肾筋膜间平面在急性胰腺炎中的CT表现医学.docVIP

肾筋膜间平面在急性胰腺炎中的CT表现医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：肾筋膜间平面在急性胰腺炎中的CT表现医学 1 1　资料与方法 3 2　结果 3 3　讨论 4 文2：急性胰腺炎CT表现及诊断 7 1 资料与方法 7 2 结果 8 3 讨论 8 参考文摘引言： 10 原创性声明（模板） 11 文章致谢（模板） 11 正文 肾筋膜间平面在急性胰腺炎中的CT表现医学 文1：肾筋膜间平面在急性胰腺炎中的CT表现医学 Renal Interfascial Plane:Its CT Features in Acute Pancreatitis Abstract：Objective To recognize the anatomy of renal interfascial plane through observation of the CT features in acute pancreatitis(AP) with involvement of the retroperitoneal 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. Results Of the total 41 AP cases, the whole pancreas(21 cases),the head of pancreas(5 cases),the body and tail of pancreas(15 cases) were involved. Of the retroperitoneal space involvement, left anterior pararenal space(41 cases) ,right anterior pararenal space(35 cases),both sides(32 cases);right anterior renal interfascial plane(32 cases), right lateroconal interfascial plane(16 cases),right posterior renal interfascial plane(7 cases), right perirenal space(23 cases),right posterior pararenal space(2 cases);left anterior renal interfascial plane(41 cases), left lateroconal interfascial plane(26 cases),left posterior renal interfascial plane(12 cases), left perirenal space(33 cases), left posterior pararenal space(7 cases) were The delamination theory of renal fascia was sustained by the involvement of the renal interfascial plane in within renal interfascial plane in AP follows into the correlative space by two routes. Key words： Pancreatitis;Retroperitoneal space;Anatomy;Tomography; X-ray computed 胰腺是腹膜后器官，居于腹膜后间隙的肾旁前间隙内。急性胰腺炎（acute pancreatitis，AP）是常见的急腹症，AP胰液渗漏到胰腺间质内，这些含有激活蛋白水解酶的液体进而漏到胰腺周围的组织间隙内，重症AP早期往往在胰腺周围形成急性积液，并且向胰外远处区域扩散，病变在肾旁前间隙内向上、下及双侧扩散，使肾前筋膜受累并进而累及肾后筋膜及锥侧筋膜，病变并可扩散至肾周间隙或（和）肾旁后间隙内。本文试图通过观察AP在腹膜后扩散途径的CT表现来认识肾筋膜间平面的解剖形态。 1　资料与方法 研究对象　收集2003年1月至2006年6月有完整临床资料的AP病例，同时符合下列标准作为分析对象。纳入标准：经临床、实验室检查或手术病理诊断为AP；初次发