妇产科手术的临床解剖基础——子宫颈周围立体环简介OA北大核心
The clinical anatomy basis of obstetrics and gynecology surgery——the three-dimensional ring around the cervix
重视临床应用解剖学研究,才能满足对妇产科手术操作精髓的把握,手术过程中才可以瞬时辨认解剖部位,知其然也知其所以然,手术方能安全、顺利.解剖上以子宫颈区域为中心的妇产科手术是大家必须掌握的的手术类型,如各种类型的Q-M分型广泛性子宫切除术(RH)术式、子宫颈周围深部浸润型子宫内膜异位症术式、复杂剖宫产术式、盆腔器官脱垂(POP)手术等.因此,子宫颈周围立体环的解剖是妇产科手术的临床解剖基础.文章重点介绍子宫颈周围立体环,一个由笔者妇产科临床医师根据妇产科手术的需要而命名的新的临床解剖学概念.只有充分理解、彻底掌握子宫颈周围立体环内的解剖以及各个解剖结构之间的相互空间立体关系,才能完成妇产科最基本的手术.
Only by attaching importance to the study of clinical applied anatomy,we can grasp the essence of gynecological surgery and the operation can be safe.Anatomically,gynecologic and obstetric operations centered on the cervical region are the types of operations that we must master,such as various types of Q-M classification operation for cervical cancer,DIE operation around the cervix,complex cesarean section,pop operation,etc.Therefore,the anatomy of the three-dimensional ring around the cervix is the clinical anatomical basis for obstetrics and gynecology surgery.This article focuses on the introduction of the three-dimensional ring around the cervix,a new clinical anatomical concept named by our according to the needs of surgery.Only by fully understanding and thoroughly mastering the anatomy in the three-dimensional ring around the cervix and the spatial three-dimensional relationship between each anatomical structure,we can complete the most basic surgery in obstetrics and gynecology.
陈春林;段慧
南方医科大学南方医院,广东 广州 510515南方医科大学南方医院,广东 广州 510515
临床医学
子宫颈周围立体环间隙韧带血管神经
three-dimensional ring around the cervixconnective spaceligamentvesselnerve
《中国实用妇科与产科杂志》 2025 (1)
31-35,5
国家自然科学基金(82101701,82371655)广东省自然科学基金(2022A1515011709,2024A1515010092)广州市重点研发计划(2023B03J0254)
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