Terminologia Anatomica versus unofficial descriptions and nomenclature of the fasciae and ligaments of the female pelvis: A dissection-based comparative study

Terminologia Anatomica versus unofficial descriptions and nomenclature of the fasciae and ligaments of the female pelvis: A dissection-based comparative study
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DOI:
10.1016/j.ajog.2005.05.007
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发表时间:
2005-10-01
影响因子:
9.8
通讯作者:
Scambia, G
Scambia, G
中科院分区:
医学1区
文献类型:
--
作者:
Ercoli, A;Delmas, V;Scambia, G

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目的:本研究的目的是:(1) 对具有潜在临床意义的女性骨盆结缔结构进行定义和分类,(2) 评估解剖学术语(官方命名法)的充分性,以及 (3) 建立官方命名法和最常用术语之间的对应关系。 研究设计:30 例新鲜尸体的肉眼和腹腔镜解剖结果,有或没有血管注射有色物质将乳胶溶液与《解剖学术语》以及 1890 年至 2003 年最常引用的英语和非英语文献中的描述和定义进行比较。结果:我们确定了 3 组筋膜、壁骨盆筋膜、内脏骨盆筋膜和浆膜外骨盆筋膜,它们可分为不同的临床相关解剖结构,其特征在于不同的位置、空间方向和一致性。这些结构在数量和命名方面与解剖学术语和部分文献中描述的结构有很大不同。结论:我们的结果表明,适用于女性骨盆结缔结构的官方术语可以进行有益的修改和扩展。我们提供了这些结构的完整描述,并提出了可能对教学和临床目的有用的分类。 (C) 2005 Mosby, Inc. 保留所有权利。
Objective: The aims of this study were: (1) to define and classify those connective structures of the female pelvis that are of potential clinical interest, (2) to evaluate the adequacy of the Terminologia Anatomica (official nomenclature) and (3) to establish a correspondence between the official nomenclature and the most commonly used terms.Study design: The results of 30 macroscopic and laparoscopic dissections of fresh cadavers with and without vessel injection of colored latex solutions were compared with the descriptions and definitions in the Terminologia Anatomica and the most frequently cited English and non-English literature from 1890 to 2003.Results: We identified 3 groups of fasciae, parietal pelvic fascia, visceral pelvic fascia, and extraserosal pelvic fascia, which could be divided into diverse clinically relevant anatomical structures characterized by different locations, spatial orientation, and consistency. These structures differed considerably with regard to number and nomenclature from those described in the Terminologia Anatomica and part of the literature.Conclusion: Our results suggest that the official terminology applied to the connective structures of the female pelvis could be profitably revised and expanded. We offer a complete description of these structures and suggest a classification that may be useful for teaching and clinical purposes. (C) 2005 Mosby, Inc. All rights reserved.