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直肠及其系膜神经分布 被引量:1

Anatomy of the innervations of rectum and mesorectum
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摘要 目的:研究直肠及其系膜神经的走行、分布及神经纤维的来源。方法:在经防腐固定的成人尸体标本上进行显微解剖观察与测量:于手术显微镜下,自系膜及直肠壁游离神经,剥离神经外膜,分离神经束并追踪各分支;采用防腐固定的直肠及其系膜标本进行Sihler神经染色并观察。结果:直肠及其系膜神经分为3丛,其主干分别伴直肠上动脉与乙状结肠动脉吻合支、直肠上动脉、直肠下动脉走行。神经分布相互重叠。Sihler染色结果支持相关神经的形态学特征。结论:直肠及其系膜神经伴相邻血管走行,神经分布密集,重叠分布区广泛。 Objective: To study the anatomic features of rectum and mesorectum innervations. Methods: The course, source and distribution of rectal and mesorectal nerves were observed under an operative microscope on embalmed adult cadavers after striping the perineurium and separating the nerve bundles. The rectum and mesorectum stripped from embalmed adult cadavers were stained with the standard method of Sihler's nerve staining and then observed. Results: There were 3 nerve plexuses in rectum and mesorectum accompanying with the superior rectal artery, inferior rectal artery and the vascular anas- tomosis of the sigmoid artery and superior rectal artery. The results of Sihler's nerve staining supports morphological charac- teristics of the relevant nerve. Conclusion: There are dense innervations for rectum and mesorectum, which companying with the rectal blood vessels.
出处 《解剖学杂志》 CAS CSCD 北大核心 2011年第6期789-791,共3页 Chinese Journal of Anatomy
基金 广东省科技计划项目(20078080701017) 广州市科技计划项目(ZOlOYl一C12i)
关键词 直肠 直肠系膜 神经分布 解剖学 rectum mesorectum innervation anatomy
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参考文献9

  • 1Heald R J, Husband E M, Ryatl R D. The mesorectum in rectal cancer surgery-the clue to pelvic recurrence? [J]. Br J Surg, 1982,69(10) :613-616.
  • 2Pigazzi A, Luca F, Patriti A, et al. Multicentric study on robotic tumor-specific mesoreetal excision for the treatment of rectal cancer[J]. Ann Surg Oneol, 2010,17(6) : 1614-1620.
  • 3兰宝金,陈玲珑,郑鸣,池畔.直肠癌全直肠系膜切除术中易损伤神经的定位及应用[J].解剖学杂志,2004,27(4):428-430. 被引量:7
  • 4Heald B. Autonomic nerve preservation in rectal cancer surgery the forgotten part of the TME message a practical "workshop" description for surgeons[J]. Acta Chir Iugosl, 2008,55(3) :11-16.
  • 5Liu J, Kumar V P, Shen Y, et al. Modified Sihler's technique for studying the distribution of intramuscular nerve branches in mammalian skeletal muscle [J]. Anat Rec, 1997,247(1): 137-144.
  • 6张策,丁自海,李国新,黄祥成,钟世镇.全直肠系膜切除相关盆自主神经的解剖学观察[J].中国临床解剖学杂志,2006,24(1):60-64. 被引量:48
  • 7仇放.全直肠系膜切除的应用解剖学基础[J].局解手术学杂志,2005,14(2):83-83. 被引量:1
  • 8Zhang C, Ding Z H, Li G X, et al. Perirectal fascia and spaces.. annular distribution pattern around the mesorectum [J]. Dis Colon Rectum, 2010,53(9) :1315-1322.
  • 9Clausen N, Wolloscheck T, Konerding M A. How to optimize autonomic nerve preservation in total mesorectal excision: clinical topography and morphology of pelvic nerves and fasciae [J]. World J Surg, 2008, 32(8): 1768-1775.

二级参考文献25

  • 1许玉成,姬社青,花亚伟.保存植物神经的直肠癌扩大根治术37例报告[J].实用肿瘤杂志,1993,8(3):148-150. 被引量:7
  • 2邱实,王金兰,王永奎,范天生,吴义勋,乔玉环,董长江.与子宫颈癌手术有关部位的盆丛神经分布定性定量研究[J].中国临床解剖学杂志,1994,12(1):17-20. 被引量:18
  • 3Kim NK,Aahn TW,Park JK,et al.Assessment of sexual and voiding function after total mesorectal excision with pelvic autonomic nerve preservation in males with rectal cancer[J].Dis Colon Rectum,2002,45(9):1178~1185.
  • 4Maas CP,Moriya Y,Steup WH,et al.A prospective study on radical and nerve-preserving surgery for rectal cancer in the Netherlands[J].Eur J Surg Oncol,2000,26(8):751~757.
  • 5Havenga K,Maas CP,DeRuiter MC,et al.Avoiding long-term disturbance to bladder and sexual function in pelvic surgery,particularly with rectal cancer[J].Semin Surg Oncol,2000,18(3):235~243.
  • 6Tsunoda A,Shibusawa M,Tanizaki H,et al.Hypogastric nerve preservation does not increase local recurrence after surgical treatment of rectal carcinoma[J].Hepatogastroenterology,2004,51 (59):1354~1357.
  • 7Matsuoka N,Moriya Y,Akasu T,et al.Long-term outcome of urinary function after extended lymphadenectomy in patients with distal rectal cancer[J].Eur J Surg Oncol,2001,27(2):165~169.
  • 8Kato K,Sato S,Sakamoto N,et al.The indications for autonomic nerve-sparing surgery in rectal cancer patients[J].Nippon Geka Gakkai Zasshi,2000,101 (6):439~443.
  • 9Hoer J,Roegels A,Prescher A,et al.Preserving autonomic nerves in rectal surgery.Results of surgical preparation on human cadavers with fixed pelvic sections[J].Chirurg,2000,71(10):1222~1229.
  • 10Nano M,Dal Corso H,Ferronato M,et al.Can intestinal innervation be preserved in pancreatoduodenectomy for cancer? Results of an anatomical study[J].J Surg Radiol Anat,2003,25(1):1~5.

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