Lowden S, Heath T
Department of Anatomical Sciences, University of Queensland, Australia.
J Anat. 1993 Aug;183 ( Pt 1)(Pt 1):13-20.
Lymphatic drainage from the wall of the distal small intestine, important especially in young sheep as a major site of gut-associated lymphoid tissue, begins with a series of longitudinally oriented subserosal vessels. These vessels convey lymph to the mesenteric border of the intestinal wall and unite to form larger vessels which course through the mesentery to the mesenteric lymph nodes. These nodes lie towards the periphery of a broad, fan-shaped mesentery, adjacent to major arteries and veins. Mesenteric vessels convey lymph from the jejunum and part of the proximal ileum to the jejunal nodes. Lymph from most of the ileum is conveyed to caecal nodes. The larger mesenteric lymphatics have well formed smooth muscle and connective tissue layers surrounding the endothelium. They are often adjacent to, but rarely within, the connective tissue band anchoring the major arteries and veins to one or both lamellae of mesentery. Few anastomoses occur between vessels from opposing sides of the gut wall or the mesentery. Afferent lymphatics enter the subcapsular and trabecular sinuses of the nodes over most surfaces apart from the hilar region. Lymph flows through cortical tissue to the medulla, which occupies most of the node. In the medulla, sinuses occur within medullary cords as well as between them. Initial efferent lymphatics occur throughout medullary tissue. Efferent vessels emerge at a hilus then coalesce and drain into the jejunal or ileal trunk. The hilus of the node varies from a flat, poorly defined area on the lesser curvature, to a depression or groove. The latter commonly occurs in elongated jejunal nodes.(ABSTRACT TRUNCATED AT 250 WORDS)
远端小肠壁的淋巴引流始于一系列纵向排列的浆膜下血管,这在幼羊中尤为重要,因为它是肠道相关淋巴组织的主要部位。这些血管将淋巴输送到肠壁的肠系膜边缘,汇合形成较大的血管,穿过肠系膜通向肠系膜淋巴结。这些淋巴结位于宽阔的扇形肠系膜的周边,与主要动静脉相邻。肠系膜血管将来自空肠和近端回肠部分的淋巴输送到空肠淋巴结。来自大部分回肠的淋巴被输送到盲肠淋巴结。较大的肠系膜淋巴管在内皮周围有形成良好的平滑肌和结缔组织层。它们通常与将主要动静脉固定在肠系膜一层或两层上的结缔组织带相邻,但很少位于其中。肠壁或肠系膜相对两侧的血管之间很少有吻合。除了门区外,输入淋巴管在大多数表面进入淋巴结的被膜下和小梁窦。淋巴流经皮质组织到达髓质,髓质占据了淋巴结的大部分。在髓质中,窦出现在髓索内以及髓索之间。最初的输出淋巴管遍布髓质组织。输出血管在门处出现,然后汇合并排入空肠或回肠干。淋巴结的门从较小弯曲处的平坦、界限不清的区域到凹陷或沟不等。后者常见于细长的空肠淋巴结。(摘要截短于250字)