摘要
目的:研究肾丛神经的走行,为临床肾交感神经消融治疗顽固性高血压提供解剖学依据。方法:对30例遗体捐献者的双侧肾及肾动脉周围进行解剖,观察肾丛神经走行的类型及其相对于肾动脉的位置,测量和统计未附着于肾动脉的肾丛神经分支的长度及其与肾动脉之间的距离。结果:按侧数统计,肾丛神经全攀附型占60%,分支半跨越型占30%,分支全跨越型占10%;按个体统计,两侧肾丛神经全攀附型占40%,存在单侧或双侧跨越型(含半跨越或全跨越)分支者占60%。半跨越支长度约35 mm,与肾动脉的间距约12 mm。全跨越支长度约46 mm,与肾动脉的间距约13 mm。男性与女性及两侧肾丛神经的走行差异无统计学意义。结论:肾丛神经单侧或双侧出现分支半跨越或全跨越的走行差异,可能是不同研究中肾交感神经射频消融治疗效果存在差异的重要原因之一。
Objective:To investigate the anatomical course of the renal plexus nerves and provide anatomical basis for clinical renal sympathetic nerve ablation in the treatment of resistant hypertension.Methods:Dissections were performed on the bilateral kidneys and perirenal arteries of 30 cadavers to observe the types of renal plexus nerve courses and their positional relationships with the renal arteries.The lengths of renal plexus nerve branches not adhering to the renal arteries and the distances between these branches and the renal arteries were measured and statistically analyzed.Results:In terms of side numbers,it occupied 60%that all nerves of renal plexus travelling around the main renal artery surface,and 30%that part of nerves bypassed the main renal artery proximally,and 10%that part of nerves bypassed the main renal artery entirely.In terms of individual cases,all nerves of both side of renal plexus were travelling around the main renal artery accounted for 40%,and 60%individuals have the situation that nerves bypassed the main renal artery in single or both sides of renal plexus.The length of renal plexus branches bypassed partly is about 35 mm,with a distance of about 12 mm from the renal artery.The length of renal plexus branches bypassed entirely is about 46 mm,with a distance of about 13 mm from the renal artery.There was no statistical significance in the difference between male and female or between the left and right renal plexuses.Conclusion:The individual difference of renal plexus travelling,which part of nerves in single or both sides bypassed the main renal artery proximally or entirely,is probably one of the critical reasons for different results in different clinical research of renal sympathetic nerve radiofrequency ablation.
作者
潘昌霖
郭金萍
乔梁
郭晓丹
黄会龙
Pan Changlin;Guo Jinping;Qiao Liang;Guo Xiaodan;Huang Huilong(Department of Human Anatomy,Naval Medical University,Shanghai 200433,China)
出处
《解剖学杂志》
2025年第2期115-118,共4页
Chinese Journal of Anatomy
关键词
肾丛
走行
消融
应用解剖
renal plexus
nerve course
ablation
applied anatomy
