James Y E, Tchangai B, Kassegne I, Keke K, James K D
Laboratoire d'anatomie, faculté des sciences de la santé, BP 1515, Lomé, Togo; Service de chirurgie orthopédie, CHU Sylvanus Olympio, BP 57, Lomé, Togo.
Service de chirurgie viscérale, CHU Sylvanus Olympio, BP 57, Lomé, Togo.
Morphologie. 2016 Dec;100(331):216-222. doi: 10.1016/j.morpho.2016.03.001. Epub 2016 May 20.
Identifying the different kinds of anatomical sigmoid colon in our environment and determine what exposes the most to the occurrence of pelvic colon volvulus.
This is a transverse prospective study from 1 January 2007 to 31 December 2012 on a series of 63 patients (33 men and 30 women) who underwent laparotomy for non-colonic pathologies. For all patients, the following parameters were recorded: C1: total length of the pelvic colon; C2: the length of the root of the meso-sigmoid; C3: the height of the meso-sigmoid; C4: maximum width of the meso-sigmoid.
C1 through the entire series was 61,3cm. C2 average was 5.5cm. C3 height and maximum width C4 were on average 14,6cm and 7.6cm, respectively. Comparison of parameters in men and women showed no significant difference.
This study allows us to know the different types of pelvic colons among the population of our operated patients. The measurements performed on the pelvic colon of patients presenting volvulus will help to attribute objectively the true authorship of this surgical emergency to an anatomical type of pelvic colon.
识别我们环境中不同类型的乙状结肠解剖结构，并确定何种结构最易发生盆腔结肠扭转。
这是一项横向前瞻性研究，研究时间为2007年1月1日至2012年12月31日，研究对象为63例因非结肠疾病接受剖腹手术的患者（33例男性和30例女性）。对所有患者记录以下参数：C1：盆腔结肠总长度；C2：乙状结肠系膜根部长度；C3：乙状结肠系膜高度；C4：乙状结肠系膜最大宽度。
整个系列中C1为61.3cm。C2平均为5.5cm。C3高度和C4最大宽度平均分别为14.6cm和7.6cm。男性和女性参数比较无显著差异。
本研究使我们了解了接受手术患者群体中盆腔结肠的不同类型。对发生扭转的患者盆腔结肠进行的测量将有助于客观地将这种外科急症的真正原因归因于盆腔结肠的一种解剖类型。
