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The human hippocampus observed by scanning electron microscopy (SEM): the dentate gyrus is made of an array of the neuronal lamellae. 扫描电子显微镜观察到的人类海马:齿状回是由一组神经元片层组成的。
Pub Date : 2013-01-01 DOI: 10.2535/ofaj.89.157
Rieko Kominami, Harumichi Shinohara, Satoru Yasutaka, Miyuki Kishibe

Scanning electron microscopy (SEM) was employed to clarify the three dimensional structure of the human hippocampus.The polymorphic layer was L-shaped in coronal histological sections. The superior limb and lateral two thirds of the inferior limb formed a continuous plate. This plate consisted of L-shaped bars that were fused side by side with borders that were, although incompletely, demarcated by the stratum granulosum. The medial one third of the inferior limb was independent part of these L-shaped bars and took part in formation of the dentes. There were 40 to 50 dentes, and each had segmental blood vessels. Thus, the polymorphic layer was organized on a segmental plan, 40- 50 in number, arrayed along the antero-posterior axis.CA4 was surrounded by the L-shaped polymorphic layer and also had the superior and inferior crura. The medial end of the inferior crus was enveloped by the medial one third of the polymorphic tissue and was completely independent from its neighbors. Therefore, CA4, too, may be segmentally constructed following the same plan as the bars of the polymorphic layer. These observations suggest that, first, three major components of the hippocampus, the stratum granulosum, polymorphic layer, and CA4, are constructed based on the same lamellar unit in the dentate gyrus, and, second, the individual lamellae appear as distinct bars in the medial one third, but form a plate in the lateral two thirds of these structures. There were 7 to 12 pyramidal hillocks, organized of the central process and its covering, in the subiculum. Pyramidal cells showed clear polarity in the hillock; the cell apex oriented to the central process and the base to the periphery. The axon emitted from the cell base and formed the alveus. Pyramidal hillocks caused slight waves of the stratum pyramidale on the lateral border of the hippocampus but did not affect the superior surface. Functional aspects of the segmental arrangement of neuronal units along the antero-posterior axis and their medio-lateral diversity were discussed in terms of the three-synapse pathway in the hippocampus.

采用扫描电子显微镜(SEM)研究了海马的三维结构。冠状面组织切片多形层呈l形。上肢和下肢外侧的三分之二形成了一个连续的钢板。这个板块由l形的沙洲组成,这些沙洲并排融合在一起,虽然不完全,但由地层颗粒划分出来。下肢内侧的三分之一是这些l形条的独立部分,并参与齿状体的形成。有40 ~ 50个齿状体,每个齿状体都有节段血管。因此,多形层呈节段状排列,数量为40- 50个,沿前后轴排列。CA4周围有l型多形层,也有上下脚。下小腿内侧端被内侧三分之一的多形组织包裹,完全独立于相邻的多形组织。因此,CA4也可能按照与多晶层的条状结构相同的计划分段构建。这些观察结果表明,首先,海马的三个主要组成部分,颗粒层,多形层和CA4,是基于齿状回中相同的板层单位构建的;其次,单个板层在内侧三分之一表现为不同的条状,但在外侧三分之二的这些结构中形成一个板。在坐骨下有7到12个锥体丘,由中央突和它的覆盖物组成。丘状锥体细胞极性明显;细胞顶端朝向中央突起,基部朝向外围。轴突从细胞基部发出,形成肺泡。锥体丘引起海马外侧边缘锥体层的轻微波动,但不影响其上表面。根据海马的三突触通路,讨论了神经元单位沿前后轴的节段性排列及其中外侧多样性的功能方面。
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引用次数: 2
Morphology of the lingual papillae in the jaguar. 美洲虎舌乳头的形态学。
Pub Date : 2013-01-01 DOI: 10.2535/ofaj.89.93
Shoichi Emura, Toshihiko Okumura, Huayue Chen

We examined the dorsal lingual surfaces of an adult jaguar (Panthera onca) by scanning electron microscopy. The tongue of the jaguar was about 17 cm long, and the center of the lingual apex became hollow. There were 7 vallate papillae in total. The filiform papilla on the lingual apex consisted of a larger main papilla and some secondary papillae. The connective tissue core of the filiform papilla was mountain-like in shape. The connective tissue core of the fungiform papilla was mushroom-like in shape. The filiform papilla on the anterior part of the lingual body was large and cylinder-like in shape. The connective tissue core of the filiform papilla consisted of a big conical papilla and many rod-like papillae. The filiform papilla on the central part of the lingual body was a big conical papilla. The connective tissue core of the filiform papilla consisted of a rod process and bowl-like structure. The vallate papillae were located on both sides of the posterolateral aspects. The vallate papillae were flattened-oval in shape and the papillae were surrounded by a groove and pad. The top of the connective tissue core of the vallate papilla had a rough surface with no spines.

我们用扫描电子显微镜检查了一只成年美洲虎(Panthera onca)的背舌表面。美洲虎的舌头大约有17厘米长,舌尖的中心是中空的。凹状乳头共7个。舌尖的丝状乳头由一个较大的主乳头和一些次乳头组成。丝状乳头结缔组织核呈山状。真菌状乳头的结缔组织核心呈蘑菇状。舌体前部的丝状乳头较大,呈圆筒状。丝状乳头的结缔组织核心由一个大的锥形乳头和许多杆状乳头组成。舌体中部的丝状乳头为大的锥形乳头。丝状乳头的结缔组织核心由棒状突起和碗状结构组成。凹状乳头位于后外侧两侧。凹状乳头呈扁平椭圆形,乳头周围有凹槽和衬垫。凹状乳头结缔组织核心顶部表面粗糙,无棘。
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引用次数: 22
Peculiar tonsil-like structure near vagina of the laboratory shrew, Suncus murinus. 实验室鼩鼱阴道附近奇特的扁桃体状结构。
Pub Date : 2013-01-01 DOI: 10.2535/ofaj.89.105
Kazuyoshi Sakai, Hideki Imada, Masanori Shinzato, Kazuhiro Nishii, Ei-ichi Miyachi, Yoshimitsu Katoh, Kouji Yamada

After finding tonsil-like structures near the entrance of vagina of a laboratory shrew (Suncus murinus), which we subsequently designated as vaginal tonsils, we performed detailed immunohistochemical and developmental studies. The location of T and B cells in the vaginal tonsils differed from that in the palatine tonsils or that in the lymphoid nodes of other animals. The boundary between the germinal center region and the region encompassing follicular interfollicular tissue was not clear. B cells were widely distributed and very dense in the parenchyma, but they were scattered in the epithelial area (B cells were present in around 90% of the vaginal tonsil tissue). In contrast, T cells were scattered in the parenchyma and in the epithelial area (T cells were present in around 10% of the vaginal tonsil tissue). B cells were more prominent than T cells throughout the development of these structures and the epithelium was invaded by many immigrating cells. The size of the vaginal tonsils changed during postnatal development. Vaginal tonsils are structurally similar to other tonsils, and they may function to protect the vagina from infection.

在实验室鼩鼱(Suncus murinus)阴道入口附近发现扁桃体样结构后,我们随后将其命名为阴道扁桃体,我们进行了详细的免疫组织化学和发育研究。T细胞和B细胞在阴道扁桃体中的位置与在腭扁桃体或其他动物的淋巴结中的位置不同。生发中心区与包涵滤泡间组织的区域界限不清。B细胞在薄壁组织中分布广泛且非常密集,但在上皮组织中分布分散(约90%的阴道扁桃体组织中存在B细胞)。相比之下,T细胞分散在薄壁组织和上皮区(约10%的阴道扁桃体组织中存在T细胞)。在这些结构的发育过程中,B细胞比T细胞更突出,上皮受到许多迁移细胞的侵袭。阴道扁桃体的大小在产后发育过程中发生了变化。阴道扁桃体在结构上与其他扁桃体相似,它们可能起到保护阴道免受感染的作用。
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引用次数: 1
Misexpression experiment of Tbx5 in axolotl (Ambystoma mexicanum) hindlimb blastema. Tbx5基因在美西螈后肢胚芽中的错表达实验。
Pub Date : 2013-01-01 DOI: 10.2535/ofaj.89.113
Takashi Shimokawa, Rieko Kominami, Satoru Yasutaka, Harumichi Shinohara

Axolotls (Ambystoma mexicanum) have the ability to regenerate amputated limbs throughout their life span. In the present study, we attempted to elucidate how axolotls can specify limb type correctly during the regeneration process. We misexpressed Tbx5 in regenerating hindlimb blastema, and consequently a forelimb-like hindlimb regenerated from the hindlimb blastema. On the other hand, no change was observed in Tbx5-overexpressing forelimb blastema, and thus we considered that Tbx5 plays a key role in the specification of forelimb during the regeneration process of axolotl limbs. However, axolotls' fore- and hindlimbs have very similar structures except for the number of fingers, and it was very difficult to judge whether the forelimb-like regenerate was a true forelimb or merely a forelimb-like hindlimb. Therefore, in order to confirm our conclusion, we have to investigate other genes that are expressed differentially between fore- and hindlimbs in future experiments.

美西螈(Ambystoma mexicanum)在其一生中都有再生截肢的能力。在本研究中,我们试图阐明蝾螈在再生过程中如何正确地指定肢体类型。我们在后肢囊胚再生中错误表达Tbx5,从而从后肢囊胚再生出类似前肢的后肢。另一方面,Tbx5过表达的前肢胚基没有发生变化,因此我们认为Tbx5在蝾螈肢体再生过程中对前肢的规范起着关键作用。然而,蝾螈的前肢和后肢除了手指数量不同外,结构非常相似,很难判断这种前肢样再生肢是真正的前肢还是仅仅是前肢样的后肢。因此,为了证实我们的结论,我们必须在未来的实验中研究其他在前肢和后肢之间表达差异的基因。
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引用次数: 2
Activation of microglial cells in the trigeminal subnucleus caudalis evoked by inflammatory stimulation of the oral mucosa. 口腔黏膜炎症刺激诱发三叉神经尾侧亚核小胶质细胞的活化。
Pub Date : 2013-01-01 DOI: 10.2535/ofaj.89.137
Hung-Chih Huang, Michiko Nakatsuka, Yasutomo Iwai

To study the inflammatory hyperplasia induced by an acute noxious stimulation of oral mucosa with 5% formalin (5%FOR), we performed an immunohistochemical study on the expression of TNFá in the intermolar region of the dorsal lingual eminence (IDLE), and Iba1 and phosphorylated (phospho)- p38 MAPK involved with central nervous system microglial activation in the trigeminal subnucleus caudalis (Vc). The present study observed significantly increased expression of TNFá at either 1h or 24h of 5%FOR nociception, as well as sustained TNFá immunoreactivity in the IDLE. On the other hand, at either 1h or 24h 5%FOR nociception, Iba1- immunoreactive (IR) cells in the Vc were significantly increased after inflammatory stimulation of the IDLE; the increase was more evident at 24h 5%FOR nociception. By using the double-label immunofluorescence technique, the findings in particular demonstrated a significant increase in the number of phospho-p38 MAPK- and Iba1-IR coexpressed cells in the Vc at 24h 5%FOR nociception. The results suggest that 24h persistent microglial activation in subnuclei zonalis and gelatinosus of the Vc is evoked by 5%FOR noxious stimulation of the IDLE oral mucosa, thereby the present study indicates that the MAPK expression plays important roles in microglial activation related with central sensitization and inflammatory hyperalgesia.

为了研究5%福尔马林(5% for)急性毒性刺激口腔黏膜诱导的炎性增生,我们对舌背隆起磨牙间区(IDLE) tnf的表达以及三叉神经尾侧亚核(Vc)参与中枢神经系统小胶质细胞激活的Iba1和磷酸化(phospho)- p38 MAPK的表达进行了免疫组化研究。本研究观察到,在5%的伤害感觉作用1h或24h时,tnf的表达显著增加,并且在IDLE中持续的tnf免疫反应性。另一方面,在5%的伤害性刺激1h或24h时,IDLE炎症刺激后Vc中的Iba1-免疫反应(IR)细胞显著增加;伤害感觉在24小时时增加更为明显。通过使用双标记免疫荧光技术,研究结果特别表明,在Vc中磷酸化-p38 MAPK-和Iba1-IR共表达细胞的数量在24小时5%的伤害性损伤时显著增加。结果提示,5%FOR毒性刺激IDLE口腔黏膜可引起Vc区带状核亚核和明胶区24小时持续小胶质细胞激活,提示MAPK表达在中枢致敏和炎症性痛觉过敏相关的小胶质细胞激活中起重要作用。
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引用次数: 7
Gross anatomical tractography (GAT) proposed a change from the 'Two laminae concept' to the 'Neuronal unit concept' on the structure of the human hippocampus. 大体解剖图(GAT)提出了人类海马结构从“两层概念”到“神经元单位概念”的转变。
Pub Date : 2013-01-01 DOI: 10.2535/ofaj.89.147
Satoru Yasutaka, Harumichi Shinohara, Rieko Kominami

The three dimensional structure of the human hippocampus was studied using the gross anatomical tractography (GAT) of Klingler technique. Eight hippocampi were obtained from seven donors to the Kanazawa Medical University, fixed in 5% formaldehyde, frozen and thawed twice, then dissected both by naked eye and under a dissecting microscope.The subiculum was segmented into 7-12 hillocks along the antero-posterior axis. The hillocks were organized with the white matter process and its gray matter covering. Cornu ammonis 3 (CA3) was represented by gray matter located in a longitudinal trough about 1 mm wide between the base of the fimbria and fiber bundles of the stratum lacunosum. CA3 was traversed and segmented by numerous short fiber fasciculi extending from the dentes of the margo denticulatus. The stratum radiatum, lacunosum and moleculare were differentially dissected. They not only contained systematically arranged neuronal fibers but also frameworks to allow passage of blood vessels. The polymorphic layer (PL) consisted of many italic L-shaped bars that were segmented, fused side-by-side and arrayed along the antero-posterior axis. The stratum granulosum (SG) lined the superior surface of PL as square plates and inferior surface of PL as thin folds. Thus, the SG was also segmented, although a little arbitrarily. CA4 was found not to be a neuronal plate, but instead comprised numerous neuronal rods that were segmentally arranged in accord with segmentation of CA3.On the basis of these segmentations, we conclude that, structurally, the human hippocampus is an antero-posterior succession of neuronal units, each consisting of the subicular hillock, dens, CA3, granular cell plates and folds, PL bars and CA4 rods.

采用Klingler技术对海马的三维结构进行了研究。从金泽医科大学的7名捐赠者那里获得了8个海马,固定在5%的甲醛中,冷冻和解冻两次,然后用肉眼和解剖显微镜解剖。耻骨下沿前后轴分成7-12个小丘。这些小丘是由白质过程及其灰质覆盖组织起来的。玉米3型(CA3)以灰质为代表,灰质位于绒毛基部与空洞层纤维束之间约1 mm宽的纵向凹槽中。CA3被从小齿海马齿状突伸出的许多短纤维束束穿过和分割。辐射层、空隙层和分子层分别解剖。它们不仅包含系统排列的神经元纤维,还包含允许血管通过的框架。多形层(PL)由许多斜体l形棒组成,这些棒被分割,并排融合并沿前后轴排列。颗粒层(SG)在PL的上表面呈方片状排列,PL的下表面呈薄褶皱排列。因此,SG也被分割,虽然有点随意。CA4不是一个神经元板,而是由许多神经元棒组成,这些神经元棒与CA3的分割一致,呈节段性排列。在这些分割的基础上,我们得出结论,在结构上,人类海马是一个前后连续的神经元单位,每个神经元单位由丘下、小穴、CA3、颗粒细胞板和褶皱、PL棒和CA4棒组成。
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引用次数: 5
Expression of carbonic anhydrase in the fetal eye and extra-ocular tissues. 碳酸酐酶在胎儿眼和眼外组织中的表达。
Pub Date : 2013-01-01 DOI: 10.2535/ofaj.90.59
Shinichi Abe, Tadashi Nakao, Toshihito Yoshimoto, Toshihito Yoshihito, Seppo Parkkila, Gen Murakami, Baik Hwan Cho

Carbonic anhydrases (CAs) plays a critical functional role in the ciliary body and retina for maintenance of microenvironment. With immunohistochemistry using orbital contents from 8 human fetuses (12-16 weeks of gestation), we examined expressions of CAs isozymes-1, 2, 3, 6, 7 9 and 12 and found strong reactivity of CA9 in extra-ocular fibrous tissues in the anterior and posterior eyes. CA9 is known to express in the fetal joint cartilage to maintain pH against hypoxia: actually, in the present specimens, the SO pulley and its tendon was strongly positive for CA9. The CA9-positive anterior fibrous tissues were positive for smooth muscle actin and connected the orbital aspect of the 4 rectus muscle with the palpebral conjunctiva, whereas the posterior tissue was negative for smooth muscle actin and corresponded to the lateral insertion tendon of the orbitalis muscle. The anterior CA9-positve tissues seemed to correspond to the primitive form of the sleeve and pulley system. Any of matrix substances (collagen types I and II, aggrecan, versican, fibronectin, tenascin and hyaluronan) displayed a distribution pattern specific for the CA9-positive fibrous tissues. Therefore, whether or not CA9 was positive in the fibrous tissue seemed not to depend on the tissue components such as the extracellular matrix and intermediate filaments but to suggest a stressful condition such as hypoxia, unsuitable base balance and/or under mechanical stress.

碳酸酐酶(carbon anhydrase, CAs)在睫状体和视网膜中起着维持微环境的重要作用。利用8例人类胎儿(妊娠12-16周)眼眶内容物的免疫组织化学方法,我们检测了CAs同工酶-1、2、3、6、7、9和12的表达,发现CA9在前眼和后眼的眼外纤维组织中具有很强的反应性。已知CA9在胎儿关节软骨中表达,以维持pH值以对抗缺氧:实际上,在本标本中,SO滑轮及其肌腱中CA9呈强阳性。ca9阳性的前部纤维组织平滑肌肌动蛋白呈阳性,连接4直肌眶面与睑结膜,而后部纤维组织平滑肌肌动蛋白呈阴性,与眶肌外侧止肌腱相对应。前部ca9阳性组织似乎与原始的套筒和滑轮系统相对应。任何基质物质(胶原I型和II型、聚集蛋白、粘多糖、纤维连接蛋白、腱蛋白和透明质酸)都显示出ca9阳性纤维组织特有的分布模式。因此,纤维组织中CA9是否呈阳性似乎与细胞外基质和中间纤维等组织成分无关,而与缺氧、不适当的碱平衡和/或机械应力等应激状态有关。
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引用次数: 3
Lmx-1b and Wnt-7a expression in axolotl limb during development and regeneration. 蝾螈肢体发育和再生过程中Lmx-1b和Wnt-7a的表达。
Pub Date : 2013-01-01 DOI: 10.2535/ofaj.89.119
Takashi Shimokawa, Satoru Yasutaka, Rieko Kominami, Harumichi Shinohara

Axolotls (Ambystoma mexicanum) have the ability to regenerate amputated limbs throughout their life span. During limb regeneration as well as development, undifferentiated cells in the blastema acquire positional information to reproduce the original pattern along three cardinal limb axes: anteroposterior, proximodistal and dorsoventral. In the present study, we attempted to understand the molecular mechanism involved in patterning of axolotl limb development and regeneration along the dorsoventral (DV) axis. We cloned axolotl Lmx-1b and Wnt-7a, and investigated the expression pattern of these genes in developing and regenerating limbs. In axolotl, unlike in amniotes, Wnt-7a was expressed in a diffuse manner throughout both developing limb bud and regenerating limb blastema. Lmx-1b expression was observed at the dorsal mesenchyme in the developing and regenerating limbs. On the basis of the expression patterns of Lmx-1b and Wnt-7a, it was difficult to identify the interaction between these two genes as reported in amniotes in previous studies. Possibly, with regard to Lmx-1b expression, a Wnt-7a-independent mechanism may exist in axolotl limb development and regeneration.

美西螈(Ambystoma mexicanum)在其一生中都有再生截肢的能力。在肢体再生和发育过程中,胚芽中未分化的细胞获取位置信息,沿三个基本肢体轴(前、近、远、背)复制原始模式。在本研究中,我们试图了解蝾螈肢体沿背腹轴发育和再生的分子机制。我们克隆了美西螈Lmx-1b和Wnt-7a基因,研究了这两个基因在四肢发育和再生中的表达规律。在蝾螈中,与羊膜动物不同,Wnt-7a在发育中的肢芽和再生的肢胚中都以弥漫性的方式表达。在发育和再生肢体背间质中观察到Lmx-1b的表达。根据Lmx-1b和Wnt-7a的表达模式,以往的研究报道很难确定这两个基因在羊膜中的相互作用。关于Lmx-1b的表达,可能在蝾螈肢体发育和再生中存在不依赖于wnt -7a的机制。
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引用次数: 13
Morphology of plantar interdigital neuroma: a comparative cadaveric study of elderly Finnish and Japanese individuals. 足底指间神经瘤的形态学:芬兰和日本老年个体的比较尸体研究。
Pub Date : 2013-01-01 DOI: 10.2535/ofaj.90.1
Shinichi Abe, Tadashi Nakao, Shigeki Yamane, Masayuki Fukuda, Masahito Yamamoto, Risto Santti, Gen Murakami

To examine morphological differences in Morton's interdigital neuroma between two elderly human populations, we conducted comparative study using 40 Japanese (27 males, 13 females; mean age, 81.2 years) and 21 Finnish (6 males, 15 females; mean age, 80.5 years) cadavers. We defined the neuroma as a thickening of the nerve of at least two-fold relative to the non-pathological proximal part. The incidence of this neuroma was 25% (10/40) in the Japanese and 33.3% (7/21) in the Finnish cadavers. Moderate or severe hallux valgus (with an angle of more than 20 degrees) was seen in half of the 40 Japanese cadavers (7 males, 13 females), but was absent in the Finnish cadavers. Such hallux valgus was present in 7 (5 males, 2 females) of the 10 Japanese cadavers with neuroma. Moreover, in 2 Japanese cadavers, a paper-like, specialized type of neuroma was associated with the deformity. Pathogenesis of Morton's neuroma might be different between human populations with or without hallux valgus.

为了研究两种老年人群中莫顿指间神经瘤的形态学差异,我们对40名日本人(27名男性,13名女性;平均年龄81.2岁)和21名芬兰人(6名男性,15名女性;平均年龄80.5岁)尸体。我们将神经瘤定义为相对于非病理性近端神经增厚至少两倍。这种神经瘤的发病率在日本尸体中为25%(10/40),在芬兰尸体中为33.3%(7/21)。40具日本尸体中有一半(7名男性,13名女性)出现中度或重度拇外翻(角度超过20度),但芬兰尸体中没有。10例日本神经瘤患者中有7例(男5例,女2例)出现拇外翻。此外,在2具日本尸体中,一种纸状的特殊类型的神经瘤与畸形有关。莫顿神经瘤的发病机制可能在有或没有拇外翻的人群中有所不同。
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引用次数: 5
Double inferior vena cava with interiliac vein: a case report and literature review. 双下腔静脉伴髂间静脉1例并文献复习。
Pub Date : 2012-02-01 DOI: 10.2535/ofaj.88.147
Huayue Chen, Shoichi Emura, Sachio Nagasaki, Kin-ya Kubo

The duplication of the inferior vena cava (IVC) is a rare, but well-recognized anomaly. Duplicated IVC has a significant relevance for retroperitoneal surgery and venous interventional radiology. We report a case of duplicated IVC, which was observed during routine dissection of an 84-year-old Japanese female cadaver. The interiliac vein between the duplicated IVC ran obliquely upwards from left to right. We performed systematic literature review of published reports based on Pubmed and Medline from 1967 to 2011. Of 109 cases with IVC anomalies identified by the literature search, 22 cases (20.2%) displayed no interiliac anastomosis. The interiliac vein connecting duplicated IVC existed in 74 cases (67.9%). According to the running direction of the interiliac vein, we found that the vein ran from left to right in 42 cases, coursed from right to left in 19 cases, and ran horizontally in 13 cases. Thirteen left IVC displayed symmetrical-to-normal connection with the bilateral common iliac veins. Awareness of these venous variations is necessary to reduce surgical risk and to determine strategy in interventional radiology.

下腔静脉(IVC)的重复是一种罕见的,但公认的异常。重复的IVC与腹膜后手术和静脉介入放射学有重要的相关性。我们报告一例重复下腔静脉,这是观察到在常规解剖一名84岁的日本女性尸体。重复下腔静脉之间的髂间静脉从左向右斜向上。我们对Pubmed和Medline从1967年到2011年发表的报告进行了系统的文献综述。在文献检索发现的109例下腔静脉异常中,22例(20.2%)未显示髂间吻合。74例(67.9%)存在连接重复下腔静脉的髂间静脉。根据髂间静脉的走行方向,我们发现42例为左向右走行,19例为右向左走行,13例为水平走行。13例左下腔静脉与双侧髂总静脉呈对称正常连接。意识到这些静脉变异对于降低手术风险和确定介入放射学策略是必要的。
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引用次数: 52
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Okajimas folia anatomica Japonica
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