Shuba D. Anatomic and morphometric features of human renal pyramids.

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0412U002305

Applicant for

Specialization

  • 14.03.01 - Нормальна анатомія

11-04-2012

Specialized Academic Board

Д 64.600.03

Essay

The investigation object: patterns of age and individual anatomical variability of the urinary system. The investigation goal: identification of anatomical and morphometric characteristics of the renal pyramids, the lower end of the mature human kidneys and the elderly in different variants of the structure pyelocaliceal complex. Methods of research: macroscopic dissection the kidneys, masses of injections roentgencontrast pyelocaliceal complex, X-rays injected isolated kidney, the implementation of plane sections of the lower end of the kidneys, digital macrophotography received slices of renal pyramids topometry lower end of the human kidney, kidney morphometry of the pyramids of the lower end of the human kidney. The obtained results of the study have been treated with modern methods of statistics. Theoretical and practical value of the obtained results. This study complements and refines the information literature on the renal pyramids, namely, that determines their number and description of their topography and morphometric characteristics of the lower end of the human kidney in different age periods and with different structure pyelocaliceal complex. In order to obtain plane-parallel slices isolated human kidney morphometry and further study of the topography of the pyramids and the lower end of the kidney developed a device for plane-parallel slices, which can be used for the manufacture of other sections of isolated organs. The proposed contrast matter for slices of anatomical structures can be used to populate the items pyelocaliceal complex and renal vascular self - hardening fluid, followed by X-ray diffraction research and manufacturing sections of the organ. The way of diagnosing the location of the renal pyramids topographical anatomy, pyelocaliceal complex and large vessels of human kidney, which can provide three-dimensional computer models of anatomical kidney and human renal pyramids, with which to explore the topography of the renal pyramids in the topographic coordinate. Scientific novelty of the obtained results: For the first time on the numerous number of cadaveric material was isolated and studied anatomical and morphometric characteristics of the renal pyramids lower end of the human kidney in different age periods and in different types of buildings pyelocaliceal complex, including their number, spatial anatomy and topography of the coordinate, linear and three-dimensional object parameters. The study obtained new data on the fluctuations of the boundaries of morphometric parameters of renal pyramids the lower end of the mature human kidney and the elderly. For the first time a comparative characterization of their morphometric characteristics, taking into account the type of structure pyelocaliceal complex and age periods. A direct relationship between the individual variability of the topography of the renal pyramids and quantity, as well as the parameters of the components pyelocaliceal complex human kidney was found. In the study of anatomical and morphometric characteristics and topography of the renal pyramids for the first time, along with numerous morphological material used clinical information - the results of tomographic studies of CT and MRI scan patients without pathology of the genitourinary system. This phase of the study is planned as a link between the morphology of the renal pyramids and nephro-urology. Methodological approaches to the optimization and planning of minimally invasive surgical procedures on the kidneys, taking into account the topography of individual renal pyramids as minor vessels kidney sections and their definition by anatomical voxel model were developed. These discovered data supplement the current understanding of the general laws of the coordinate of the topography and individual anatomic variability of human renal pyramids substantially. The degree of implementation: The materials have been implemented in the educational process and scientific research departments Bukovyna State Medical University (Chernivtsi), Ukrainian Medical Stomatological Academy (Poltava), Vinnitsa national Medical University, in the name of. M. Pirogov, Donetsk national Medical University in the name of Maxim Gorky, Crimean State Medical University. In the neme of Georgiyevskiy (Simferopol), Lugansk State Medical University, Kharkov Medical Academy of Postgraduate Education

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