摘要
目的:研究肾后筋膜的内侧附着点和肾旁后间隙的内侧边界。方法:回顾性分析64例CT扫描资料和临床资料完整的腹膜后间隙炎性病变的连续性病例,其中经手术病理证实29例;经临床综合指标及抗炎治疗随访显效而诊断者35例。着重观察肾后筋膜的内侧附着和肾旁后间隙的内侧边界。结果:(1)在肾上极以上水平,双侧肾后筋膜内侧均附着于腰方肌筋膜;(2)90.62%(58例)显示左侧肾后筋膜内侧在肾下极水平或锥下间隙水平附着于腰大肌筋膜外后方;(3)95.31%(61例)显示右侧肾后筋膜内侧在肾下极水平或锥下间隙水平附着于腰大肌筋膜外后方;(4)双侧肾后筋膜内侧附着点并不总是一致;(5)双侧肾旁后间隙内侧界主要分成两部分,为腰方肌或腰方肌和部分腰大肌。结论:(1)肾后筋膜的内侧附着点不是固定不变的,两侧肾后筋膜内侧附着情况也不一致;(2)肾旁后间隙内侧边界随肾后筋膜内侧附着点的改变而发生变化。
Objective： To study the medial attachment point of the posterior renal fascia （PPF） and the medial border of the posterior pararenal space. Methods： Sixty four cases with retroperitoneal inflammation were reviewed retrospectively, of which 29 cases were proved by surgery and pathology, 35 cases were proved by clinical and laboratory findings. Emphasis was placed on the medial attachment of the PPF and the medial border of the posterior pararenal space. Results： （1） Above the superior pole of kidney, the PPF attached to the fascia of the ipsilateral quadratus lumborum muscle. （2） 90.62% （58 cases） manifested the insertion site of the left PPF transation from the quadratus lumborum muscle fascia to the psoas fascia at the inferior pole of kidney or the infraconal space. （3） 95.31% （61 cases） manifested the insertion site of the right PPF transation from the quadratus lumborum muscle fascia to the psoas fascia at the level of the inferior pole of kidney or the infraconal space. （4） The insertion site of the left PPF was not always the same as the right. （5） The medial border of the posterior pararenal space was the quadratus lumborum muscle or the quadratus lumborum muscle and the partial psoas. Conclusions： The insertion site of the left and right PPF is variable. The alteration of the medial border of the posterior pararenal space is coincident with the changes of the insertion site of the PPF.
出处
《中国临床解剖学杂志》
CSCD
北大核心
2006年第6期648-650,654,共4页
Chinese Journal of Clinical Anatomy
基金
山东省优秀中青年科学家科研奖励基金(2005BS03010)
关键词
肾后筋膜
附着
体层摄影术
X线计算机
posterior pararenal fascia
attachment
tomography
X-ray computer
