直肠膀胱(子宫)襞在直肠癌手术中预防盆段输尿管损伤的临床意义

中国临床解剖学杂志 ›› 2011, Vol. 29 ›› Issue (3): 361-362.

直肠膀胱(子宫)襞在直肠癌手术中预防盆段输尿管损伤的临床意义

郑镇木¹，　罗湛斌¹，　吴印爱²，　范小华¹，　张思奋¹

1.广州中医药大学第二临床医学院肛肠中心，广州 510120；　2.广州军区广州总医院附属157医院肛肠外科中心，广州 510510

收稿日期:2011-02-20 出版日期:2011-05-25 发布日期:2011-05-21
作者简介:郑镇木(1966-)，男，广东汕头人，副主任医师，主要从事结直肠外科临床研究，Tel:(020)88187233-33729

Clinical significance of rectovesical/rectouterine folds to prevent pelvic ureteral injury during operation of rectal carcinoma

ZHENG Zhen-mu¹, LUO Zhan-bin¹, WU Yin-ai², FAN Xiao-hua¹, ZHANG Si-fen¹

1. Department of Colorectal Center, The Second Affiliated Medical College of Guangzhou Traditional Chinese Medico-pharmaceutical University, Guangzhou 510120, China; 2.Department of Colorectal Surgery Center, the Affiliated 157 Hospital of Guangzhou General Hospital of Guangzhou Military Command, Guangzhou 510510, China

Received:2011-02-20 Online:2011-05-25 Published:2011-05-21

摘要/Abstract

摘要：

目的　结合直肠膀胱(子宫)襞的解剖特点，探讨其在直肠癌手术中预防盆段输尿管损伤的临床意义。方法　自2005年1月至2011年1月对56例直肠癌手术中直肠膀胱(子宫)襞的解剖位置及其与盆段输尿管、直肠系膜的毗邻关系进行仔细观察，全直肠系膜切除保持沿直肠膀胱(子宫)襞内侧界面进行。结果　全组均未发生盆段输尿管损伤，术中均可清楚观察到直肠膀胱(子宫)襞这一解剖结构，其位置较为恒定并位于盆段输尿管、直肠系膜之间。结论　以直肠膀胱(子宫)襞作为解剖标识，在直肠癌手术中预防盆段输尿管损伤具有一定的临床意义。

关键词: 直肠膀胱(子宫)襞, 盆段输尿管, 输尿管损伤, 直肠肿瘤

Abstract:

Objective　To evaluate clinical significance of rectovesical/rectouterine folds to prevent pelvic ureteral injury during the operation of rectal carcinoma with respect to its anatomic characteristics. Methods　The anatomic location of rectovesical/rectouterine folds and their relationships with the pelvic ureter and mesorectum were carefully observed in all the 56 cases studied from January 2005 to January 2011. Total mesorectal excision was performed consistently inside the rectovesical/rectouterine folds.　Results　No pelvic ureteral injury occurred in all cases. The anatomic structures of rectovesical/rectouterine folds could be clearly identified in all the 56 cases of rectal carcinoma operation studied. Their location between the pelvic ureter and mesorectum was comparatively constant.　Conclusions　Rectovesical /rectouterine folds can be used as an anatomic landmark to prevent pelvic ureteral injury during the operation of rectal carcinoma.

Key words: Rectovesical/rectouterine fold, Pelvic part of ureter, Ureteral injury, Rectal neoplasms

中图分类号:

郑镇木, 罗湛斌, 吴印爱, 范小华, 张思奋. 直肠膀胱(子宫)襞在直肠癌手术中预防盆段输尿管损伤的临床意义[J]. 中国临床解剖学杂志, 2011, 29(3): 361-362.

ZHENG Zhen-Mu, LUO Zhan-Bin, WU Yi-Ai, FAN Xiao-Hua, ZHANG Si-Fen. Clinical significance of rectovesical/rectouterine folds to prevent pelvic ureteral injury during operation of rectal carcinoma[J]. Chinese Journal Of Clinical Anatomy, 2011, 29(3): 361-362.