Meel Retroperitoneal. HAY'ADAHA saabka caloosha iyo meel retroperitoneal

Retroperitoneum - Gobolka, ee ku taalla peritoneum parietal dambena darbiga caloosha ilaa meelaha hore oo ka mid ah meydadka vertebral iyo kooxaha ay ku xeeran nidaamka muruqa ah. Derbiyada gudaha lagu daboolay go'yaal fascial. Qaabka uu leeyahay meel ay ku xidhan tahay sida ugu wanaagsan ee horumarsan unugyada adipose, iyo sidoo kale on goobta iyo size of xubnaha gudaha, kuwaas oo ku taalla dhexdeeda.

Darbiyada of bannaan ee retroperitoneal

derbiga hore waa peritoneum ah saabka caloosha derbiga danbe si wadajir ah ula beeryarada go'yaal visceral, qayb colon xiidmaha.

derbiga sare u waasiciyo ka feeraha iyo qayb lumbar ee diaphragm si beerka xaq coronary jilibka iyo jilibka phrenicolienal tagay.

Derbiyada gadaal iyo dhinaca wakiil column dhabarta iyo murqaha ku hareereysan, fascia dahaarka intraperitoneal.

derbiga hoose waa soohdin guud iyada oo xarriiqda xadka kala ah miskaha iyo meel retroperitoneal.

Tilmaamo jidh

Range of meydadka waa wax kala duwan. Tan waxaa ka mid ah nidaamka kaadida, iyo dheefshiidka, wadnaha, hormoonada jidhka. xubnaha Retroperitoneal:

• kelyaha,
• ureters;
• beeryarada,
• qanjidhada adrenal;
• qayb caloosha quseyo;
• colon (u kacaya oo ku soo degaya oo ka mid ah qaybaha ay);
• qayb ka mid ah malawadka;
• weelal, dareemayaasha.

saxan Fascial, kuwaas oo ah in meel bannaan oo retroperitoneal, soocay dhowr qaybood. qarkiisa sare ee kelyaha ku yaalaan predpochechnaya iyo fascia pozadipochechnaya soo sameeyey fascia retroperitoneal. Predpochechnaya bartamaha xiran warqadaha fascial of cava ku vena liita iyo quseyo caloosha. Pozadipochechnaya fascia "gundhig" in intraperitoneal oo ku jira meesha daboolaya lugaha muruqa neefsiga iyo muruqyada psoas.

unugyada Kelyaha maraa qayb ka mid ah ureter ah, oo ku yaalla inta u dhaxaysa fascia pozadipochechnoy predpochechnoy. Inta u dhaxaysa meelaha gadaal qayb qar mindhicirka iyo fascia retroperitoneal waa unugyada perienteric (retrocolic fascia).

saabka caloosha

bannaan ee, kaas oo uu ku yaal hoos diaphragm iyo xubnaha caloosha ka buuxsamay. Aperture - derbiga sare, iyo Dib U Dhigay thoracic saabka caloosha marka laga reebo. derbiga hore waxaa wakiil mishiinka caloosha muruqa ah. dhabarka - (qayb lumbar waxaa ka mid ah) dhabarta. Qeybta hoose ee meesha bannaan ee la galaa saabka miskaha.

saabka Peritoneal damacsan yahay la peritoneum ah - qolof ah dabeecad nabarrada, kuwaas oo guuro xubnaha gudaha. Intii lagu guda jiray maydadka koritaanka ay derbiga ka fogayno dhaqaaqin iyo jiid peritoneum ah, koraan u galay. Waxaa jira fursado badan oo ah meesha uu:

1. Intraperitoneal - jirka ka dhinacyada oo dhan waa la daboolay peritoneum (xiidmaha yar).
2. Mezoperitonealnoe - peritoneum daboolan on saddex dhinac (beerka).
3. booska Extraperitoneal - peritoneum jidhka daboolayaa ka hal dhinac oo kaliya (kelyaha).

hababka cilmi

meel Retroperitoneal aan la baadhi karin, sidoo kale muuqaal ahaan u qiimeeyaan xaaladda, si kastaba ha ahaatee, baaritaanka derbiga caloosha, haysta taataabasho iyo durbaanada waa hababka ugu horeysay caafimaad oo loo isticmaalo waqtiga la tashanaya takhasus u leh. Mushaharka in midabka maqaarka, joogitaanka godadka ama protrusions dareenka, qeexo dhexgalay, burooyinka derbiga caloosha.

Bukaanka ayaa la dhigay on sariir, hoos barkin dhexda. Sidaas darteed ka mid ah xubnaha caloosha iyo meel retroperitoneal soo socda weeraryahanka in oggolaanayaa taataabasho. Caabuqa muuqashada at riixaya ama laga faaiidaysanayo derbiga caloosha, waxay noqon karaan wax caddaynaya ee geedi socodka bararka, burooyinka (in t. H. fibrosis).

Sidoo kale isticmaalaan imtixaanka X-ray :

• X-rays ee caloosha iyo mindhicirrada,
• urography - baran hawlaha nidaamka kaadida la hordhaca ah ee wakiilka ka duwan ah,
• pancreatography - qiimaynta ganaca la hordhaca ah ee dhexdhexaadka ah ka duwan,
• pneumoperitoneum - bandhigid gaaska galay saabka caloosha leh oo dheeraad ah X-rays;
• aortography - baarista patency quseyo caloosha;
• laamaha aortic ANGIOGRAFI;
• venacavography - Assessment of cava vena ah;
• lymphography.

Laga soo bilaabo hababka qalabka la isticmaalayo ultrasound, CT iyo MRI ee bannaan ee retroperitoneal. ay fuliyeen isbitaalka ama bukaan-socod eegtada ah.

ultrasound baaritaan

Universal habka loo isticmaalo in si aad ah loo sabab u tahay helitaanka, fududaato siday iyo ammaanka. meel Retroperitoneal iska leh mid ka mid ah goobaha baaritaanka.

Sababaha ugu weyn ee US:

• cudurada beeryarada - ganaca, diabetes, galleeyda ganaca,
• cudurka dyspepsia boog - boog ulcer, duodenitis;
• cudurada nidaamka kaadi - hydronephrosis, yaridu kelyaha, glomerulonephritis, hurgumada kilyaha,
• Pathology oo ka mid ah qanjidhada adrenal - failure ba'an;
• cudurka dhuumaha - atherosclerosis, iyo cudura kale ee dhiigga.

Sameeyaa iyadoo la isticmaalayo qalab gaar ah isagoo shidma ah. shidma waxaa laga dalbadaa in ay derbiga jilibka caloosha, dhaqaaqin waxay. Markii booska waa isbeddel ku dhererka ruxruxo ultrasonic, dheehan image baa la soo siibay on monitor ee hay'adda ugu baaro.

raajito loogu xisaabiyaa

meel retroperitoneal CT waxaa loo isticmaalaa si loo ogaado ama loo aqoonsado heley aan caadi ahayn ee qaabka xubnaha gudaha. Waayo, ku sidday ku haboon oo ay isticmaalaan natiijada badan oo sax ah ee maamula wakiilka duwan ah. Habka lagu muujiyay trauma caloosha ama dhabarka ah oo looga shakisan yahay buro, iyadoo dhaawaca nidaamka durey aaga this, urolithiasis, cudurka kelyaha polycystic, ama tirtirka ah jiritaanka cudurada bararka.

CT ee bannaan ee caloosha iyo retroperitoneal baahan yahay diyaarinta ah ee habraaca. In yar maalmood ka cunto cuntada ka saaraysaa in ay kiciyaan yaaqyaaqsi. In joogitaanka calool qoray dejinta caloosha jilciya diyaarinta enema.

Bukaanka ayaa la dhigayaa dushiisa, kaas oo la amro in scanner tunnel ah. qalab waxay leedahay wareeg gaar ah qoqobada jirka ku xiran ee. Shaqaalaha caafimaadku waa out of xafiiska iyo daawashada goobta derbiga galaaska. Isgaarsiinta waxaa taageera-xiriir laba dhinac ah. Sida laga soo xigtay baadhitaan takhasus doorto habka la doonayo ee daaweynta.

Magnetic resonance imaging

In the case of non-wargelin ah ultrasound iyo CT ama, haddii loo baahdo, ururinta badan oo sax ah xogta takhtarkiisa amro ah MRI retroperitoneal bannaan. Waa maxay macnaha habkan ku xiran tahay duurka ku doortay ee waxbarasho. MRI lagu ogaan karaa jiritaanka shuruudaha soo socda:

• korodhka aan caadi ahayn in meydadka,
• buro retroperitoneal;
• joogitaanka hemorrhage iyo fiix;
• gobolka cadaadis kacsantahay xididka portal ah;
• Pathology nidaamka durey,
• urolithiasis,
• disorder wareegga dhiigga,
• joogitaanka metastases.

Burburka in retroperitoneal

Inta badan waxaa jira hematoma ah, kaas oo isla kacay sidii natiijo ah oo dhaawacyada farsamo. Isla markii dhaawac, waxa ay gaari karaan size aad u weyn, taas oo ay adag tahay in la kala ogaado. takhasus waxaa laga yaabaa in khaldaan hematoma ah in ay waxyeeleeyaan jidhka godan. dhaawacyada waxaa ku weheliyay lama filaan ah dhiigbaxa ay sabab u tahay dhiig la'aan weyn.

daliilka dhalaalka hoos u dhaqso badan in ay dhacdo waxyeellada xubnaha gudaha. Go'aaminta gobolka ogol laparoscopy. Pneumoperitoneum muujinaysaa barakaca xubnaha retroperitoneal iyo mugdiga galinaya dulmari ay. Sidoo kale isticmaali ultrasound iyo raajito loogu xisaabiyaa.

cudurka

cudurada soo noqnoqda waa horumarinta geedi socodka bararka. Iyadoo ku xiran meesha uu caabuq waa distinguished dalalka soo socda:

• barar ah baruurta retroperitoneal;
• parakolit - bahal habka qaadataa meel ka dambeysa soo degaya ama u kacaya colon ee nudaha ku yaal retroperitoneum;
• paranephritis - caabuq xaydha perinephric.

Astaamaha lagu bilaabayaa qaab qof sarkhaan: qandho, hyperthermia, daal, daal, sii kordhaya tirada leukocytes iyo heerka Kimikada erythrocyte. Taataabasho ogaadaa joogitaanka meelaha daran, ferjiga derbiga caloosha, kacsanaanta muruq.

Mid ka mid ah daliilka caabuq purulent waa formation of malax ah, taas oo qayb ka ah rugta waa muuqaalka kore ee contracture flexion nooca misigta ka meesha ay dhibaatadu saameysey ah.

geedi socodka ka timaato lug xubnaha caloosha iyo meel retroperitoneal, culus dhibaatooyin ay:

• peritonitis;
• malax in mediastinum ah;
• miskaha osteomyelitis iyo laab;
• malax;
• fistula xiidmaha;
• xariijimo of malax gobolka Salalka, ee bowdada.

burooyinka

Neoplasms kici karaa dhar kala duwan:

• adipose tissue - lipoma, lipoblastoma;
• nidaamka muruqa - myom, miosarkoma;
• lymphatics - lymphangioma, lymphosarcoma;
• hemangioma sosudy- dhiig, hemangiosarcoma;
• dareemayaasha - meel retroperitoneal neuroblastoma;
• fascia.

Burooyinka noqon kartaa malignant ama benign, iyo sidoo kale hal ama dhowr ah. The daliilka kiliinikada baxeen markii burada bilaabaa inuu Leexin xubnaha ku xeeran ay sabab u tahay koritaanka, jebinta ay ka shaqeynayaan. Bukaan-caban of raaxo iyo xanuun caloosha, dhabarka, dhexda. Mararka qaarkood burada waxaa lagu go'aamiyaa fursad inta lagu guda jiro kormeerka joogtada ah.

retroperitoneal buro weyn oo sababa u tiiraanyooday, arooriyaha ama halbowlaha Stasis dhiigga sabab u riixo oo weelasha. barar muujiyey lugaha, xididdada miskaha kordhiyo derbiga caloosha.

burooyin aan halis ahayn oo isbedel yar gobolka ee bukaanka, laakiin ay dhacdo dhinacyada gaar ahaan badan oo waxbarasho.

sympathicoblastoma

Waxbarashada waxa uu shahaadada sare ee kansar. Wuxuu saameeyaa qayb ka mid ah u dabacsanaadaan of habka dareemayaasha jirka oo uu yeesho inta badan ee carruurta. muuqaalka Early maxaa yeelay Neuroblastoma horumarisa ka unugyada embriyaha, in uu yahay, ay buradu ka soo jeedo SNMna.

deegaamaynta The caan noqdo mid ka mid ah qanjidhada adrenal, column dhabarta. Like buro kasta, meel retroperitoneal neuroblastoma ayaa dhowr marxaladood oo kuu ogolaanaya inaad si loo ogaado daaweynta iyo saadaasha cudurka samayn ku haboon.

• Stage aan lagu gartaa deegaamaynta cad oo wuxuu kasoobaxyo ku lug lahayn Guntin lymph.
• Marxalada II, Nooca A - meesha ma laha xuduud cad, neoplasm qayb ahaan laga saaro. qanjidhada aan ku lug leh geeddi-socodka.
• Marxalada II, Nooca B - formation of deegaamaynta ah geesood. Metastases waxaa lagu qeexaa in qayb jidhka halkaas oo burada waxa uu ku yaalaa.
• Heerka III waxa lagu gartaa kororka of neuroblastoma qeybtii labaad ee jirka, metastasis in qanjidhada maxaliga ah.
• stage buro IV waxaa ku weheliyay metastases fog - beerka, sambabada, mindhicirrada.

rugta caafimaadka waxay ku xiran tahay deegaamaynta ee neuroblastoma. Haddii ay tahay in caloosha, waa ay fududahay in la ogaado by taataabasho laftiisa, taasoo keenta cudurada dheefshiidka, waxaa jira lameness iyo xanuun lafihii joogitaanka metastases. Waxaa laga yaabaa in la horumariyo curyaannimo iyo paresis.

gunaanad

Retroperitoneal bannaan waa in dambe ee caloosha dalool. Mid kasta oo ka mid ah maydadka, taas oo ku yaalaan halkan, waa qayb muhiim ah oo u shaqeeyo oo dhan. Ayna ugu yaraan mid ka mid ah nidaamyada ku keenaysaa in isbedel aasaas caadi bahal ah.