腹股沟斜疝层次结构显示及其应用解剖学研究  

Applied anatomy and hierarchical structure of oblique inguinal hernia

作　　者：陈海芳[1] 张剑凯[1] 李雪鹏[1] 苏开鑫[1] 

机构地区：[1]广东医学院基础学院人体解剖学教研室,广东湛江524023

出　　处：《局解手术学杂志》2010年第1期10-12,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的为临床腹股沟疝修补术和局部手术解剖学教学提供理论基础和形态学资料。方法连续逐层解剖显示斜疝标本腹股沟区局部层次并观察腹股沟管、疝囊及周围组织。结果腹股沟区各层结构分层、明显延续为阴囊壁各层次;除腹环明显外,未见典型的腹股沟管围成结构;由腹膜形成典型的疝囊;腹膜鞘突上段闭锁不完全形成疝囊后壁的鞘突腹膜前、后层。结论认识腹股沟斜疝后腹股沟区和腹股沟管解剖结构改变是临床腹股沟疝修补术和腹股沟管重建成功的基础。Objective To provide theoretical foundation and morphology data for clinical repair of inguinal hernia and regional anatomy teaching. Methods Inguinal region of oblique inguinal hernia specimen was continuously-dissected and regional layers were disclosed, and then inguinal canal and hernial sac and its periph tissue were observed. Results Every layer of inguinal region tissue continued to become scrotum walls obviously. No typical structures constructed with inguinal canal besides profundal inguinal ring. Typical sac of hernia was formed of parietal peritoneum. Superior segment of processus vaginalis peritonei because of inadequacy formed vaginal process peritoneum anterior and posterior layers of posterior wall of hernia sac. Conclusions It is important to know the anatomic structure changes of inguinal region and abdominal canal in oblique inguinal hernia, and it is the basis for herniorrhaphy and re-establish of abdominal canal.

关 键 词：腹股沟斜疝 腹股沟疝 腹股沟管 腹股沟区 

分 类 号：R323.32[医药卫生—人体解剖和组织胚胎学]