胎儿晶状体囊血供及发育规律及先天性白内障关系.docVIP

胎儿晶状体囊血供及发育规律及先天性白内障关系 　 作者：唐显庆，曾效恒，龙双莲 【摘要】 目的：本文观察胎儿晶状体囊的血液供应及其发育规律与先天性白内障的关系。方法：收集水囊引产完整新鲜胎儿30例，胎龄分布自12周~38周，取双侧眼球入10％中性甲醛中。固定后在16倍手术显微镜下解剖和观察。并取部分标本做成组织切片以确定血管与晶状体囊的位置关系。结果：其一，来自视网膜中央动脉，该动脉近晶状体囊后极处，发出8条～10条分支，每条分支又分2条～3条细小分支，呈丛状或网状。其二，来自睫状体动脉的分支沿晶状体囊的赤道部边缘绕至晶状体囊后部，数量甚多，约有40条左右，等距离地呈车轮状排列，每支再发出2支细支，并与透明动脉的细小分支相吻合。结论：两组血管仅分布于囊，始终未进入囊内。胎儿自第30周始，部分标本在晶体囊赤道部边缘的动脉已开始闭锁消失，第32周以后完全消失，至第33周两组不同来源的动脉已全部闭锁消失，残留着透明的玻璃体系带。 【关键词】 胎儿；晶状体囊；血液供应；先天性白内障 　　Relationship of Fetus Lens Capsule Blood Supplies and Developmental Regularity and Congenital Cataract Abstract: Objective To observe the relationship between fetus lens capsule blood supplies and developmental regularity and congenital cataract. Methods 30 fetus specimens were obtained from the water bag abortion and embryo age distribution from 12 weeks~38 weeks. Twosided eyeball were took to enter in 10% neutral formalin fixed and dissected and observed by 16 times surgery microscope. The slices of eyeball were stained with hematoxylin eosin to determine the relation of the blood vessel and lens capsule. Results First, some branch vessels come from the central retinal artery. There are 8~10 branch vessels on the central retinal artery near the posterior polus of lens capsule, and each branch branches out 2~3 tiny branches and assumes the fasciculate or the lattice. Second, some come from ciliary body artery. The branchs circle along in the edge of lens capsule equator department to the posterior lens capsule, quantity very many, about 40. The branch vessels assume the equalspace arrangement like the annular wheel and each sends out 2 fine branches, and anastomose with the tiny branch of the transparent artery. Conclusion Two groups of blood vessels only distribute in the lens capsule, has not entered in the capsule. The artery in the edge of lens capsule equator department started atresia and vanishing at the 30th week, and vanishing complete at the end of the 32nd week in some specimens. Up to the 33rd week, two group ar