肾脏的局部解剖(英)PPT课件
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Kidneys and Adrenal Glands
Department of Regional Anatomy and Operative Surgery
1
Position, relation Structure Blood supply Lymphatic drainage Innervations
31
32
Fibrous Capsule
33
Ureter
34
Ureter is divided into 3 parts: ①abdominal part ②pelvis part ③intramural part
35
28 to 34 cm 3 narrowing sites
16
Hydronephrosis
17
renal artery
T11
18
Renal artery
19
Vascular renal segment
Superior (apical)
Anterior superior (upper)
AnterioLeabharlann inferior (middle)
Inferior (lower)
• the pelviureteric junction
• crossing the pelvic brim
• traversing the bladder wall
36
37
38
Horseshoe kidney
39
Suprarenal Gland
40
•Endocrine gland •T11 level •Right is triangular •Left is semi-lunar
47
48
49
incision
Anterior transperitoneal approach
Posterior retroperitoneal approach
50
Case A
A 55-year-old woman was found rolling on her kitchen floor, crying out from agonizing pain in her abdomen. The pain came in waves and extended from the right loin to the groin and to the front of the right thigh. An anteroposterior radiograph of the abdomen revealed a calculus in the right ureter.
11
Costodiaphragmatic recess of the pleural
cavity
12
Renal hilum, Renal sinus and Renal pedicle
Renal pyramid Renal sinus
cortex Renal column calyx
Renal hilum
papilla
Renal pedicle
13
14
15
From anterior to posterior renal vein renal artery renal pelvis
From above downwards the renal artery renal vein renal pelvis
25
Renal Capsule
Renal fascia Adipose capsule Fibrous capsule
26
Renal fascia
27
28
Fibrous capsule
Adipose capsule
Perirenal fat
Pararenal fat
29
30
2020/1/1
2
Position
Retroperitoneal Upper poles
T12 vertebra Lower poles
L3 vertebra Right is lower than left
3
Cadaveric kidneys
4
Surface Projection of kidney
5
posterior
20
variation of renal artery
21
Variation of Renal Artery
22
Renal veins
23
24
Aorta-renal artery-segmental arterylobar artery-interlobar artery-arcuate artery-interlobulor artery-afferent arteriole-glomerulus (capillaries)efferent arteriole-peritubular capillaries and vasa recta-interlobular vein-arcuate vein-interlobar vein-renal vein-interior vena cava
41
Relation
Left
right
superior
stomach
anterior
inferior
tail of pancreas & spleen vessel
posterior
diaphragm
liver
diaphrag m
medial
abdominal aorta
Inferior vena cava
42
43
Artery of Adrenal Gland
44
45
46
Veins of adrenal gland
Left suprarenal vein, into the left renal vein
Right suprarenal vein, into the inferior vena cava
Renal Angle
Tenderness or percussing pain caused by kidney disease is localized here
6
Neighbor of Kidney
7
8
Anterior Surface of the kidney
9
10
Posterior Surface
Department of Regional Anatomy and Operative Surgery
1
Position, relation Structure Blood supply Lymphatic drainage Innervations
31
32
Fibrous Capsule
33
Ureter
34
Ureter is divided into 3 parts: ①abdominal part ②pelvis part ③intramural part
35
28 to 34 cm 3 narrowing sites
16
Hydronephrosis
17
renal artery
T11
18
Renal artery
19
Vascular renal segment
Superior (apical)
Anterior superior (upper)
AnterioLeabharlann inferior (middle)
Inferior (lower)
• the pelviureteric junction
• crossing the pelvic brim
• traversing the bladder wall
36
37
38
Horseshoe kidney
39
Suprarenal Gland
40
•Endocrine gland •T11 level •Right is triangular •Left is semi-lunar
47
48
49
incision
Anterior transperitoneal approach
Posterior retroperitoneal approach
50
Case A
A 55-year-old woman was found rolling on her kitchen floor, crying out from agonizing pain in her abdomen. The pain came in waves and extended from the right loin to the groin and to the front of the right thigh. An anteroposterior radiograph of the abdomen revealed a calculus in the right ureter.
11
Costodiaphragmatic recess of the pleural
cavity
12
Renal hilum, Renal sinus and Renal pedicle
Renal pyramid Renal sinus
cortex Renal column calyx
Renal hilum
papilla
Renal pedicle
13
14
15
From anterior to posterior renal vein renal artery renal pelvis
From above downwards the renal artery renal vein renal pelvis
25
Renal Capsule
Renal fascia Adipose capsule Fibrous capsule
26
Renal fascia
27
28
Fibrous capsule
Adipose capsule
Perirenal fat
Pararenal fat
29
30
2020/1/1
2
Position
Retroperitoneal Upper poles
T12 vertebra Lower poles
L3 vertebra Right is lower than left
3
Cadaveric kidneys
4
Surface Projection of kidney
5
posterior
20
variation of renal artery
21
Variation of Renal Artery
22
Renal veins
23
24
Aorta-renal artery-segmental arterylobar artery-interlobar artery-arcuate artery-interlobulor artery-afferent arteriole-glomerulus (capillaries)efferent arteriole-peritubular capillaries and vasa recta-interlobular vein-arcuate vein-interlobar vein-renal vein-interior vena cava
41
Relation
Left
right
superior
stomach
anterior
inferior
tail of pancreas & spleen vessel
posterior
diaphragm
liver
diaphrag m
medial
abdominal aorta
Inferior vena cava
42
43
Artery of Adrenal Gland
44
45
46
Veins of adrenal gland
Left suprarenal vein, into the left renal vein
Right suprarenal vein, into the inferior vena cava
Renal Angle
Tenderness or percussing pain caused by kidney disease is localized here
6
Neighbor of Kidney
7
8
Anterior Surface of the kidney
9
10
Posterior Surface