盆腔筋膜理解的关键点
The key points to comprehend the pelvic fascia
盆腔筋膜是争议较大的人体解剖部位之一。结直肠外科、妇科和泌尿外科根据专科手术的特点,分别对盆腔筋膜进行解剖标记,命名未能形成统一。对某些特定的解剖结构(如盆丛),不同学者对其位置的描述存在明显差异。标准解剖术语的缺失,给医师理解相应解剖结构造成困难,也阻碍了学科间的交流。本文结合尸体解剖研究、手术观察和文献复习,对盆腔临床解剖的常见困惑和盆腔关键临床解剖术语进行阐述,包括:(1)尿生殖筋膜和膀胱腹下筋膜是脏筋膜的组成部分;(2)脏筋膜和直肠固有筋膜是两层独立的筋膜;(3)盆丛位于脏筋膜和Denonvilliers筋膜汇合处的外侧;(4)从层面的观点来理解盆腔侧韧带;(5)把握筋膜理解的整体观点。
更多Pelvic fascia is considered to be one controversial human anatomic structure. According to the characteristics of specialized surgery, colorectal surgeons, gynecologic surgeons and urologic surgeons respectively marked the pelvic fascia, but the naming is not unified. For some specific anatomic structures (such as pelvic plexus), different scholars have different descriptions of their positions. The lack of standard anatomic terms makes it difficult to understand the corresponding anatomic structures, and also hinders the communication between disciplines. Combined with autopsy research, surgical observation and literature review, we discussed the common puzzles of pelvic clinical anatomy. The main points of this article are as follows. (1) Urogenital fascia and vesicohypogastric fascia are the components of visceral fascia. (2) The visceral fascia and fascia propria of rectum are two separate layers. (3) The pelvic plexus is located on the outside of the confluence of visceral fascia and Denonvilliers′ fascia. (4) To understand the pelvic lateral ligament from the perspective of layers. (5) To understand pelvic fascia from a holistic perspective.
More- 浏览:0
- 被引:0
- 下载:0
相似文献
- 中文期刊
- 外文期刊
- 学位论文
- 会议论文