摘要
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。
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.
出处
《国际外科学杂志》
2012年第6期387-389,F0003,共4页
International Journal of Surgery
基金
上海市重点学科科内课题（No.S30204.04）
关键词
腹下神经
盆丛
筋膜
定位
Hypogastric nerve
Pelvic plexus
Fascia
Localization
