解剖学杂志2025，Vol.48Issue(2)：115-118,4.DOI:10.3969/j.issn.1001-1633.2025.02.004
肾丛神经消融术的应用解剖
Applied anatomy of renal plexus ablation
潘昌霖 1郭金萍 1乔梁 1郭晓丹 1黄会龙1
作者信息
- 1. 海军军医大学基础医学院人体解剖学教研室,上海 200433
- 折叠
摘要
Abstract
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.关键词
肾丛/走行/消融/应用解剖Key words
renal plexus/nerve course/ablation/applied anatomy分类
基础医学引用本文复制引用
潘昌霖,郭金萍,乔梁,郭晓丹,黄会龙..肾丛神经消融术的应用解剖[J].解剖学杂志,2025,48(2):115-118,4.
