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人背腰部硬脑膜微观结构的新视角。

New perspectives in the microscopic structure of human dura mater in the dorsolumbar region.

作者信息

Reina M A, Dittmann M, López Garcia A, van Zundert A

机构信息

Department of Anesthesia, Hospital de Móstoles, Madrid, Spain.

出版信息

Reg Anesth. 1997 Mar-Apr;22(2):161-6. doi: 10.1016/s1098-7339(06)80036-2.

Abstract

BACKGROUND AND OBJECTIVES

The object of this study was to describe the three-dimensional structure of the dura mater by use of scanning electron microscopy.

METHODS

Microscopic dissection of the dura mater from four fresh cadavers (aged 70, 75, 76, and 80 years) 8-12 hours after death were investigated in three different planes (longitudinal, tangential, and transverse).

RESULTS

The external surface of the dura mater, facing the epidural space, consisted of a network of randomly oriented fine collagen fibers. The thicker elastic fibers (2 microns in diameter) were observed on the surface of the dura. In the inner part of the dura mater, there were very fine lamellae of collagen fibers, which were bundled into thicker (4-5 microns) layers. The dura mater consisted of 78-82 layers, each layer including 8-12 very fine lamellae.

CONCLUSIONS

The fibers of the dura mater do not run in a longitudinal direction and are not arranged in a parallel fashion. Cytoarchitecturally the dura mater is a laminated structure built up from well-defined layers oriented concentrically around the medulla spinalis.

摘要

背景与目的

本研究的目的是利用扫描电子显微镜描述硬脑膜的三维结构。

方法

对4具新鲜尸体(年龄分别为70、75、76和80岁)死后8 - 12小时的硬脑膜进行显微解剖,在三个不同平面(纵向、切线和横向)进行研究。

结果

硬脑膜面向硬膜外间隙的外表面由随机排列的细胶原纤维网络组成。在硬脑膜表面观察到较粗的弹性纤维(直径2微米)。在硬脑膜内部,有非常细的胶原纤维薄片,它们被束成较厚(4 - 5微米)的层。硬脑膜由78 - 82层组成,每层包括8 - 12个非常细的薄片。

结论

硬脑膜的纤维并非纵向排列且不是平行排列。从细胞结构上看,硬脑膜是一种分层结构,由围绕脊髓同心排列的明确层构成。

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