国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2012年
6期
387-389,封3
,共4页
刘念%林谋斌%张浩波%陆兴生%吕克之%尹路
劉唸%林謀斌%張浩波%陸興生%呂剋之%尹路
류념%림모빈%장호파%륙흥생%려극지%윤로
腹下神经%盆丛%筋膜%定位
腹下神經%盆叢%觔膜%定位
복하신경%분총%근막%정위
Hypogastric nerve%Pelvic plexus%Fascia%Localization
目的 探讨成年男性盆腔自主神经的筋膜层次及其解剖标记,明确全直肠系膜切除术中保留男性盆腔自主神经的解剖基础.方法 对12具男性尸体盆腔(24侧半盆腔)进行解剖.结果 盆腔自主神经走行筋膜层次为:腹下神经走行于脏筋膜后叶内,盆丛位于膀胱腹下筋膜与脏筋膜间,精囊前列腺分支位于Denonvilliers筋膜前侧方.骶骨岬、输尿管、Denonvilliers筋膜与脏筋膜交汇处、精囊腺等都可作为男性盆腔自主神经定位标记.结论 男性盆腔自主神经的筋膜层次和解剖标记可用于男性全直肠系膜切除术中盆腔自主神经的定位和保护.
目的 探討成年男性盆腔自主神經的觔膜層次及其解剖標記,明確全直腸繫膜切除術中保留男性盆腔自主神經的解剖基礎.方法 對12具男性尸體盆腔(24側半盆腔)進行解剖.結果 盆腔自主神經走行觔膜層次為:腹下神經走行于髒觔膜後葉內,盆叢位于膀胱腹下觔膜與髒觔膜間,精囊前列腺分支位于Denonvilliers觔膜前側方.骶骨岬、輸尿管、Denonvilliers觔膜與髒觔膜交彙處、精囊腺等都可作為男性盆腔自主神經定位標記.結論 男性盆腔自主神經的觔膜層次和解剖標記可用于男性全直腸繫膜切除術中盆腔自主神經的定位和保護.
목적 탐토성년남성분강자주신경적근막층차급기해부표기,명학전직장계막절제술중보류남성분강자주신경적해부기출.방법 대12구남성시체분강(24측반분강)진행해부.결과 분강자주신경주행근막층차위:복하신경주행우장근막후협내,분총위우방광복하근막여장근막간,정낭전렬선분지위우Denonvilliers근막전측방.저골갑、수뇨관、Denonvilliers근막여장근막교회처、정낭선등도가작위남성분강자주신경정위표기.결론 남성분강자주신경적근막층차화해부표기가용우남성전직장계막절제술중분강자주신경적정위화보호.
Objective To study the pelvic fascia related to pelvic autonomic nerve and detect the anatomical localization of pelvic autonomic nerve by marker in adult male.Methods Twelve pelvises of adult male harvested from cadavers were studied by dissection.Results Hypogastric nerve was embedded in the posterior leaf of the visceral pelvic fascia.Pelvic plexus was situated between vesicohypogastric fascia and visceral fascia.Pelvic nerve branch of seminal vesicle and prostate was located at the anterolateral part of Denonvilliers fascia.Sacral promontory,ureter,junction of Denonvilliers fascia,visceral fascia and seminal vesicle could be regarded as anatomical markers for pelvic autonomic nerve.Conclusion The anatomical characteristics of pelvic autonomic nerve can be used for protecting and isolating pelvic autonomic nerve in total mesorectal excision of adult male.
