Narducci F, Occelli B, Hautefeuille J, Cosson M, Francke J P, Querleu D, Crépin G
Hôpital Jeanne de Flandre, Département de Chirurgie Gynécologique, CHU Lille, 59037 Lille.
J Gynecol Obstet Biol Reprod (Paris). 2000 Nov;29(7):644-9.
To reveal the anatomy of arcus tendineus fascia pelvis.
and methods. 2 fixed female cadaver pelvises (88 and 66 years old) were dissected.
The arcus tendineus fascia pelvis is a fibrous recess of the pelvic fascia which is 10 cm long, laterally to the obturator internus muscle and medially to the peritoneum. It reaches the ischial spine lower and anteriorly to the pubo-vesical ligament. The third posterior part of the arcus tendineus of the pelvic fascia is commun with the posterior part of the arcus tendineus of the levator ani. This third posterior part is like a curve concave anteriorly. This curve is thick and easy to recognize by the palpation. This third posterior curve is 1cm in front of the ischial spine and 2cm in front of the pudendal vessel which took place behind the ischial spine. The vessels of the obturator internus muscle originated from the internal iliac vessel and crossed laterally the median part of the arcus tendineus of the pelvic fascia.
Sutures must be placed through the anterior and median part of the arcus tendineus fascia pelvis, in front of the posterior part of the arcus tendineus fascia pelvis to avoid any injury to the pudendal vessels.
揭示盆筋膜弓状腱的解剖结构。
解剖2具固定的女性尸体骨盆（分别为88岁和66岁）。
盆筋膜弓状腱是盆筋膜的一个纤维性隐窝，长10厘米，位于闭孔内肌外侧和腹膜内侧。它在耻骨膀胱韧带下方和前方到达坐骨棘。盆筋膜弓状腱的第三后部与肛提肌弓状腱的后部相连。这第三后部呈向前凹陷的曲线。该曲线较厚，通过触诊易于识别。此第三后曲线在坐骨棘前方1厘米处，在位于坐骨棘后方的阴部血管前方2厘米处。闭孔内肌的血管起源于髂内血管，从盆筋膜弓状腱的中部外侧穿过。
缝线必须穿过盆筋膜弓状腱的前部和中部，在盆筋膜弓状腱后部的前方，以避免损伤阴部血管。
