摘要
目的通过微创经皮肾镜取石术手术入路相关结构的解剖学研究,为临床手术穿刺点的选择和手术入路的解剖学层次提供形态学基础。方法对8具16侧正常成人尸体标本按临床手术体位进行穿刺,并解剖观察层次结构、毗邻关系和拍摄、测量。结果在腋后线第10肋间隙穿刺,穿破膈胸膜及膈的概率为56.25%(9/16)。在肩胛线第10肋间隙穿刺,穿破膈胸膜及膈的概率为100%。在腋后线第11肋间隙穿刺,穿破膈胸膜及膈的概率为6.25%(1/16)。在肩胛线第11肋间隙穿刺,穿破膈胸膜及膈的概率为12.5%(2/16)。在腋后线第12肋下缘肋尖处穿刺穿破膈胸膜及膈的概率为0。结论右肾在腋后线12肋肋尖下缘内侧3～4cm穿刺较安全;左肾在腋后线第12肋上、下缘肋尖内侧2～3cm穿刺较安全。
Objective To provide anatomy base of the operative route by dissecting the dependency structure of minimally invasive percutaneous nephrolit hotomy. Methods 8 corpose samples(16sides)were dissected and the correlated anatomic hierarchical structure were observed,shot and measured by simulating the operative route. Results The probability ratio of perforatioed the diaphragmatic pleura and diazoma is 56.25percent(9/16) that we punctured from the 10th intercostal space in posterior axillary line. The probabili...
出处
《中国中医药现代远程教育》
2008年第10期1174-1175,共2页
Chinese Medicine Modern Distance Education of China
