肾门前后唇的不对称类型及其临床意义  

The asymmetry of anterior and posterior labium of the renal hilum and its clinical significance

作　　者：吴志坚[1] 李晓刚[1] 曹阳[1] 龙秀官[1] 陈亚光[1] 熊波[1] 

机构地区：[1]湖南省郴州市第一人民医院泌尿外科,423000

出　　处：《中国临床解剖学杂志》2000年第3期239-240,共2页Chinese Journal of Clinical Anatomy

摘　　要：目的：调查前后唇不对称类型肾门的出现率，针对此种肾门类型的解剖学特点，探索经肾盂腹侧切开取石术的术式设计及临床应用。方法：观测了１２２４个肾门ＣＴ片，对肾门前后唇是否对称进行了分类。结果：将肾门前唇短于后唇 １０ ｍｍ者列为肾门前后唇不对称型，出现率为 ６．１３％。对 ３２例肾门前后唇不对称类型肾盂结石患者，施行了腹侧切开取石术，效果满意。结论：对肾门前后唇不对称类型肾盂结石患者，宜首选肾盂腹侧切开取石术。To investigate the occurrence rate of the asymmetry of anterior and posterior labium of the renal hilum, and explore the operative method and clinical appliance of nephropyelolithotomy through ventral incision according to the anatomical charactes of this type of renal hilum. Methods: 1224 CF scanning pictures of renal hilum were surveyed and the anterior and posterior labium of renal hilum were ciassified according to whether it was symmetry or not. Results:The renal hilum whine anterior labium were 10 mm shorter than their posterior labium were regarded as asymmetrical type, and the occurrence rate was 6. 13%. 32 cases asymmetrical type patients suffering calculus in renal pelvis have been given the operation of nephropyelolithotomy through ventral incision, and the results were satisfied. Conclusion: For the patients of asymmetry type suffering calculus in renal pelvis, nephropyelolithotomy through ventral incision is the first choice.

关 键 词：肾门前后唇不对称 肾盂取石 腹侧切口 

分 类 号：R692.405[医药卫生—泌尿科学] R322.61[医药卫生—外科学]