Parker T L, Kesse W K, Mohamed A A, Afework M
Department of Human Morphology, University of Nottingham Medical School, UK.
J Anat. 1993 Oct;183 ( Pt 2)(Pt 2):265-76.
Early conflicting reports and the lack of sensitive anatomical methods have led to an oversimplified view of adrenal gland innervation. It was not until the introduction of nerve fibre tracing techniques in the mid-1970s that the true complexity of adrenal innervation began to emerge. The first part of this article comprises a brief review of these and other relevant reports dealing with both medullary and cortical innervation. In the second part a detailed account is given of the work undertaken in Rex Coupland's Department relating to the innervation of the rodent and primate adrenal medulla using a retrograde fluorescent tracer technique. It was concluded that, in all 3 species studied, the adrenal medulla receives a sympathetic and parasympathetic efferent and an afferent innervation. The possible interrelationship between neural control of cortical and medullar secretions is discussed briefly.
早期相互矛盾的报道以及缺乏敏感的解剖学方法，导致人们对肾上腺神经支配的认识过于简单。直到20世纪70年代中期引入神经纤维追踪技术后，肾上腺神经支配的真正复杂性才开始显现出来。本文的第一部分简要回顾了这些以及其他涉及髓质和皮质神经支配的相关报道。第二部分详细介绍了雷克斯·库普兰实验室利用逆行荧光示踪技术对啮齿动物和灵长类动物肾上腺髓质神经支配所开展的研究工作。得出的结论是，在所研究的所有3个物种中，肾上腺髓质均接受交感和副交感传出神经以及传入神经的支配。文中还简要讨论了皮质和髓质分泌的神经控制之间可能存在的相互关系。
