中国育龄期女性直肠阴道间隔应用解剖

Applied anatomy of rectovaginal septum of reproductive women in China

目的：为直肠阴道间隔子宫内膜异位症的手术治疗提供解剖学依据。方法：腹腔镜手术中实时测量97名育龄期妇女阴道后壁和直肠阴道间隔长度，正态分布的计量资料采用均数±标准差描述。结果：97名育龄期妇女阴道后壁长度为（89．74±11．47）mm（60-120mm），直肠阴道间隔长度为（30．29±8．17）mm（15～50mm），直肠阴道间隔占阴道后壁长度百分比为（33．89±8．48）％（15％～57％）。阴道后壁及直肠阴道间隔长度均与患者体质量呈正相关，相关系数分别为0．229（P=0．024）和0．307（P=0．002）。结论：腹腔镜手术中实体测量的直肠阴道间隔的解剖数据准确，对于直肠阴道间隔部位子宫内膜异位症病灶的手术治疗有指导意义。

Objective： To provide anatomic basis for the surgical treatment of rectovaginal endometriosis. Methods： During laparoscopic surgeries, we measured the lengths of the posterior wall of the vagina and the rectovaginal septum for 97 reproductive women. The data were presented as ：x ± s. Results： For the 97 women, the length of the posterior wall of the vagina was （89.74±11.47）mm （60-120 mm）, and the rectovaginal septum, （30. 29±8. 17）mm （15-50 mm）. Both lengths had positive correlation with the body weight and r were 0. 229 （P=0. 024） and 0. 307 （P=0. 002）, respectively. Conclusion： The data for the rectovaginal septum from the laparoscopic surgeries is accurate, and it can be the guidance for the surgical treatment of the rectovaginal endometriosis.