目的探讨Graves’眼病患者眼眶脂肪细胞的生物学特性。方法选择12例行眼眶减压术的Graves’眼病患者为观察对象,术中取眼眶脂肪组织,采用酶消化培养法进行体外培养,行苏丹Ⅲ染色、病理学检查,观察活动期及非活动期Graves’眼病患者眼眶脂肪细胞的形态特征。结果在体外培养过程中,眼眶脂肪组织中的多角形分枝细胞被诱导分化为成熟脂肪细胞。活动期患者眼眶脂肪组织中的多角形分枝细胞的数目明显多于非活动期患者,差异有统计学意义(P<0.05)。Graves’眼病活动期患者的眼眶脂肪组织中存在大量的淋巴细胞浸润,非活动期患者的眼眶脂肪组织中无炎症细胞浸润。结论Graves’眼病活动期患者眼眶脂肪组织增生比非活动期患者更活跃。
ObjectiveTo observe the biological characteristics of orbital adipose cells in Graves’ ophthalmopathy patients. MethodsTwelve Graves’ ophthalmopathy patients undergoing orbital decompression surgery were selected as the object of observation, orbital adipose tissues specimens were obtained in the course of surgery.Those adipose tissues were cultured in vitro by enzymatic digestion culture method,maked Sudan III staining and pathological examination.Observed the morphological features of adipose cells from active phase and inactive phase patients. ResultsDuring the in vitro cultivation of adipose tissues,The orbit branch polygon cells were induced into mature adipose cells. The number of branch polygon cells in active patients were significantly more than inactive patients, the difference was statistically significant between the two groups(P<0.05). There was a large number of lymphocytes infiltrated in the orbital adipose tissue of active patients,this kind of situation did not appear on inactive patients. ConclusionThe adipose tissue hyperplasia in active period were more active than those in inactive period.