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肾上腺的动脉供应:胚胎学基础及应用意义

Suprarenal gland-arterial supply: an embryological basis and applied importance.

作者信息

Dutta S

机构信息

Department of Anatomy, Shri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, India.

出版信息

Rom J Morphol Embryol. 2010;51(1):137-40.

Abstract

Variation arterial anatomy of suprarenal gland is significant for radiological and surgical interventions. Knowledge of anomalous suprarenal artery is required to avoid complications in surgical procedure. Arterial architecture of human suprarenal gland was studied in sixty-eight cadavers of adult male and female. In all cases, superior suprarenal artery on right side was normal in origin but on left side, 24% showed anomalous origin. The incidence of anomalous origin of middle suprarenal artery on right side was 47% and on left side 6%. Anomalous origin of inferior suprarenal artery on the right side was 29% and left side 35%. The superior suprarenal artery was present in all subjects. However, there was absence of right middle suprarenal artery in 29% and left inferior suprarenal artery in 35% subjects. The most variable group was inferior suprarenal artery. The study result is being described to report anomalous origin of suprarenal arteries in the light of surgical, radiological and embryological significances. Present study findings suggest, thorough knowledge of anomalous arterial anatomy of suprarenal gland is required for surgical and radiological interventions of retroperitoneal organs of upper abdomen to avoid complications.

摘要

肾上腺动脉解剖变异对放射学和外科手术干预具有重要意义。了解肾上腺异常动脉对于避免手术过程中的并发症至关重要。在68具成年男性和女性尸体上研究了人类肾上腺的动脉结构。在所有病例中,右侧肾上腺上动脉起源正常,但左侧有24%显示起源异常。右侧肾上腺中动脉起源异常的发生率为47%,左侧为6%。右侧肾上腺下动脉起源异常的发生率为29%,左侧为35%。所有受试者均存在肾上腺上动脉。然而,29%的受试者右侧肾上腺中动脉缺如,35%的受试者左侧肾上腺下动脉缺如。变异最多的组是肾上腺下动脉。根据手术、放射学和胚胎学意义,描述了该研究结果以报告肾上腺动脉的异常起源。目前的研究结果表明,对上腹腹膜后器官进行手术和放射学干预时,需要全面了解肾上腺异常动脉解剖结构以避免并发症。

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