肾脏的局部解剖(英).ppt

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1、KidneysandAdrenalGlandsDepartmentofRegionalAnatomyandOperativeSurgeryPosition,relationStructureBloodsupplyLymphaticdrainageInnervationsPositionRetroperitonealUpperpolesT12vertebraLowerpolesL3vertebraRightislowerthanleftCadaverickidneysSurfaceProjectionofkidneyRena

2、lAngleTendernessorpercussingpaincausedbykidneydiseaseislocalizedhereNeighborofKidneyAnteriorSurfaceofthekidneyPosteriorSurfaceCostodiaphragmaticrecessofthepleuralcavityRenalhilum,RenalsinusandRenalpedicleRenalhilumRenalsinusRenalpediclecortexRenalcolumnRenalpyrami

3、dcalyxpapillarenalveinrenalarteryrenalpelvisFromabovedownwardstherenalarteryrenalveinrenalpelvisFromanteriortoposteriorHydronephrosisrenalarteryT11RenalarteryVascularrenalsegmentSuperior(apical)Anteriorsuperior(upper)Anteriorinferior(middle)Inferior(lower)posterio

4、rvariationofrenalartery!VariationofRenalArteryRenalveinsAorta-renalartery-segmentalartery-lobarartery-interlobarartery-arcuateartery-interlobulorartery-afferentarteriole-glomerulus(capillaries)-efferentarteriole-peritubularcapillariesandvasarecta-interlobularvein-

5、arcuatevein-interlobarvein-renalvein-interiorvenacavaRenalCapsuleRenalfasciaAdiposecapsuleFibrouscapsuleRenalfasciaFibrouscapsuleAdiposecapsulePerirenalfatPararenalfatFibrousCapsuleUreterUreterisdividedinto3parts:①abdominalpart②pelvispart③intramuralpart28to34cm3

6、narrowingsitesthepelviuretericjunctioncrossingthepelvicbrimtraversingthebladderwallHorseshoekidneySuprarenalGlandEndocrineglandT11levelRightistriangularLeftissemi-lunarLeftrightanteriorsuperiorstomachliverinferiortailofpancreas&spleenvesselposteriordiaphragmdiaphr

7、agmmedialabdominalaortaInferiorvenacavaRelationArteryofAdrenalGlandVeinsofadrenalglandLeftsuprarenalvein,intotheleftrenalveinRightsuprarenalvein,intotheinferiorvenacavaincisionAnteriortransperitonealapproachPosteriorretroperitonealapproachA55-year-oldwomanwasfound

8、rollingonherkitchenfloor,cryingoutfromagonizingpaininherabdomen.Thepaincameinwavesandextendedfromtherightlointothegroinandtothefrontoftherightthigh.Anan