Shinohara H
Division of Human Sciences, Faculty of Medicine, Toyama Medical and Pharmaceutical University, Japan.
Anat Rec. 1997 Sep;249(1):16-23. doi: 10.1002/(SICI)1097-0185(199709)249:1<16::AID-AR3>3.0.CO;2-D.
The distribution of lymphatic stomata that open to the pleural cavity is unclear. The distribution and the surface topography of the pleural and visceral pleurae are key factors in the turnover of pleural fluid and respiration physiology.
Nine golden hamsters (Mesocricetus auratus) from 26 to 33 weeks of age were used for the study. The gross anatomy of the thorax and the arterial supply to the lung were studied in four hamsters. Five thoracic hemispheres, three diaphragms, and tissue blocks of the heart and lung were prepared from the remaining five hamsters. The thoracic hemispheres were fixed in 2.5% glutaraldehyde and the muscular bands at each intercostal space were carefully cut along the costae. The intercostal bands were processed for scanning electron microscopy (SEM) and the localization and the number of lymphatic stomata were recorded. The diaphragms and blocks of the lung and heart were also processed for SEM and the surface topography was observed.
The right and left superior lobes of the lung were supplied by the bronchial artery that originated from the right costocervical trunk and left internal thoracic artery, respectively. Lymphatic stomata and mesothelial discontinuities (pores and gaps) were predominantly located in areas lined with cuboidal cells. The areas of cuboidal cells occupied approximately 4.6 mm2, namely, 1% of the total area of the thoracic hemisphere. There were about 1,000 lymphatic stomata per thoracic hemisphere. About 15% of lymphatic stomata were distributed in the ventro-cranial regions of the thoracic wall, with about 85% in the dorsocaudal region. In the former region, lymphatic stomata were found along the costal margins. In the latter, they were predominantly located in the pre- and paravertebral fatty tissue. There were also areas of cuboidal cells on the pleural surface of the diaphragm. Some mesothelial pores and gaps were found, but no lymphatic stomata opened on the pleural surface of the diaphragm. The pleural surface of the lung and that of the heart were lined with flattened polygonal cells. The topography of the surface varied, but there were no mesothelial discontinuities of the type commonly found in the parietal pleura.
通向胸腔的淋巴小孔的分布尚不清楚。胸膜和脏胸膜的分布及表面形态是胸腔积液周转和呼吸生理学的关键因素。
选用9只26至33周龄的金黄仓鼠(Mesocricetus auratus)进行研究。对4只仓鼠的胸部大体解剖结构及肺的动脉供应进行研究。从其余5只仓鼠身上获取5个胸半球、3个膈肌以及心脏和肺的组织块。将胸半球固定于2.5%的戊二醛中,沿着肋骨小心地切开每个肋间间隙的肌束。对肋间肌束进行扫描电子显微镜(SEM)处理,记录淋巴小孔的定位和数量。膈肌以及肺和心脏的组织块也进行SEM处理,观察其表面形态。
肺的右上叶和左上叶分别由起源于右肋颈干和左胸廓内动脉的支气管动脉供血。淋巴小孔和间皮连续性中断(孔隙和间隙)主要位于立方形细胞衬里的区域。立方形细胞区域约占4.6平方毫米,即胸半球总面积的1%。每个胸半球约有1000个淋巴小孔。约15%的淋巴小孔分布在胸壁的腹侧头端区域,约85%分布在背侧尾端区域。在前一区域,淋巴小孔沿肋缘分布。在后一区域,它们主要位于椎前和椎旁脂肪组织中。膈肌的胸膜表面也有立方形细胞区域。发现了一些间皮孔隙和间隙,但膈肌的胸膜表面未发现有淋巴小孔开口。肺和心脏的胸膜表面衬有扁平多边形细胞。表面形态各异,但没有壁胸膜中常见的那种间皮连续性中断。
1)壁胸膜的表面结构对液体和颗粒物的通透性和吸收性比脏胸膜更强。2)淋巴小孔的分布与已报道的胸膜液压力并不直接对应。3)淋巴小孔的功能不仅应从液体周转方面考虑,还应从自我防御机制方面考虑。4)应在多种动物物种中重新检查和确定膈肌胸膜上淋巴小孔的有无。