文静,余资江
WEN Jing,YU Zijiang

• 1:贵阳医学院附院超声中心
• 2:贵阳医学院解剖与组织胚胎学教研室

摘要(Abstract)：

目的:为肾上腺超声诊断提供三维断层解剖学依据。方法:18具肾上腺无器质性病变的尸体制作成横断层、矢状断层、冠状断层,观察左、右肾上腺首次出现和消失的断面、最佳显示断面及其毗邻关系;结合52例正常超声检查影像,总结临床肾上腺超声探查的最佳三维解剖断层。结果:解剖断面及断层连续超声显示,肾上腺横断面4个重要价值层面为第一肝门断层、经第一肝门下方断层、经左肾上极断层及经右肾上极断层;肾上腺矢状面4个重要价值层面为经左肾上极断层、经食管腹段断层、经下腔静脉断层及经右肾上极断层;肾上腺冠状面3个重要价值层面为经左右肾前份断层、经左右肾窦后份和脾门断层、经脊位圆椎和马尾断层。结论:肾上腺三维解剖断层及超声断面确定对临床肾上腺疾病诊断具有重要价值。
Objective: To provide three-dimensional sectional anatomy basis for ultrasonic diagnose of adrenal gland. Methods: Eighteen corpses without organic disease in adrenal gland were selected,and transverse section,sagittal section,and coronary section were made; the sections that the right and left adrenal glands appeared and disappeared for the first time,the best display sections and the adjacent relationship were observed. Combined with ultrasonic inspection results of 52 healthy people,to sum up the optimum three-dimensional sectional anatomy for ultrasonic diagnose. Results: Based on threedimensional sectional anatomy and ultrasonic inspection,4 transverse sections of adrenal gland with important value were found: the first hepatic portal section,section below the first hepatic portal,section of the upper pole of the left kidney and section of the upper pole of the right kidney. There were 4sagittal sections with important value: section of the upper pole of the left kidney,section of abdominal segment of esophagus,inferior vena cava section,and section of the upper pole of the right kidney.There were 3 coronary sections with important value: section of anterior portion of left and right kidney,section of posterior portion of left and right renal sinus and splenic hilum,and section of ridge cone and cauda equine. Conclusions: Three-dimensional sectional anatomy and ultrasonic section confirmation have important value in diagnosis of adrenal gland disease.

关键词(KeyWords)： 肾上腺;解剖学,横断面;超声检查
adrenal gland;anatomy,cross-sectional;ultrasonography

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 文静,余资江
WEN Jing,YU Zijiang

DOI: 10.19367/j.cnki.1000-2707.2014.05.023

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