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首页> 外文期刊>Clinical anatomy: official journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists >Anatomy of the sigmoid colon, rectum, and the rectovaginal pouch in women with enterocele and anterior rectal wall procidentia.
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Anatomy of the sigmoid colon, rectum, and the rectovaginal pouch in women with enterocele and anterior rectal wall procidentia.

机译：肠球膨出和直肠前壁偶发女性的乙状结肠，直肠和直肠阴道袋的解剖。

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摘要

This study describes the anatomy of the rectovaginal pouch, the sigmoid colon, and rectum in women with posterior enterocele and anterior rectal wall procidentia. The anatomy of rectovaginal pouch, sigmoid colon, and rectum was described in 36 women with an enterocele (group A) and compared with those of 43 women (group B) without pelvic organ prolapse. Women with previous incontinence or prolapse surgery were excluded. The mean age in group A was 58 years (40-75) and in group B 35 years (19-64; P < 0.001). There were 15 nulliparas in group B. Nine women in group A had an internal anterior rectal wall procidentia, and one woman had an external anterior rectal wall procidentia. In group A, the rectovaginal pouch was significantly deeper, the sigmoid mesocolon at S1 shorter and showed more often a straight course (P < 0.05). These characteristics (termed "grande fosse pelvienne") were present in 23 women (64%) in group A and in 6 (14%) in group B, three of the latter were young nulliparas (P < 0.001). Age, parity, menopausal status, body mass index, constipation, and varicose veins were not associated with a grande fosse pelvienne. The typical anatomy in women with an enterocele and anterior rectal wall procidentia was a sigmoid colon with a straight course and a short mesentery at S1 and a rectovaginal pouch that covered more than half of the vaginal length. It may be a congenital condition and important in the development of an enterocele and rectal wall procidentia.
机译：这项研究描述了患有后肠小肠膨出和直肠前壁偶发症的女性的直肠阴道袋，乙状结肠和直肠的解剖结构。描述了36名患有肠膨出的女性（A组）的直肠阴道囊，乙状结肠和直肠的解剖结构，并将其与没有盆腔器官脱垂的43名女性（B组）的解剖结构进行了比较。曾进行过失禁或脱垂手术的女性被排除在外。 A组的平均年龄为58岁（40-75），B组的平均年龄为35岁（19-64; P <0.001）。 B组中有15例原产妇。A组中有9名妇女发生了直肠内壁前突入症，其中一名妇女发生了直肠前壁外突入症。在A组中，直肠阴道囊明显更深，S1的乙状结肠中隔变短，并且更经常出现笔直的病程（P <0.05）。这些特征（称为“大窝骨”）出现在A组的23位女性（64％）和B组的6位（14％）中，后者中的三位是年轻的原产妇（P <0.001）。年龄，胎次，绝经状态，体重指数，便秘和静脉曲张与大窝骨盆无关。患有肠膨出和直肠前壁偶发性事件的女性的典型解剖结构是乙状结肠，在S1处有笔直的路线和短的肠系膜，直肠阴道囊覆盖了一半以上的阴道长度。它可能是先天性疾病，在肠囊肿和直肠壁偶发性事件的发展中很重要。

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