterial and portal system in healthy fresh bodies. It was found that in 83%-85% of the cases, the bile duct, the arterial and portal system branch off at about the same level, a physiological stricture could be found at each bifurcation of the bile duct. Collagenic fibers and elastic fibers go transversely, longitudinally and obliquely within the bile duct wall at the level of its bifurcations giving the lumen limited room to expand, whereas fibers go only transversely and longitudinally at the trunk of all grades of the bile duct system. Basing on the observations, the authors discussed the hydrokinetics of the bile and its relations to cholelithiasis.
对健康新鲜尸体的肝内胆管系统的局部解剖、组织结构及其与动脉和门静脉系统的关系进行了一项研究。结果发现,在83%-85%的病例中,胆管、动脉和门静脉系统在大致相同的水平分支,在胆管的每个分支处都可发现一个生理性狭窄。在胆管分支水平,胶原纤维和弹性纤维在胆管壁内横向、纵向和斜向走行,使管腔扩张空间有限,而在各级胆管系统的主干中,纤维仅横向和纵向走行。基于这些观察结果,作者讨论了胆汁的流体动力学及其与胆石症的关系。