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斯卡帕筋膜和科勒斯筋膜形成腹会阴囊及其临床意义。

The formation of abdomino-perineal sacs by the fasciae of Scarpa and Colles, and their clinical significance.

作者信息

Martin B F

出版信息

J Anat. 1984 Jun;138 ( Pt 4)(Pt 4):603-16.

PMID:6235202
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1164346/
Abstract

It has been shown that the membranous layer of the subcutaneous tissue, known as Scarpa's fascia, is confined to an oval area on each side of the abdominal wall. By its attachment to the deep fascia it encloses an obliquely directed oval sac which extends into the perineum by three pocket-like diverticulae. The fascial extension which forms the pockets is known as the fascia of Colles. Medially, the sac blends with the fundiform ligament, so that the sacs do not communicate with each other or with the interfascial space deep to the penile dartos. Laterally, the inferior margin creates the crease-line of the groin by its attachment to the fascia lata. Between these attachments the pockets arise from the sac. The lateral pocket continues into the superficial perineal pouch. The medial pocket, together with the intermediate, occupies the scrotum or labium majus. The intermediate pocket is associated with the spermatic cord or the round ligament of the uterus and blends with their coverings posteriorly. In the male it terminates just above the testis. The significance of the fascial arrangements in relation to urinary extravasation is discussed, and also the relationship of the intermediate pocket to an indirect inguinal hernia.

摘要

已经表明,皮下组织的膜层,即斯卡帕筋膜,局限于腹壁两侧的椭圆形区域。通过其与深筋膜的附着,它围成一个斜向的椭圆形囊,该囊通过三个袋状憩室延伸至会阴。形成这些袋的筋膜延伸部分称为科勒斯筋膜。在中线,该囊与耻骨前襞融合,因此这些囊彼此不连通,也不与阴茎肉膜深面的筋膜间隙连通。在外侧,下缘通过附着于阔筋膜形成腹股沟皱襞线。在这些附着点之间,袋从囊中发出。外侧袋延续至浅会阴袋。内侧袋与中间袋一起占据阴囊或大阴唇。中间袋与精索或子宫圆韧带相关,并在后方与其被膜融合。在男性中,它在睾丸上方终止。讨论了筋膜结构与尿外渗的关系,以及中间袋与腹股沟斜疝的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae2/1164346/184a659d3ee8/janat00204-0010-f.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae2/1164346/184a659d3ee8/janat00204-0010-f.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae2/1164346/e067d68459e9/janat00204-0005-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae2/1164346/e5463439068c/janat00204-0005-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae2/1164346/91990356394e/janat00204-0005-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae2/1164346/2827ee7f3e6c/janat00204-0005-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae2/1164346/d58cd26cb7bb/janat00204-0009-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae2/1164346/cf4a1a730d1b/janat00204-0009-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae2/1164346/03570575e326/janat00204-0009-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae2/1164346/025c9d5b9d40/janat00204-0009-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae2/1164346/78e21f5cc341/janat00204-0010-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae2/1164346/b52db8843803/janat00204-0010-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae2/1164346/8ce7aaf7495c/janat00204-0010-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae2/1164346/b9a553ecd071/janat00204-0010-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae2/1164346/d177db49d98a/janat00204-0010-e.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae2/1164346/184a659d3ee8/janat00204-0010-f.jpg

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本文引用的文献

1
A Note on Scarpa's Fascia.关于斯卡帕筋膜的笔记。
J Anat. 1937 Oct;72(Pt 1):130-1.
2
What are Buck's and Colles' fasciae?布克筋膜和科勒斯筋膜是什么?
J Urol. 1953 Sep;70(3):503-11. doi: 10.1016/S0022-5347(17)67939-4.
斯卡帕筋膜与临床体征:腹膜后灾难同名临床体征中膜性浅筋膜的作用
Ann R Coll Surg Engl. 2013 Oct;95(7):519-22. doi: 10.1308/003588413X13629960048514.
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The place of spermatic fascia closure during open herniotomy in male children.男性儿童开放性疝修补术中精索筋膜闭合的部位
Niger J Surg. 2013 Jan;19(1):23-5. doi: 10.4103/1117-6806.111504.
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The secondary external inguinal ring and associated fascial planes: surgical anatomy, embryology, applications.次级腹股沟外环及相关筋膜平面:解剖学、胚胎学、应用。
Hernia. 2013 Jun;17(3):379-89. doi: 10.1007/s10029-013-1048-0. Epub 2013 Feb 13.
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Layers of the abdominal wall: anatomical investigation of subcutaneous tissue and superficial fascia.腹壁各层:皮下组织和浅筋膜的解剖学研究
Surg Radiol Anat. 2011 Dec;33(10):835-42. doi: 10.1007/s00276-010-0772-8. Epub 2011 Jan 7.