{"id":58962,"date":"2025-10-16T05:10:05","date_gmt":"2025-10-16T05:10:05","guid":{"rendered":"http:\/\/zydq.1006ss.com\/?p=58962"},"modified":"2025-10-16T05:10:05","modified_gmt":"2025-10-16T05:10:05","slug":"%e7%9b%b4%e8%82%a0%e7%99%8ctme%e6%89%8b%e6%9c%af%e4%b8%addenonvilliers%e7%ad%8b%e8%86%9c%e9%9c%80%e8%a6%81%e4%bf%9d%e7%95%99%e5%90%97%ef%bc%9f%e5%85%b6%e6%98%af%e5%90%a6%e5%ad%98%e5%9c%a8%e4%ba%8e","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=58962","title":{"rendered":"\u76f4\u80a0\u764cTME\u624b\u672f\u4e2dDenonvilliers\u7b4b\u819c\u9700\u8981\u4fdd\u7559\u5417\uff1f\u5176\u662f\u5426\u5b58\u5728\u4e8e\u5973\u6027\uff1f\u2014\u2014\u9093\u6c0f\u7b4b\u819c\u4e34\u5e8a\u610f\u4e49\u518d\u601d\u8003"},"content":{"rendered":"

\u80cc\u666f<\/p>\n

Denonvilliers\u7b4b\u819c\u7531\u6cd5\u56fd\u89e3\u5256\u5b66\u5bb6Charles-Pierre Denonvilliers\u57281836\u5e74\u901a\u8fc7\u89e3\u5256\u7537\u6027\u9aa8\u76c6\u7b2c\u4e00\u4e2a\u63cf\u8ff0\u76f4\u80a0\u4e0e\u524d\u5217\u817a\u3001\u7cbe\u56ca\u817a\u4e4b\u95f4\u5b58\u5728\u7684\u4e00\u8584\u5c42\u7c7b\u4f3c\u8089\u819c\u6837\u7684\u819c\u72b6\u7ed3\u6784\uff08prostatoperitoneal membrane\uff09\uff0c\u540e\u4eba\u5c06\u5176\u547d\u540d\u4e3aDenonvilliers (\u9093\u6c0f\uff09\u7b4b\u819c\u3002\u9093\u6c0f\u7b4b\u819c\u5b58\u5728\u4e8e\u76f4\u80a0\u548c\u5185\u751f\u6b96\u5668\u4e4b\u95f4\uff0c\u5728\u7537\u6027\u5373\u76f4\u80a0\u8180\u80f1\u9694\uff0c\u5728\u5973\u6027\u5373\u76f4\u80a0\u9634\u9053\u9694\uff0c\u8d77\u4e8e\u76c6\u5e95\u8179\u819c\u53cd\u6298\u5904\uff0c\u6b62\u4e8e\u4f1a\u9634\u4f53\u3002\u5173\u4e8e\u9093\u6c0f\u7b4b\u819c\u7684\u8ba4\u8bc6\u5b58\u5728\u8bf8\u591a\u4e89\u8bae\uff0c\u4eca\u5929\u6211\u4eec\u505a\u4e00\u56de\u987e\u603b\u7ed3\u3002<\/p>\n

1<\/p>\n

\u9093\u6c0f\u7b4b\u819c\u7684\u8d77\u6e90<\/p>\n

\u4ece\u80da\u80ce\u8d77\u6e90\u7684\u89d2\u5ea6\uff0c\u5173\u4e8e\u5973\u6027\u7684\u76f4\u80a0\u9634\u9053\u9694\uff08\u9093\u6c0f\u7b4b\u819c\uff09\uff0cRichardson[3]\u8ba4\u4e3a\uff0c\u5728\u76f4\u80a0\u9634\u9053\u4e4b\u95f4\u7684\u888b\u72b6\u7ed3\u6784\u878d\u5408\u5305\u88f9\u95f4\u53f6\u7ec4\u7ec7\uff0c\u5f62\u6210\u4e00\u5c42\u758f\u677e\u7684\u7ed3\u6784\uff0c\u7c7b\u4f3c\u4e8e\u8179\u819c\u878d\u5408\u5047\u8bf4\u3002\u65e5\u672c\u5b66\u8005\u8ba4\u4e3a\uff0c\u9093\u6c0f\u7b4b\u819c\u662f\u5728\u80da\u80ce\u65f6\u671f\u6ccc\u5c3f\u751f\u6b96\u7cfb\u7edf\u7684\u8179\u819c\u4e0b\u79fb\u4e0e\u76f4\u80a0\u524d\u4fa7\u65b9\u8179\u819c\u878d\u5408\u5f62\u6210\u7c7b\u4f3c\u4e8eToldt\u7b4b\u819c\u7684\u7ec4\u7ec7\uff0c\u5373\u878d\u5408\u7b4b\u819c\u3002Aigner[4]\u7b49\u8ba4\u4e3a\uff0c\u76f4\u80a0\u9634\u9053\u9694\u662f\u7531\u76f4\u80a0\u4e0e\u9634\u9053\u4e4b\u95f4\u7684\u95f4\u8d28\u7ed3\u6784\u7ecf\u8fc7\u6d53\u96c6\u540e\u5f62\u6210\uff0c\u7c7b\u4f3c\u4e8e\u95f4\u5145\u8d28\u5047\u8bf4\u3002Kim\u7b49[5]\u5219\u8ba4\u4e3a\uff0c\u5973\u6027\u9093\u6c0f\u7b4b\u819c\u662f\u7531\u7ec4\u7ec7\u95f4\u538b\u529b\u548c\u5f20\u529b\u6324\u538b\u3001\u7275\u62c9\u95f4\u8d28\u7ec4\u7ec7\u5f62\u6210\u3002<\/p>\n

2<\/p>\n

\u9093\u6c0f\u7b4b\u819c\u8ba4\u8bc6\uff1a\u8bf8\u65b9\u89c2\u70b9<\/p>\n

\u6c60\u7554\u7b49\u8ba4\u4e3a\uff0c\u9093\u6c0f\u7b4b\u819c\u7531\u524d\u540e\u4e24\u53f6\u7ec4\u6210\uff0c\u5305\u62ec\u9093\u6c0f\u7b4b\u819c\u524d\u53f6\u4e0e\u540e\u53f6\uff08\u5373\u76f4\u80a0\u56fa\u6709\u7b4b\u819c\uff09\uff0c\u9093\u6c0f\u7b4b\u819c\u524d\u53f6\u548c\u8179\u819c\u4e0b\u7b4b\u819c\u6df1\u53f6\u4e4b\u95f4\u4e3a\u9093\u6c0f\u7b4b\u819c\u524d\u95f4\u9699\uff0c\u8be5\u95f4\u9699\u5411\u540e\u5ef6\u4f38\u81f3\u9ab6\u524d\u95f4\u9699\uff1b\u9093\u6c0f\u7b4b\u819c\u524d\u53f6\u548c\u540e\u53f6\u95f4\u4e3a\u9093\u6c0f\u7b4b\u819c\u540e\u95f4\u9699\uff0c\u8be5\u95f4\u9699\u5ef6\u4f38\u81f3\u76f4\u80a0\u540e\u95f4\u9699\u3002<\/p>\n

\u4ece\u80da\u80ce\u8d77\u6e90\u89c2\u70b9\u770b\uff0c\u9093\u6c0f\u7b4b\u819c\u524d\u53f6\u4e0d\u662f\u76f4\u80a0\u56fa\u6709\u7b4b\u819c\uff0c\u4e0d\u5c5e\u4e8eTME\u5207\u9664\u8303\u56f4\uff0c\u56e0\u6b64\u8fdb\u884c\u76f4\u80a0\u524d\u95f4\u9699\u7684\u5206\u79bb\u65f6\uff0c\u6c60\u7554\u7b49\u5efa\u8bae\u4ece\u8179\u819c\u53cd\u6298\u4e0a\u65b91 cm\u5207\u5f00\u819c\u6865\u8fdb\u5165\u9093\u6c0f\u7b4b\u819c\u524d\u95f4\u9699\uff0c\u5728\u8ddd\u79bb\u7cbe\u56ca\u817a0.5~1.0 cm\u5904\uff08\u7537\u6027\uff09\u6216\u5728\u8ddd\u8179\u819c\u53cd\u6298\u4e0b5 cm\u5904\uff08\u5973\u6027\uff09\u6a2a\u65ad\u9093\u6c0f\u7b4b\u819c\u524d\u53f6\uff0c\u8fdb\u5165\u9093\u6c0f\u7b4b\u819c\u540e\u95f4\u9699\uff0c\u4ee5\u4fdd\u62a4\u8be5\u533a\u57df\u9093\u6c0f\u7b4b\u819c\u524d\u53f6\u524d\u5916\u4fa7\u7684NVB\u3002\u6839\u636e\u7b4b\u819c\u95f4\u9699\u548c\u4ece\u795e\u7ecf\u4fdd\u62a4\u7684\u89c2\u70b9\uff0c\u76f4\u80a0\u524d\u65b9\u7684\u8d70\u884c\u5e73\u9762\u5e94\u8be5\u5728\u9093\u6c0f\u7b4b\u819c\u540e\u95f4\u9699\uff0c\u5176\u4e0e\u76f4\u80a0\u540e\u95f4\u9699\u540c\u5c5e\u7b2c\u4e00\u95f4\u9699\u3002<\/p>\n

\u536b\u6d2a\u6ce2\u7b49[1]\u8fdb\u884c\u7684\u300a\u8179\u8154\u955c\u4e0b\u5168\u76f4\u80a0\u7cfb\u819c\u5207\u9664\u672f\u4fdd\u7559\u6216\u5207\u9664\u9093\u6c0f\u7b4b\u819c\u5bf9\u7537\u6027\u76f4\u80a0\u764c\u60a3\u8005\u672f\u540e\u6ccc\u5c3f\u751f\u6b96\u529f\u80fd\u7684\u5f71\u54cd\uff1a\u4e2d\u56fdPUF-01\u968f\u673a\u4e34\u5e8a\u8bd5\u9a8c\u300b\uff0c\u53d1\u73b0\u8179\u8154\u955c\u4e0bTME\uff0c\u4fdd\u7559\u9093\u6c0f\u7b4b\u819c\u5bf9\u7537\u6027\u60a3\u8005\u7684\u672f\u540e\u6ccc\u5c3f\u751f\u6b96\u529f\u80fd\u5177\u6709\u4fdd\u62a4\u4f5c\u7528\uff0c\u5bf9\u7279\u5b9a\u5206\u671f\u548c\u80bf\u7624\u90e8\u4f4d\uff08cT1~4N0~2M0\uff08\u76f4\u80a0\u524d\u58c1\u80bf\u7624\u9700\u4e3a T1~2\uff09\uff09\u7684\u7537\u6027\u76f4\u80a0\u764c\u60a3\u8005\u53ef\u80fd\u662f\u66f4\u597d\u7684\u9009\u62e9\u3002\u7ec4\u7ec7\u5b66\u7814\u7a76\u53d1\u73b0[2]\uff0c\u9093\u6c0f\u7b4b\u819c\u7ec4\u7ec7\u4e2d\u5bcc\u542b\u5305\u62ec\u52c3\u8d77\u529f\u80fd\u76f8\u5173\u795e\u7ecf\u7ea4\u7ef4\u5728\u5185\u7684\u5927\u91cf\u795e\u7ecf\u7ea4\u7ef4\u7ed3\u6784\uff08\u4ea4\u901a\u652f\u795e\u7ecf\uff09\u3002\u6545\u536b\u6d2a\u6ce2\u7b49\u63d0\u51fa\uff1a\u5728\u8179\u819c\u8fd4\u6298\u6700\u4f4e\u5904\u5b58\u5728\u4e00\u6761\u5929\u7136\u7684\u6807\u5fd7\u7ebf\uff08\u536b\u5f0f\u7ebf\uff09\uff0c\u6cbf\u7740\u536b\u5f0f\u7ebf\u4e0b\u65b9\u5207\u5f00\u8179\u819c\u8fd4\u6298\u8fdb\u884c\u64cd\u4f5c\u5c06\u66f4\u52a0\u5bb9\u6613\u8fdb\u5165\u9093\u6c0f\u7b4b\u819c\u540e\u65b9\u95f4\u9699\uff0c\u4ece\u800c\u4fdd\u7559\u9093\u6c0f\u7b4b\u819c\uff0c\u5373\u4fdd\u7559\u9093\u6c0f\u7b4b\u819c\u7684TME\uff08iTME\uff09\uff1b\u5982\u5728\u8179\u819c\u53cd\u6298\u4ee5\u4e0a1.0~1.5 cm\u5207\u5f00\u8179\u819c\uff0c\u5b9e\u9645\u4e0a\u5df2\u7ecf\u8fdb\u5165\u4e86\u9093\u6c0f\u7b4b\u819c\u7684\u524d\u65b9\uff0c\u6545\u5bfc\u81f4\u5b8c\u6574\u4fdd\u7559\u9093\u6c0f\u7b4b\u819c\u6781\u4e3a\u56f0\u96be\u3002<\/p>\n

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\u603b\u7ed3<\/p>\n

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\u6821\u5ba1\uff1a\u6768\u9b41<\/p>\n

\u56fe\u6587\u7f16\u8f91\uff1a\u6768\u9b41<\/p>\n

\u53c2\u8003\u6587\u732e<\/p>\n

1. Effect of Denonvilliers’ Fascia Preservation Versus Resection During Laparoscopic Total Mesorectal Excision on Postoperative Urogenital Function of Male Rectal Cancer Patients: Initial Results of Chinese PUF-01 Randomized Clinical Trial.Ann Surg. 2021 Dec 1;274(6):e473-e480.<\/p>\n

2. Preservation of Denonvilliers’ fascia for nerve-sparing laparoscopic total mesorectal excision: A neuro-histological study. Clin Anat. 2019 Apr;32(3):439-445.<\/p>\n

3. The rectovaginal septum revisited: its relationship to rectocele and its importance in rectocele repair. Clin Obstet Gynecol. 1993 Dec;36(4):976-83.<\/p>\n

4. The rectogenital septum: morphology, function, and clinical relevance. Dis Colon Rectum. 2004 Feb;47(2):131-40.<\/p>\n

5. Denonvilliers’ fascia revisited. Surg Radiol Anat. 2015 Mar;37(2):187-97.<\/p>\n

6. Where is the optimal plane to mobilize the anterior rectal wall in female patients undergoing total mesorectal excision? World J Gastroenterol. 2023 May 21;29(19):2992-3002.<\/p>\n","protected":false},"excerpt":{"rendered":"

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