肾筋膜

肾筋膜及肾周间隙的解剖学研究进展

Advances in anatomic studies of renal fascia and perirenal space

结论肾筋膜横向延伸和附着的各种类型影响着腹膜后各间隙横向的连通；

Conclusion The medial and lateral extension and attachment of renal fascia consist of various types , these types affect transverse communications of retroperitoneal space .

肾筋膜间平面在急性胰腺炎中的CT表现

Renal Interfascial Plane : Its CT Features in Acute Pancreatitis

肾筋膜减压平面在腹膜后病变CT诊断中的应用

Decompression Plane of Renal Fasciae : Its Value in CT Diagnosis of Retroperitoneal Lesions

急性胰腺炎在腹膜后扩散的CT表现与肾筋膜减压平面的关系

Relationship between CT Features in Acute Pancreatitis with Involvement of the Retroperitoneal Space and Decompression Plane of Renal Fasciae

均采用CT扫描。结果所有病例在CT上均可见不同程度和范围的肾筋膜和桥隔增厚。

Results Thickening of renal fasciae of different degree and extent was found on CT scans in all cases .

目的进一步探讨肾筋膜减压平面的解剖及其在腹膜后病变CT诊断中的应用。

Objective To make a further understanding of the anatomy of decompression plane of the renal fasciae , to discuss its use in CT diagnosis of retroperitoneal lesions .

结论：AP在肾筋膜间平面的扩散支持了肾筋膜分层学说；

Conclusion The delamination theory of renal fascia was sustained by the involvement of the renal interfascial plane in AP .

方法：回顾分析41例AP病例的CT增强表现，着重观察肾筋膜间平面及其毗邻间隙受累的CT表现。

Methods CT images of 41 cases with AP were studied , with focus on CT features of renal interfascial plane and the correlative space and their internal contact .

肾筋膜平面在双侧肾周间隙之间或肾周间隙与中线大血管区域之间病变扩散中所扮演的角色。

Prerenal fascial plane plays which roles in the diseases between the spread of the perirenal space and the perivascular central retroperitoneum .

3）侧锥筋膜与肾筋膜在外侧的融合点位于A线前方180例（左86例，右94例），融和点位于A线后方14例（左11例，右3例）；

3 ) The anterior and posterior renal fascia were fused laterally behind the kidney in 14 cases ( 11 on the left and 3 on the right );

结果肾筋膜外侧延伸和附着在肾门及其以下平面有四种类型，肾门以上平面为另一种类型，它们影响着腹膜后各间隙的外侧通连；

Results Four type of lateral extension and attachment of renal fascia were found at and inferior to the renal hilum plane , superior to the renal hilum plane were another type , these types affect lateral communication of retroperitoneal space .

肾后筋膜内侧附着的CT解剖及其意义

CT anatomy and clinical significance of medial attachment of the posterior renal fascia

目的评价肾前筋膜增厚在急性胰腺炎CT诊断中的价值。

Objective To investigate the diagnostic value of prerenal fascial thickening in CT of acute pancreatitis .

肾前筋膜增厚对急性胰腺炎CT诊断的价值（附55例分析）

The value of prerenal fascial thickening in CT for diagnosis of acute pancreatitis ( An analysis of 55 cases )

肾前筋膜增厚90例（100%）；胃后壁肿胀增厚71例（78.9%）；

Thickening and swelling of posterior gastric wall in 71 patients ( 78.9 % );

左半结肠切除术的外科平面统一于结直肠系膜与连续的肾前筋膜之间。

The surgical planes in the left colectomy are between the colorectal mesenteries and the continuous prerenal fascia .

肾后筋膜分两层，包括侧锥筋膜和肾筋膜后叶。

The posterior renal fascia composed of superficial layer ( lateral conal fascia ) and the deep one ( posterior lamella ) .

渗出部位按左右肾前筋膜、小网膜囊、胰腺被膜下及腹水统计，每一部位计1分。

The edema in sinew of kidney , lesser omental bursa or peripancreas , and ascites were recorded , 1 point scored each site .

目的：研究肾后筋膜的内侧附着点和肾旁后间隙的内侧边界。

Objective : To study the medial attachment point of the posterior renal fascia ( PPF ) and the medial border of the posterior pararenal space .

结论肾前筋膜跨中线与对侧同名筋膜在肾门平面以下可有部分相续，该平面以上不相续，肾周间隙与中线大血管区域之间疾病主要依靠筋膜平面间接扩散。

Conclusion Across the midline prerenal fasciae ( or prerenal fascial plane ) may have part connection below the renal hila plane , but not above it .

结果急性胰腺炎组肾前筋膜增厚55例（占100%），胰腺肿瘤30例中未见肾前筋膜增厚病例。

Results The prerenal fascial thickening were seen in all cases ( 55 / 55 ) , and none of cases revealed prerenal fascial thickening among 30 tumor patients .

结果发现高密度出血灶8例，可见特征性的低密度环征、囊肿隐没征、肾周筋膜增厚等；

Of the 19 cases revealed as high density hemorrhagic lesion . CT signs in those 8 patients include low density rim sign , cyst immerging sign , and perirenal fascia thickening .

扩张后腹膜间隙成功后，紧靠膈下纵形切开肾周筋膜，肾周筋膜内分离肾上极和肾上腺周围的脂肪组织，超声刀或电刀在肾表面分离肾脏上极和肾上腺。

After the retroperitoneal space was dilated , the perinephric fascia was opened longitudinally near the diaphragm . The adipose tissues around the upper polar of the kidney and the adrenal gland were dissected .

结论：经后腹腔镜肾上极筋膜悬吊结扎法肾蒂淋巴管结扎术是治疗乳糜尿是一种安全、可行的手术方法，值得临床推广。

Patients did not occur complications such as nephroptosis and hemorrhage around renal pedicle . Conclusion : Retroperitoneoscopic Ligation of Renal Pedicle Lymphatic Vessels via suspension and ligation of the fascia of upper pole of kidney is safe and feasible and is worth promoting in further clinical application .

肾门以上平面，肾前、后筋膜在肾外侧愈着。

Anterior renal fascia ( ARF ) and posterior renal fascia ( PRF ) adhered lateraly above hilum plane .

结果：巨大的肾血管平滑肌脂肪瘤可发生肿瘤内、肾筋膜囊内、盆腔腹膜后甚至腹腔内出血；

Results : Spontaneous hemorrhage secondary to huge renal angiomyolipoma could occur in the tumor , intrarenal fascia , pelvic and retroperitoneal space .

肾周间隙与腰大肌间的关系。5.在不同平面观察肾后筋膜内侧附着位置。

To observe the relations between the perirenal spaces and the psoas muscles , ⑤ to observe the medial attachment position of the posterior renal fasciae on the various levels .

方法回顾分析87例连续AP病例的螺旋CT增强扫描表现，着重观察肾周间隙是否受累以及其CT特征，并进行CT分级评分，观察肾周间隙受累与肾筋膜的毗邻关系。

Methods CT images of 87 cases with AP were retrospectively studied , with focused on spiral CT features and incidence of the PRS involvement , and its correlations with the renal fasciae .