降结肠与左肾位置关系的CT解剖学研究

翁爱婷; 涂颖珊; 王倩倩; 葛艳明; 邵伟光; 董鹏

doi:10.13418/j.issn.1001-165x.2018.02.009

中国临床解剖学杂志 ›› 2018, Vol. 36 ›› Issue (2) : 162-164. DOI: 10.13418/j.issn.1001-165x.2018.02.009

断层影像解剖

降结肠与左肾位置关系的CT解剖学研究

翁爱婷¹，　涂颖珊¹，　王倩倩¹，　葛艳明²，　邵伟光²，　董鹏²

作者信息 +

CT anatomic study of position correlation between descending colon and left kidney

WENG Ai-ting¹, TU Ying-shan¹, WANG Qian-qian¹, GE Yan-ming², SHAO Wei-guang², DONG Peng²

Author information +

文章历史 +

摘要

目的　运用多层螺旋CT探讨降结肠相对左侧肾脏的位置分区与同侧肾筋膜外侧附着类型的相关性。方法　收集121例行上腹部CT扫描的成人病例的影像学资料并进行回顾性分析，着重观察和记录降结肠相对左侧肾脏的位置分区以及同侧肾筋膜外侧附着类型，并分析二者之间的相关性。结果　（1）72例的左侧肾筋膜外侧附着类型属于I型，49例的左侧肾筋膜外侧附着类型为II型；（2）降结肠整体走行呈现自左肾前方至左肾侧后方的趋势；（3）左侧肾门水平，降结肠相对左肾的位置分区与左侧肾筋膜外侧附着类型具有相关性（χ2=6.254, P<0.05）。结论　降结肠相对左侧肾脏的位置分区与同侧肾筋膜外侧附着类型存在相关性。

Abstract

Objective　To discuss the correlation between subarea of the descending colon relative to the left kidney (SaDCK) and the type of anatomic position of the left lateral conal fascia formed by the anterior and posterior renal fasciae outside of the left kidney (APLCF) using multi-slice spiral computed tomography.　Methods 　The abdominal CT imaging data of 121 patients were collected and analyzed retrospectively. The SaDCK and the type of the APLCF were studied, and the corresponding value was recorded. 　Results　(1) 72 patients showed that the type of the left APLCF belonged to type I, and 49 patients showed that the type of the left APLCF belonged to type II; (2) The anatomic position of descending colon showed a trend from the front to the posterolateral side of the left kidney; (3) There was a correlation between the SaDCK and the left APLCF at the level of the renal hilum (χ2=6.254, P<0.05).　Conclusion There was a correlation between the SaDCK and the type of left APLCF.

导出引用

翁爱婷,涂颖珊,王倩倩,葛艳明,邵伟光,董鹏. 降结肠与左肾位置关系的CT解剖学研究[J]. 中国临床解剖学杂志. 2018, 36(2): 162-164 https://doi.org/10.13418/j.issn.1001-165x.2018.02.009

WENG Ai-ting, TU Ying-shan, WANG Qian-qian, GE Yan-ming, SHAO Wei-guang, DONG Peng. CT anatomic study of position correlation between descending colon and left kidney[J]. Chinese Journal of Clinical Anatomy. 2018, 36(2): 162-164 https://doi.org/10.13418/j.issn.1001-165x.2018.02.009

参考文献

[1] 袁小旭, 司徒杰, 王劲, 等. 仰、俯卧位下肾结肠位置变化与相对位移的影像解剖学研究[J]. 中国临床解剖学杂志, 2009, 27(5): 551-554.
[2] 冀鲁. 微创经皮肾穿刺肝脾、结肠损伤的几率及分析[D]. 长沙:中南大学, 2009: 1-45.
[3] 马鑫, 李宏召, 王超, 等. 后腹腔镜下肾筋膜应用解剖分型[J]. 临床泌尿外科杂志, 2009, 24(5): 330-334.
[4] 高琪敏, 李进, 王文娟, 等. 肾前、肾后筋膜融合形成锥侧筋膜的CT解剖学研究[J]. 中国临床解剖学杂志, 2014, 32(6): 676-679.
[5] 王雅琴, 王倩倩, 杨春波, 等. AP侵及肾旁后间隙的CT表现及其解剖学基础[J]. 医学影像学杂志, 2017, 17(5): 852-854.
[6] 漆锐, 周翔平, 余建群, 等. 多层螺旋CT对成人肾筋膜外侧附着的解剖学研究[J]. 生物医学工程学杂志, 2012, 29(4): 658-662.
[7] 李国新, 丁自海, 张策, 等. 腹腔镜下左半结肠切除术相关筋膜平面的解剖观察[J]. 中国临床解剖学杂志, 2006, 24(3): 298-301.
[8] 梅傲冰, 邱剑光, 贾本忠, 等. 肾前筋膜间平面无血腹腔镜上尿路手术入路精准解剖与技巧[J]. 中国临床解剖学杂志, 2017, 35(2): 130-136.
[9] Miano R, Scoffone C, De Nunzio C, et al. Position:prone or supine is the issue of percutaneous nephrolithotomy[J]. J Endourol, 2010, 24(6): 931-938.
[10] 唐松林, 赵海生, 张晓华, 等. 平卧位和俯卧位下经皮肾穿刺造瘘中结肠损伤的影像解剖学探讨[J]. 黑龙江医药科学, 2015, 38(3): 75-77.
[11]Hadar H, Gadoth N. Positional relations of colon and kidney determined by perirenal fat[J]. AJR, 1984, 143(4): 773-776.
[12] 曾滔, 麦赞林, 秦景，等. 肾后结肠发生率及危险因素的分析研究[J]. 中华泌尿外科杂志, 2016, 37(5): 372-375.
[13]Hopper KD, Sherman JL, Williams MD, et al. The variable anteroposterior position of the retroperitoneal colon to the kidneys[J]. Inves Radiol, 1987, 22(4): 298-302.
[14] 桑亮, 王学梅, 王炳元, 等. 肾周脂肪囊厚度在脂肪肝诊断中的应用价值[J]. 世界华人消化杂志, 2009, 17(18): 1871-1874.