Yabuki Yoshihiko, Sasaki Hiromasa, Hatakeyama Noboru, Murakami Gen
Department of Obstetrics and Gynecology, Hokuriku Central Hospital, Oyabe, Japan.
Am J Obstet Gynecol. 2005 Jul;193(1):7-15. doi: 10.1016/j.ajog.2005.02.108.
The purpose of this study was to solve a disagreement regarding the anatomy of the pelvic connective tissue in 19th and 20th century, and to establish new surgical anatomy.
The study involved the dissection 26 female cadavers. The ligamentous structure of the pelvis was examined by developing the paravesical and pararectal spaces, using our standard procedure of radical hysterectomy.
The lateral ligamentous structure of the pelvis was a plate complex, which consisted of the vesicohypogastric fascia, the transverse cervical ligament, and lateral ligament of the rectum. The 3-dimensional relationship of this complex and the pelvic organs was sagittaly perpendicular. The pelvic connective tissue was classified into 2 systems, musculofascial and mesentery-like structures.
The authors examined the discrepancies in 19th century anatomy for the pelvic connective tissue that is widely accepted in today's medical field, therewith proposing a new surgical anatomy for this structure.
本研究旨在解决19世纪和20世纪关于盆腔结缔组织解剖结构的争议，并建立新的手术解剖学。
本研究对26具女性尸体进行了解剖。采用我们标准的根治性子宫切除术方法，通过分离膀胱旁间隙和直肠旁间隙来检查骨盆的韧带结构。
骨盆的外侧韧带结构是一个板状复合体，由膀胱下腹筋膜、子宫颈横韧带和直肠外侧韧带组成。该复合体与盆腔器官的三维关系呈矢状垂直。盆腔结缔组织分为2个系统，即肌筋膜结构和肠系膜样结构。
作者研究了当今医学领域广泛接受的19世纪盆腔结缔组织解剖学中的差异，从而提出了该结构的新手术解剖学。
