Alkatout Ibrahim, Wedel Thilo, Pape Julian, Possover Marc, Dhanawat Juhi
Department of Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Campus Kiel, Arnold-Heller Str. 3, Building 24, 24105 Kiel, Germany.
Department of Anatomy, Institute of Anatomy, Center of Clinical Anatomy, University Hospitals Schleswig-Holstein, Campus Kiel, Otto-Hahn-Platz 8, 24118 Kiel, Germany.
Transl Neurosci. 2021 Oct 8;12(1):362-378. doi: 10.1515/tnsci-2020-0184. eCollection 2021 Jan 1.
A prerequisite for nerve-sparing pelvic surgery is a thorough understanding of the topographic anatomy of the fine and intricate pelvic nerve networks, and their connections to the central nervous system. Insights into the functions of pelvic nerves will help to interpret disease symptoms correctly and improve treatment. In this article, we review the anatomy and physiology of autonomic pelvic nerves, including their topography and putative functions. The aim is to achieve a better understanding of the mechanisms of pelvic pain and functional disorders, as well as improve their diagnosis and treatment. The information will also serve as a basis for counseling patients with chronic illnesses. A profound understanding of pelvic neuroanatomy will permit complex surgery in the pelvis without relevant nerve injury.
保留神经的盆腔手术的一个前提条件是要透彻了解精细复杂的盆腔神经网络的局部解剖结构及其与中枢神经系统的连接。深入了解盆腔神经的功能将有助于正确解释疾病症状并改善治疗。在本文中，我们回顾了自主盆腔神经的解剖学和生理学，包括其局部解剖结构和假定功能。目的是更好地理解盆腔疼痛和功能障碍的机制，以及改善其诊断和治疗。这些信息也将作为为慢性病患者提供咨询的基础。对盆腔神经解剖学的深入理解将使盆腔内的复杂手术不会造成相关神经损伤。
