Ishikawa Kazuo, Nakao Shota, Nakamuro Makoto, Huang Tai-Ping, Nakano Hiroshi
Department of Surgery Seikeikai Hospital Minami-Yasuicho Sakai-ku Sakai-shi Osaka Japan.
Senshu Trauma and Critical Care Center Rinku General Medical Center Rinku-Ourai-KitaIzumisano-shi Osaka Japan.
Acute Med Surg. 2016 Feb 26;3(3):219-229. doi: 10.1002/ams2.188. eCollection 2016 Jul.
Recently, the concept of interfascial planes has become the prevalent theory among radiologists for understanding the retroperitoneal anatomy, having replaced the classic tricompartmental theory. However, it is a little known fact that the concept remains incomplete and includes embryological errors, which have been revised on the basis of our microscopic study. We believe that the concept not only provides a much clearer understanding of the retroperitoneal anatomy, but it also allows further development for diagnosis and treatment of retroperitoneal injuries and diseases, should it become an accomplished theory. We explain the history and outline of the concept of interfascial planes, correct common misunderstandings about the concept, explain the unconsciously applied therapeutic procedures based on the concept, and present future perspectives of the concept using our published and unpublished data. This knowledge could be essential to acute care physicians and surgeons sometime soon.
最近，筋膜间隙的概念已成为放射科医生理解腹膜后解剖结构的主流理论，取代了经典的三分区理论。然而，鲜为人知的是，这一概念仍不完整，且包含胚胎学错误，我们已根据微观研究对其进行了修正。我们认为，该概念不仅能让人们更清晰地理解腹膜后解剖结构，而且如果它成为一个完善的理论，还能推动腹膜后损伤和疾病的诊断与治疗进一步发展。我们解释了筋膜间隙概念的历史和概述，纠正了对该概念的常见误解，阐释了基于该概念而无意识应用的治疗方法，并利用我们已发表和未发表的数据展示了该概念的未来前景。这些知识可能很快就会对急诊医生和外科医生至关重要。
