[肾脏肾小球旁血流途径(比较解剖学和年龄相关方面)]。

O A Kaplunova
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摘要

为了从比较解剖学和年龄相关的角度观察肾小球旁通路血流的形成,我们对5类脊椎动物的484个肾脏、50个胎儿肾脏和193个不同年龄的正常人肾脏进行了研究。采用宏观显微镜、组织学和形态计量学方法。在所有哺乳动物物种中,都观察到血管肾小球和小管周围毛细血管的显著发育。在人体肾脏中,皮层和髓质动脉血管的相对含量在青少年时期最大。随着年龄的增长,该参数在肾皮质和肾髓质中均降低。肾脏组织分化为皮层和髓质,始于鸟类,最终在哺乳动物中形成,这解释了皮层和髓旁血流通路的出现。在人类发育的产前阶段,肾肾小球旁血流途径优于皮质血流途径。中老年血流量髓旁通路的降低,决定了正常脏器内肾动脉床的适应能力下降。
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[Juxtaglomerular blood flow pathway in the kidney (comparative-anatomical and age-related aspects)].

To observe the formation of blood flow in the juxtaglomerular pathway in comparative-anatomical and age-related aspects, 484 kidneys from the representatives of the five classes of vertebrates, 50 kidneys of human fetuses and 193 kidneys of normal individuals of different ages were studied. Macro-microscopic, histological and morphometric methods were used. In all the mammalian animal species, the significant development of vascular glomeruli and peritubular capillaries was observed. In human kidneys, the relative content of cortical and medullary arterial vessels was maximal in juvenile age. With age, this parameter was found to decrease both in renal cortex and medulla. The differentiation of renal tissue into the cortex and the medulla, that began in birds and was finally formed in mammals, explains the appearance of cortical and juxtamedullary blood flow pathways. During the antenatal period of human development, renal juxtaglomerular pathway of blood flow prevails over the cortical one. The diminished significance of juxtamedullary pathway of blood flow in elderly and senile age determines the decreased adaptive capacities of intraorgan renal arterial bed in the norm.

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