Barcellos Sampaio F J, Mandarim-de-Lacerda C A
Department of Anatomy, State University, Rio de Janeiro, Brazil.
J Urol. 1988 Dec;140(6):1352-5. doi: 10.1016/s0022-5347(17)42042-8.
The renal collecting system was studied in 100, 3-dimensional corrosion casts and also in 40 casts with the corresponding pyelograms. Some anatomical details that have great importance for endourology were observed and discussed, including the presence of perpendicular minor calices draining into the surface of the collecting system (11 per cent of the cases), crossed calices in the mid kidney with consequent formation of a region that we termed the inter-pelviocaliceal region (17.1 per cent), position of the calices related to the lateral kidney margin (in 52.9 per cent the anterior and posterior calices were superimposed or alternately distributed), position of the calices related to the polar regions (superior pole with a midline caliceal infundibulum in 98.6 per cent and inferior pole with paired calices in 57.9 per cent) and to the mid kidney (with paired calices in 95.7 per cent), and bilateral symmetry of the casts (37.1 per cent). The urologist must appreciate these anatomical structures during operations on the collecting system.
对100个三维铸型以及40个带有相应肾盂造影的铸型的肾集合系统进行了研究。观察并讨论了一些对内窥泌尿外科具有重要意义的解剖学细节,包括存在垂直的小盏排入集合系统表面(11%的病例)、肾中部的交叉小盏并由此形成我们称为肾盂小盏间区域的区域(17.1%)、小盏与肾外侧缘的位置关系(52.9%的病例中前后小盏相互重叠或交替分布)、小盏与极区(98.6%的上极有中线小盏漏斗,57.9%的下极有成对小盏)以及与肾中部(95.7%有成对小盏)的位置关系,还有铸型的双侧对称性(37.1%)。泌尿外科医生在对集合系统进行手术时必须了解这些解剖结构。