大肠的应用解剖学  

Applied anatomy of the large intestine

作　　者：彭旭[1] 钟启胜[1] 纪荣明[1] 王新兰 孟荣贵 

机构地区：[1]第二军医大学解剖学教研室,上海市200433 [2]长海医院外科教研室

出　　处：《中国临床解剖学杂志》2000年第1期51-52,共2页Chinese Journal of Clinical Anatomy

摘　　要：目的：为灌肠术、Ｘ 光气钡造影、内镜检查等提供大肠的形态学基础。方法：３０ 具成人形态正常的大肠，分段测量大肠的长度、周径，按圆柱体积公式ｖ ＝ １／４πｃ２ｌ 和圆锥体体积公式ｖ ＝ １／１２πｃ２ｌ 分别计算出结肠和盲肠的体积；用浸水法测量游离大肠的体积。结果：大肠长１２６ ．９ ±２７ ．４ ｃｍ（ 盲肠、结肠、直肠盆内段分别为４３ ．６ ±１ ．５ ｃｍ ，１１３ ．３ ±２５ ．０ ｃｍ ，９ ．２ ±３ ．３ ｃｍ） 。微积分法和浸水法得出的大肠体积分别为８５０ ．１±４１１ ．２２ ｍＬ，７５６ ．６ ±９１ ．９ ｍＬ。结论：本文的结果可为临床灌肠术、气钡造影及内镜检查提供参考依据。To provide morphological data for the enema,pneumo barium double contrast examination and endoscopy.Methods:The length and perimeter of large intestine were measured on 30 adult cadaver specimens.The volumes of each sectional colon were calculated with the formula of cylinder volume.That of caecum was calculated with the formula of cone volme.The volume of free large intestine was also measured with immersion method.Results:The lengths of large intestine,caecum,colon and rectum in pelvic cavity were 126.9±27.4 cm,43.6±1.5 cm,113.3±25.0 cm and 9.2±3.3 cm respectively.The lengths of ascending,transverse,descending and sigmoid colons were 15.6±5.8 cm,40.3±8.5 cm,23.2±7.2 cm and 34.3±10.0 cm separately.The volume of large intestine was 850.1± 411.2 mL by calculation and 756.6±91.9mL by immersion method.Conclusion:These morphological data will benefit the enema,pneumo barium double contrast examination and endoscopy in clinic.

关 键 词：大肠 灌肠术 X光造影术 内窥镜 应用解剖 

分 类 号：R656.9[医药卫生—外科学] R602[医药卫生—临床医学]