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直肠下动脉与直肠系膜关系的解剖学观察

汪庆明 傅传刚 孟荣贵 党瑞山 张卫

中国实用外科杂志2011,Vol.31Issue(1):72-75,4.
中国实用外科杂志2011,Vol.31Issue(1):72-75,4.

直肠下动脉与直肠系膜关系的解剖学观察

Anatomical study on the relationship between the middle rectal artery and the mesorectum

汪庆明 1傅传刚 2孟荣贵 2党瑞山 3张卫2

作者信息

  • 1. 上海中医药大学附属曙光医院肛肠外科,上海,201203
  • 2. 第二军医大学附属长海医院肛肠外科,上海200433
  • 3. 第二军医大学解剖教研室,上海,200433
  • 折叠

摘要

Abstract

Objective To observe the anatomical relationship between the middle rectal artery and the mesorectum.Methods 10 pelvises (7 males and 3 females) harvested from cadavers were studied by dissection. Results The middle rectal artery was present in 9 cases, bilaterally (3 cases) or unilaterally (6 cases), originating from the internal pudendal (10/12, 83.33%). 6 middle rectal arteries just run along the surface of the levator ani, and join into the rectum through the muscular at the junction between the levator ani muscle and rectum. Another 5 vessels penetrate the medial visceral fascia of the vesicohypogastric fascia into the mesorectum. Conclusion The middle rectal artery is a more constant present vessel for the rectal blood supply, unilateral ones are more than the bilateral ones. There are two contacting forms between the middle rectal artery and the rectum: One is that the vessel runs into the rectum at the junction between the rectum and the levator ani muscle, another is that the vessel runs into the mesorectum across the fasica. Crossing the mesorectum may be taken as the judge basis for unilateral or bilateral middle rectal artery in pelvis.The middle rectal artery not entering the mesorectum will not be damaged during rectum related operation.

关键词

直肠系膜/直肠下动脉/直肠/盆腔解剖

分类

医药卫生

引用本文复制引用

汪庆明,傅传刚,孟荣贵,党瑞山,张卫..直肠下动脉与直肠系膜关系的解剖学观察[J].中国实用外科杂志,2011,31(1):72-75,4.

基金项目

上海市科委基金资助项目(07DZ19505 ()

08ZR1404600) ()

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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