| 肾盂内结石手术有关的应用解剖学 |
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| 引用本文： | 陈子华,郭莉,苏泽轩. 肾盂内结石手术有关的应用解剖学[J]. 中国临床解剖学杂志, 1986, 0(3) |
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| 作者姓名： | 陈子华 郭莉 苏泽轩 |
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| 作者单位： | 广州空军后勤医训队(陈子华，郭莉)，广州铁路医院泌尿外科(苏泽轩) |
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| 摘 要： | 观察了90例成人肾标本和30例成人肾管道的铸型标本。肾盂的门内型占56.7%,中间型占43.3%。肾盂肾盏后方越过的动脉:后段动脉出现率为100%,尖段动脉仅见5.8%,下段动脉出现34.2%。紧贴肾盂后面有一层结缔组织膜,称为肾盂外膜,富有脂肪组织,是手术分离的良好径路。根据肾后部动脉分布规律,肾窦内肾盂切开部位应在肾门后段下侧,可避免损伤血管主干。本文测量数据,对经皮肾造瘘取石术有参考价值。
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| 关 键 词： | 肾盂切石术 肾盂 肾盏 肾段动脉 |
Anatomical Study of Pyelolit(?)otomy |
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| Chen Zihua et al. Guangzhou Air Force Medical School of PLA. Anatomical Study of Pyelolit(?)otomy[J]. Chinese Journal of Clinical Anatomy, 1986, 0(3) |
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| Authors: | Chen Zihua et al. Guangzhou Air Force Medical School of PLA |
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| Affiliation: | Chen Zihua et al. Guangzhou Air Force Medical School of PLA |
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| Abstract: | 90 cases of adult kidney specimens and 30 cases of adult renal cast specimenswere observed.It was found that the intrahilus type of renal pelvis was 56.7%and the middle type was 43.3% of the cases.The arteries passing behind the re-nal p(?)lvis and renal calices are postrior segmental artery which is 100%;apicalsegmental artery 5.8% and lower segmental artery 34.2%.There is a membraneof connective tissue around the renal pelvis,which is called the adventitia ofthe renal pelvis.The adventitia can easily be separated on operation because itis full of adipose tissue.Based on the distribution of the arteries at the poste-rior area of the kidney,the location of the pyelolithotomy should be selectedat the posterior segment below the renal hilus,which can avoid injuring thevascular trunk. |
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| Keywords: | pyelolithotomy renal pelvis renal calices renal segmetal a. |
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