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通过血管断层摄影术对200个肾蒂动脉模式的研究。

Study of arterial pattern of 200 renal pedicle through angiotomography.

作者信息

Palmieri Breno José, Petroianu Andy, Silva Luciana Costa, Andrade Luciene Mota, Alberti Luiz Ronaldo

机构信息

Faculdade de Medicina, UFMG, MG, BR.

出版信息

Rev Col Bras Cir. 2011 Mar-Apr;38(2):116-21. doi: 10.1590/s0100-69912011000200009.

Abstract

OBJECTIVE

To investigate the prevalence and distribution of renal arteries and their branches in vivo, correlating the particularities found in them with sex and laterality.

METHODS

Two hundred renal pedicles were studied by CT angiography and its arteries analyzed according to number, position of origin, size, length and trajectory in relation to renal segments. Its frequency and laterality were surveyed regarding gender and age.

RESULTS

There were multiple arteries in 61.5% of the pedicles (56% in the right and 67% in the left), occurring in 65% of men and 58% of women. The aortic origin to the multiple arteries was more frequent on the right and, more often, the renal arteries originated between vertebrae L1 and L2 as pre-hilar division of the main artery. The average length of the main artery was higher in right kidneys with a single artery. There was no difference between the diameters of the main renal arteries.

CONCLUSION

There is a higher prevalence of multiple renal arteries than the one described in the literature, with no difference for gender or laterality. The renal arteries originated more frequently between vertebrae L1 and L2, with divisions of the pre-hilar route and main artery to the hilum of the kidney. The average length of the main artery is greater on the right and in kidneys with single artery. There was no difference in diameter between the main renal artery between kidneys with single and multiple arteries.

摘要

目的

研究肾动脉及其分支在体内的发生率和分布情况,并将其中发现的特殊性与性别和左右侧别相关联。

方法

通过CT血管造影对200个肾蒂进行研究,并根据肾动脉的数量、起源位置、大小、长度以及与肾段的走行关系对其进行分析。对其在性别和年龄方面的发生率及左右侧别进行调查。

结果

61.5%的肾蒂存在多条动脉(右侧为56%,左侧为67%),男性发生率为65%,女性为58%。多条动脉起源于主动脉右侧的情况更为常见,且肾动脉更常起源于L1和L2椎体之间,作为主肾动脉的肾门前分支。单条动脉的右肾主肾动脉平均长度更长。主肾动脉直径之间无差异。

结论

多条肾动脉的发生率高于文献报道,在性别和左右侧别上无差异。肾动脉更常起源于L1和L2椎体之间,走行于肾门前并分支至肾门。单条动脉的右肾主肾动脉平均长度更长。单条和多条动脉的肾之间,主肾动脉直径无差异。

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