肾盂输尿管连接部与肾血管关系的解剖研究

发布时间：2018-04-23 02:33

本文选题：解剖学 + 肾动脉　；参考：《昆明医学院》2005年硕士论文

【摘要】：目的:观测国人肾盂输尿管连接部(UPJ)与肾血管的毗邻关系,为顺行或逆行行腔内肾盂切开术治疗肾盂输尿管连接处狭窄时切口部位和方向的选择提供解剖学依据,以减少血管并发症,提高手术成功率,并探讨肾盂输尿管连接部狭窄的解剖学原因。材料与方法:原位解剖观测34具成人防腐尸体(死因均非泌尿系统疾病)的68侧肾脏的肾盂输尿管连接部交叉跨越血管的类型、走行方向、位置及与肾盂输尿管连接部的关系。对40侧肾脏(死因均非泌尿系统疾病)的肾盂输尿管连接部与肾血管的关系进行灌注研究,用不同颜色环氧树脂灌注并腐蚀。观测肾盂输尿管连接部前后交叉血管的类型、走行方向、位置及与肾盂输尿管连接部的毗邻关系。结果:解剖结果:共解剖观测标本34例尸体68侧肾盂输尿管连接部至肾下极水平面的距离:左侧中位数为3.50cm(最大值4.5cm 最小值-1.0cm),右侧中位数为3.05cm(最大值5.5cm 最小值-1.5cm),(P0.05)。肾盂输尿管连接部前方,无血管跨越者29侧占42.7%,有血管跨越者39侧占57.3%;肾盂输尿管连接部前方及其上、下各0.5cm范围内,无血管跨越者20侧占29.5%,有血管跨越者48侧占70.5%。肾盂输尿管连接部后方,无血管跨越者53侧占78%,有血管跨越者15侧占22%;肾盂输尿管连接部后方及其上、下各0.5cm范围内,无血管跨越者41侧占60.3%,
[Abstract]:Objective: to observe the contiguous relationship between ureteropelvic junction (UPJ) and renal vessels in order to provide anatomic basis for the choice of incision position and direction in the treatment of stricture of ureteropelvic junction by anterograde or retrograde endopyelotomy. In order to reduce vascular complications, improve the success rate of surgery, and explore the anatomical causes of ureteropelvic junction stenosis. Materials and methods: in situ dissection was performed to observe the type, direction, location and relationship between ureteropelvic junction and ureteropelvic junction of 68 kidneys in 34 adult embalmed cadavers (causes of death other than urological diseases). The relationship between ureteropelvic junction and renal blood vessels in 40 kidneys (causes of death other than urinary system diseases) was studied. Different color epoxy resin was perfused and corroded. The type, direction and position of the anterior and posterior cross vessels of the ureteropelvic junction and the adjacent relationship with the ureteropelvic junction were observed. Results: anatomical results: the distance from the ureteropelvic junction to the level of the lower pole of the renal pelvis and ureteral junction in 34 cadavers was observed: the left median was 3.50 cm (maximum 4.5cm minimum value -1.0 cm) and the right median was 3.05 cm (maximum 5.5cm minimum value -1.5 cm). In the anterior part of ureteropelvic junction, 29 sides had no vessel crossing, 39 sides had blood vessel crossing, 20 sides had no blood vessel crossing, and 48 sides had blood vessel crossing, in all the areas of 0.5cm, 20 sides had no vessel crossing, and 48 sides had blood vessel crossing accounted for 70.5% of the total number of patients with renal pelvis and ureteral junction in the anterior part and the upper part of ureteropelvic junction and the upper part of ureteropelvic junction. In the posterior part of ureteropelvic junction, there were no vessels crossing in 53 sides (7878 sides), 15 sides in 22 sides (22 sides), in the posterior part of ureteropelvic junction and its upper and lower 0.5cm, 41 sides had no vessel crossing (60.3%).
【学位授予单位】：昆明医学院
【学位级别】：硕士
【学位授予年份】：2005
【分类号】：R322

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