Esen K, Tok S, Balci Yuksel, Apaydin F D, Kara E, Uzmansel D
Mersin University, School of Medicine, Department of Radiology, Mersin Universitesi Tıp Fakultesi Hastanesi, Radyoloji Bolumu 34. Cadde Yenisehir, Mersin, Turkey.
Folia Morphol (Warsz). 2018;77(1):22-28. doi: 10.5603/FM.a2017.0073. Epub 2017 Aug 23.
The aim of this study is to investigate the effect of anatomic differences on the relationship between renal artery and diaphragmatic crus via the touch of two structures.
The study included dynamic computed tomography (CT) scans of 308 patients performed mainly for characterisation of liver and renal masses. Anatomic differences including the thickness of the diaphragmatic crus, the localisation of renal artery ostium at the wall of aorta, the level of renal artery origin with respect to superior mesenteric artery were evaluated. Statistical relationships between renal artery-diaphragmatic crus contact and the anatomic differences were assessed.
Thickness of the diaphragmatic crus at the level of renal artery origin exhibited a statistically significant relationship to renal artery-diaphragmatic crus contact at the left (p < 0.001) and right side (p < 0.001). There was a statistically significant relationship between high renal artery origin and renal artery- -diaphragmatic crus contact at the left (p < 0.001) and right side (p = 0.01). The localisation of renal artery ostium at the wall of aorta (right side, p = 0.436, left side, p = 0.681) did not demonstrate a relationship to renal artery-diaphragmatic crus contact.
Thickness of the diaphragmatic crus and high renal artery origin with respect to superior mesenteric artery are crucial anatomic differences determining the relationship of renal artery and diaphragmatic crus. (Folia Morphol 2018; 77, 1: 22-28).
本研究旨在通过触摸两个结构来探究解剖学差异对肾动脉与膈脚之间关系的影响。
该研究纳入了308例患者的动态计算机断层扫描（CT）图像，这些扫描主要用于肝脏和肾脏肿块的特征描述。评估了解剖学差异，包括膈脚的厚度、肾动脉开口在主动脉壁上的位置、肾动脉相对于肠系膜上动脉的起源水平。评估了肾动脉与膈脚接触情况和解剖学差异之间的统计学关系。
在肾动脉起源水平处，膈脚厚度与左侧（p < 0.001）和右侧（p < 0.001）的肾动脉与膈脚接触情况呈现出统计学上的显著关系。肾动脉起源较高与左侧（p < 0.001）和右侧（p = 0.01）的肾动脉与膈脚接触情况之间存在统计学上的显著关系。肾动脉开口在主动脉壁上的位置（右侧，p = 0.436；左侧，p = 0.681）与肾动脉与膈脚接触情况无关。
膈脚厚度以及肾动脉相对于肠系膜上动脉的较高起源是决定肾动脉与膈脚关系的关键解剖学差异。（《形态学杂志》2018年；77卷，第1期：22 - 28页）
