[1]丁宁,韩振奎,黄春泉,等.肾盂输尿管毗邻解剖研究及在腹腔镜手术中的应用[J].中华腔镜泌尿外科杂志(电子版),2010,(01):17-20.
　Ding Ning,HAN Zhen-kui,HUANG Chong-quan,et al.Research on adjacent anatomy of renal pelvis and upper ureter and its application in laparoscopic surgeries[J].,2010,(01):17-20.
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肾盂输尿管毗邻解剖研究及在腹腔镜手术中的应用()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2010年01期
页码:
17-20
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Research on adjacent anatomy of renal pelvis and upper ureter and its application in laparoscopic surgeries
作者:
丁宁; 韩振奎; 黄春泉; 谢开畅
广东东莞康华医院泌尿外科,东莞,523080，陕西延安医学院局部解剖教研室,延安,716000
Author(s):
Ding Ning; HAN Zhen-kui; HUANG Chong-quan; XIE Kai-chang
关键词:
肾盂; 输尿管; 解剖; 腹腔镜手术
摘要:
目的 探讨肾盂输尿管与毗邻组织器官的关系、重要的解剖标志以及临床意义.方法 结合临床资料和8例尸体解剖资料观察:肾下极以上平面肾盂输尿管与肾血管的关系;平肾下极处输尿管与肾下极、腰大肌、周围血管的关系;肾下极至第五腰椎间输尿管与腰大肌、生殖血管、生殖股神经的关系.结果 在肾门至肾下极之间肾盂输尿管从后向前走行,到肾下极处达肾前缘,向前倾角为0°～12°,平均8.6°.8例尸体16个肾脏中肾动脉及肾静脉属支在距肾门前缘1cm范围内分出二级血管者有13例,在1～2cm分出二级血管者2例,1例位于2.7cm外分出二级血管.肾动脉后支从肾盂后方入肾脏,二级血管并不以动脉、静脉、肾盂的前后关系出入肾门.输尿管与生殖股神经75%(6/8)发生交叉,交叉点位于第4、5腰椎椎间盘平面2～3cm,距腰大肌外侧缘的水平距离: 左侧1.73±0.81cm、右侧1.76±0.53cm.交叉点上方输尿管约83.3%(5/6)位于生殖股神经的外侧,在髂血管分叉处,输尿管均位于生殖股神经的内侧.结论 肾盂输尿管毗邻解剖学的研究,为腹腔镜下肾盂输尿管重建手术的顺利进行和广泛开展提供解剖学指导.[关健词]肾盂;输尿管;解剖;腹腔镜手术

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更新日期/Last Update: 1900-01-01