男性盆丛神经的观察及其临床意义  

Observation and clinical significance of the male pelvic plexus

作　　者：隋广智[1,2] 赵德伟 王宏志 刘一弘[1,2] 

机构地区：[1]齐齐哈尔医学院解剖学教研室 [2]大连铁路医院骨科

出　　处：《中国临床解剖学杂志》1997年第1期21-23,共3页Chinese Journal of Clinical Anatomy

摘　　要：目的：直肠癌扩大根治术是提高术后生存率，减少癌细胞转移的重要术式，但其术后排尿和性功能障碍并发症较多，其原因是术中损伤了盆丛神经。本文对盆丛的研究可为改进直肠癌扩大根治术，降低并发症，提高生存质量，提供解剖学资料。方法：用３０侧男性盆腔标本，通过冰醋酸松解剥离方法，对盆丛的起源、组成和分支分布进行了详细观测。结果：盆丛长径为４１．６±７．３ｍｍ，宽径２９．８±８．５ｍｍ。盆丛又继续形成直肠丛、膀胱丛和前列腺丛，三个次级丛参与管理排尿功能和性功能。结论：手术中如能对盆丛及其次级丛神经加以保护，免受或减少损伤，可防止或减少术后并发症的发生。Objective:This study provided the anatomic bases of male pelvic plexus for improving the enlarged radical operation of rectal cancer,decreasing the complication rate.Methods:The origin,composition,branches and distribution of the pelvic plexus were observed on 15 adult male cadavers (30 sides)by the method of relaxation with glacial acetic acid.Results:The pelvic plexus is 41.6 ±7.3 mm long and 29.8±8.5 mm wide.It subdivided into plexus rectalis,plexus bladder and plexus prostate to dominate the function of urination and sex.Conclusions:Complications could be prevented or reduced by protecting the pelvic plexus and the sub-plexus protected well during the operation.

关 键 词：盆丛 腹下神经 盆内脏神经 盆丛神经 

分 类 号：R322.8[医药卫生—人体解剖和组织胚胎学]