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德农维尔筋膜的解剖结构与胚胎学起源:一场医学史辩论

The anatomy and embryological origins of the fascia of Denonvilliers: a medico-historical debate.

作者信息

van Ophoven A, Roth S

机构信息

Department of Urology, University of Münster, Germany.

出版信息

J Urol. 1997 Jan;157(1):3-9. doi: 10.1097/00005392-199701000-00003.

DOI:10.1097/00005392-199701000-00003
PMID:8976203
Abstract

PURPOSE

We reviewed the conflicting theories concerning the anatomy and embryological derivation of Denonvilliers' fascia since its first description in 1836.

MATERIALS AND METHODS

An extensive review of the literature for the last 160 years was done.

RESULTS

Various studies contributed to the debate on the anatomy and origins of Denonvilliers' fascia. We chose to review these studies because of their sound methodology, large numbers of cases and results, and the high quality of the macroscopic and/or microscopic evidence.

CONCLUSIONS

Denonvilliers' fascia consists of a single layer arising from fusion of the 2 walls of the embryological peritoneal cul-de-sac. Histologically, it has a double-layered quality. The fascia of Denonvilliers extends from the deepest point of the interprostatorectal peritoneal pouch to the pelvic floor. A so-called posterior layer is in reality the rectal fascia propria.

摘要

目的

自1836年首次描述以来,我们回顾了关于Denonvilliers筋膜的解剖结构和胚胎学起源的相互矛盾的理论。

材料与方法

对过去160年的文献进行了广泛回顾。

结果

各种研究为Denonvilliers筋膜的解剖结构和起源的争论做出了贡献。我们选择回顾这些研究是因为它们的方法合理、病例数量和结果众多,以及宏观和/或微观证据的高质量。

结论

Denonvilliers筋膜由胚胎腹膜陷凹两壁融合形成的单层结构组成。从组织学上看,它具有双层结构。Denonvilliers筋膜从直肠前列腺间腹膜袋的最深点延伸至盆底。所谓的后层实际上是直肠固有筋膜。

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