糖尿病人肝脏的超微结构研究
Changes of hepatic ultrastructure in patients with diabetes mellitus
-
摘要: 研究糖尿病 (DM)人肝脏的超微结构变化。对 2 0例DM患者行肝穿活检 ,所取标本行光、电镜观察。光镜下见核内糖原空洞、脂肪变性及间质纤维化。电镜下见 :核内糖原颗粒 ;胞浆糖原颗粒增多 ;粗面内质网 (RER)脱粒 ;滑面内质网 (SER)扩张 ;线粒体 (Mi)肿胀 ,嵴紊乱 ,结构消失或电子密度增高 ,结构不清 ;脂肪变性 ;间质纤维化。DM肝超微结构改变中最具特征性的是核内糖原颗粒。Abstract: Objective:To study the changes of hepatic ultrastructure in patients with diabetes mellitus.Methods:Liver biopsy and pathological examination were carried out in 20 diabetes mellitus patients.Result Under light microscope, It showed that nuclear glycogen cavity, fatty degeneration and interstitial fibrosis.Whereas electron microscope:nuclear glycogen granules;glycogen granules in cytoplasm increase;rough endoplasmic reticulum degranulation;smooth endoplasmic reticulum expansion;mitochondrial swelling, crista disorder or electron density increase;fatty degeneration;interstitial fibrosis.Conclusion:The most characteristic change of hepatic ultrastructure is nuclear glycogen granules in diabetes mellitus.
-
Key words:
- Diabetes mellitus /
- Liver /
- Ultrastructure
-
[]〔1〕沈稚舟 .肝脏疾病与糖代谢异常〔J〕 .国外医学·内科学分册 , 1994, 2 1 (6 ) ∶2 48. []〔2〕冼苏 , 王乃尊 , 韦敏怡 , 等 .糖尿病性肝肿大临床及病理研究〔J〕 .广西医科大学学报 , 1996 , 13 (3) ∶7. []〔3〕KumeE , OhmachiY , ItagakiS , etal.Hepaticchangesofmiceinthesub acutephaseofstreptozotopcin (SZ) induceddiabetes〔J〕 .ExpToxicolPathol.1994, 46 (4 5 ) ∶36 8. []〔4〕贾雪梅 , 齐易祥 , 王惠珠 , 等 .实验性糖尿病对小鼠肝脏酶组织化学和超微结构的影响〔J〕 .解剖学杂志 , 1995 , 18 (5 ) ∶45 1. []〔5〕Ferrannini, lanfranchiA , RohnerJeanrenaudF , etal.Influcenceoflong termdiabetesonliverglycogenmetabclismintherat〔J〕 .metabolism .1990 , 39 (10 ) ∶10 82 . []〔6〕武忠弼 , 主编 .超微病理学基础〔M〕 .北京 :人民卫生出版社 , 1990年 9月第一版 :2 0 . 〔7〕ChatilaR , WestAB .Hepatomegalyandabnormallivertestsduetoglycogenosisinadultswithdiabetes〔J〕 .medicine Baltimore .1996 , 75 (6 ) ∶32 7.
本文二维码
计量
- 文章访问数: 2514
- HTML全文浏览量: 21
- PDF下载量: 22
- 被引次数: 0