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在尸体解剖中,发现一例左侧双肾盂双输尿管畸形.本例为男性成年尸体,30岁左右,行程血管供应均未见异常,左肾上端平第十一胸椎下缘,下端平第二腰椎下缘,第十二肋斜过左肾后面的中部,左肾中部厚4.1cm,下部厚2.7cm.长11.8cm.肾门上下径4.8cm,深1.5cm,外侧缘可见明显三个切迹,肾门处可见双肾盂穿出.上位肾盂在肾动脉后上方出肾门下行;下位肾盂在肾动脉后下方出肾门下行.在剖面结构上,均未见肾大盏.上位肾盂直接收纳肾上部4个肾小盏,下位肾盂直接收纳中、下部7个肾小盏.肾锥体开口于肾小盏内,上、下位肾盂之间为肾柱隔开.上下位肾盂出肾门后,上位输尿管直径0.3cm,下位输尿管直径0.6cm,上下位输尿管均贴腰大肌的前方,上位输尿管位于腰大肌的内侧.下位输尿管位于腰大肌外侧,在左睾丸静脉后方下降,越过左髂总动脉未端入盆腔.在距膀胱3.7cm处,左输精管绕向其前方,在离输精管绕过上方1.9cm处,上下位输尿管汇合而为一条输尿管.汇合后的输尿管前后经0.4cm,左右径0.7cm.穿膀胱壁,开口于膀胱.左肾、输尿管血管供应未见异常.
In the autopsy, found a case of bilateral double renal pelvis double ureteral malformations in this case male adult cadaver, about 30 years of travel, no abnormalities in the supply of stroke blood supply, the left upper kidney flat eleventh thoracic margin, the lower end of the second lumbar vertebra The lower edge of the twelfth rib oblique diagonally behind the middle of the left kidney, the middle of the left kidney 4.1cm thick, the lower part of the thick 2.7cm. Length 11.8cm. Kidney door diameter 4.8cm, 1.5cm deep, obvious lateral notch three notch , The renal portal at the visible double renal pelvis out.The upper renal pelvis in the renal artery after the top of the kidney door down the lower pelvis in the renal artery after the lower kidney door down in the cross-sectional structure, were no renal calyx. Kidney above the upper four small calyx, the lower pelvis direct storage, the lower part of the renal calyx 7. Renal pyramidal openings in the small calyx, upper and lower renal pelvis between the renal patellar between the upper and lower renal pelvis after the door , The upper ureter diameter 0.3cm, the lower ureter diameter 0.6cm, the upper and lower ureter were posted in front of the psoas muscle, the upper ureter in the medial psoas muscle.Lasic ureter in the lateral psoas muscle, left in the left testis vein veins, across the left The common iliac artery did not end in the pelvis. At a distance of 3.7 cm from the bladder, the left vas deferens circled Front, around the top of the vas deferens at 1.9cm, the upper and lower ureter confluence and as a ureter. The confluent ureter before and after by 0.4cm, about 0.7cm in diameter through the bladder wall, opening in the bladder. Left kidney, ureteral vascular supply See abnormalities.