各种膜解剖理论——互斥还是包容  

Are various theoretical models of membrane anatomy mutually exclusive or inclusive?

作　　者：孙凌宇[1] 杨冬冬[1] 郑宏群[1] Sun Lingyu;Yang Dongdong;Zheng Hongqun(Department of Oncology,the Fourth Affiliated Hospital of Harbin Medical University,Harbin,Heilongjiang 150000,China)

机构地区：[1]哈尔滨医科大学附属第四医院肿瘤外科肝胆外科,150000

出　　处：《中华胃肠外科杂志》2020年第7期643-647,共5页Chinese Journal of Gastrointestinal Surgery

基　　金：哈尔滨医科大学附属第四医院特别资助项目(HYDSYTB201918)。

摘　　要：腹腔镜的放大作用可以观察到更细微的解剖结构,膜解剖理论由此逐渐兴起。系膜解剖理论从系统解剖学的角度,认为肠系膜作为一个器官,是连续的一个整体。筋膜解剖属于局部解剖学,着眼于筋膜间隙对手术的指导意义。膜解剖理论强调系膜与系膜床的解剖,还揭示系膜内存在"第五转移",认为防止癌泄露是膜解剖手术的本质,属于外科解剖学或者应用解剖学。各种膜解剖理论求同存异、互为补充、迭代升级,从不同角度阐释膜的结构和功能,对提高手术质量大有裨益,应以"兼收并蓄"态度对待它们。The theory of membrane anatomy is now widely accepted due to the observation of fine anatomical structure with the help of laparoscopic magnifying effect.From the perspective of systematic anatomy,the mesentery is considered as an integral organ in the theory of mesenteric anatomy.Interfascial anatomy belongs to regional anatomy,which focuses on the guiding significance of fascial space for operation.The theory of membrane anatomy belongs to surgical anatomy or applied anatomy,which emphasizes the anatomy of membrane and mesangial bed,and reveals the existence of'metastasis V’in the mesentery.It is considered that the essence of membrane anatomy operation is to prevent cancer leakage.Various theories of membrane anatomy seek common ground while reserving differences,complement each other,and upgrade iteratively.They help to explain the structure and function of membrane from different perspectives and they are of great benefit to improve the quality of operations.Thus,they should be treated in an eclectic manner.

关 键 词：膜解剖 肠系膜 Toldt筋膜 手术 

分 类 号：R322[医药卫生—人体解剖和组织胚胎学]