肾周间隙积液的CT表现及解剖学基础  

CT Features and Anatomic Bases of the Perinephric Space Effusion

作　　者：金保良[1] 何之彦[1] 周志国[1] 陈勤[1] 刘爱群[1] 

机构地区：[1]上海交通大学附属第一人民医院放射科,200080

出　　处：《中国医学计算机成像杂志》2006年第6期388-391,共4页Chinese Computed Medical Imaging

摘　　要：目的:结合肾周间隙的解剖学基础分析肾周间隙积液的CT表现。材料和方法:观察59例肾周间隙积液的分布及CT表现。结果:肾周间隙积液CT表现:肾窦水肿,肾被膜下积液,肾周间隙内桥隔增厚,肾周间隙脂肪层内斑片状影,肾被膜及肾前、肾后筋膜增厚,部分同时有圆锥侧筋膜增厚肿胀。右侧肾周间隙积液向上可至肝裸区。结论:CT能够清楚显示肾周间隙积液和肾筋膜的分隔作用,了解这些解剖结构,可合理地解释影像学征象及了解疾病扩展途径,为泌尿外科及介入治疗提供依据。Purpose： To investigate the CT features of the perinephric space effusion combined with the anatomic structure of the perinephric space. Materials and Methods- The distribution and morphologic features of the 59 cases of effusion in the perinephric space on CT were observed. Results： The CT features of the perinephric space effusion included： edema of the renal sinus, effusion of the renal- infra-capsule, thickening of the bridge septa in the perinephric space, patch shadows in the fatty layer of the perinephric space and thickening of the renal capsule and Gerota＇s fascia. Right perinephric space effusion extend to the bare area of the live.Conclusion： CT scan can reveal the effusion of perinephric space and the separation of the renal fascia clearly. To analyze the distribution of the effusion of the perinephric space carefully may provide more reasonable explanation of clinical features and the spreading pathway of the disease, and provide evidence for urinary surgical or interventional treatment.

关 键 词：肾周间隙 积液 解剖 CT 

分 类 号：R816.7[医药卫生—放射医学] R322[医药卫生—临床医学]