基于女性结构再论邓氏筋膜的胚胎起源  

Revisiting the embryonic origin of Denonvilliers'fascia based on female structure

作　　者：王旭东[1] Wang Xudong(Department of Gastrointestinal Nutrition and Hernia Surgery,the Second Hospital of Jilin University,Changchun130000,China)

机构地区：[1]吉林大学第二医院胃肠营养及疝外科,长春130000

出　　处：《中华胃肠外科杂志》2025年第3期320-322,共3页Chinese Journal of Gastrointestinal Surgery

基　　金：吉林省科技厅项目(YDZJ202202CXJD047、20200403112SF)。

摘　　要：对于女性是否存在邓氏筋膜一直存在较大争议。为了验证和探讨女性是否存在等同于男性的邓氏筋膜,以及其对直肠癌手术的影响和意义,笔者基于前人的观点,结合成人女性骨盆标本和手术视频资料进行观察研究,均未在直肠阴道间隙中发现类似邓氏筋膜的独立完整筋膜结构。笔者认为,在女性直肠和阴道之间可能不存在等同于男性邓氏筋膜的独立筋膜结构,邓氏筋膜可能是与性别相关、发育上受性激素调控的器官和组织(即男性邓氏筋膜可能是未发育的阴道)。There has been significant controversy over the existence of Denonvilliers'fascia in women.To verify and explore whether women have Denonvilliers'fascia equivalent to men,and its impact and significance on rectal cancer surgery,we conducted observation and research based on previous views,combined with adult female pelvic specimens and surgical video data.No independent and intact fascial structures similar to Denonvilliers'fascia was found in the rectovaginal space.We believe that there may not be an independent fascial structure equivalent to the male Denonvilliers'fascia between the female rectum and vagina.The Denonvilliers'fascia may be an organ and tissue related to gender and regulated by sex hormones during development(i.e.,the male Denonvilliers'fascia may be an undeveloped vagina).

关 键 词：邓氏筋膜 女性 男男性 角筋膜结构 直肠阴道间隙 

分 类 号：R730.2[医药卫生—肿瘤]