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阴道顶端骶棘韧带固定术后,韧带内神经作为疼痛的潜在来源。

Intraligamentous nerves as a potential source of pain after sacrospinous ligament fixation of the vaginal apex.

作者信息

Barksdale P A, Gasser R F, Gauthier C M, Elkins T E, Wall L L

机构信息

Louisiana State University Medical Center, New Orleans, USA.

出版信息

Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(3):121-5. doi: 10.1007/BF02764841.

DOI:10.1007/BF02764841
PMID:9449581
Abstract

The aim of the study was to investigate the histology of the sacrospinous ligament to determine whether nerve fibers exist within the substance of the sacropinous ligament itself. Six sacrospinous ligaments were removed from 4 fixed female cadavers. Representative segments were taken from the lateral (ischial), middle and medial (sacral) portions of these specimens, sectioned by microtome, mounted, and stained with hematoxylin and eosin dyes. The fixed and stained sections were then examined using light microscopy. Nerve tissue was found to be concentrated in the medial portions of the sacrospinous ligaments, but nerves were found in all segments of the ligament. It was concluded that, nervous tissue is present and widely distributed within the body of the sacrospinous ligament. A wide variety of sizes and thicknesses are also demonstrated, suggesting a variety of functions, including possible pain reception. This fact should be taken into consideration when planning operative procedures for pelvic prolapse.

摘要

本研究的目的是调查骶棘韧带的组织学结构,以确定骶棘韧带实质内是否存在神经纤维。从4具固定的女性尸体上取下6条骶棘韧带。从这些标本的外侧(坐骨)、中间和内侧(骶骨)部分取代表性节段,用切片机切片,固定并苏木精和伊红染色。然后用光学显微镜检查固定和染色的切片。发现神经组织集中在骶棘韧带的内侧部分,但在韧带的所有节段均发现有神经。得出的结论是,骶棘韧带体内存在神经组织且分布广泛。还显示出各种大小和厚度,提示其具有多种功能,包括可能的痛觉感受。在规划盆腔器官脱垂的手术程序时应考虑到这一事实。

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