Shimizu M, Sakurai T, Tadaoka Y
Department of Pathology, Kawasaki Medical School, Okayama, Japan.
J Clin Pathol. 1997 Mar;50(3):263-4. doi: 10.1136/jcp.50.3.263.
There is no detailed and practical description of how to identify the adrenal glands at necropsy. A simple technique is described, based on anatomical location. After removing the aorta by the Rokitansky method, the inferior vena cava is opened. The orifice of the right adrenal vein is identified just above the right renal vein, and a probe is inserted into it as a marker. The right adrenal gland is identified at the centre above the line of the probe after separation of the diaphragm, which is attached to the liver. The left adrenal vein arises as the first bifurcation of the left renal vein after its origin from the inferior vena cava. A probe is inserted into it and the vein is opened along the probe. The left adrenal gland is identified at the left side of the left adrenal vein, embedded in fat. This method is also useful in cases with severe adhesion, fibrosis, or metastases.
关于尸检时如何识别肾上腺，目前尚无详细且实用的描述。本文描述了一种基于解剖位置的简单技术。采用 Rokitansky 方法移除主动脉后，切开下腔静脉。在右肾静脉上方可识别出右肾上腺静脉开口，将探针插入作为标记。在分离附着于肝脏的膈肌后，在探针标记线的上方中央可识别出右肾上腺。左肾上腺静脉在其起源于下腔静脉后，是左肾静脉的第一个分支。将探针插入其中，并沿探针切开静脉。左肾上腺位于左肾上腺静脉左侧，埋于脂肪中。该方法在存在严重粘连、纤维化或转移的病例中也很有用。
