摘要
医学行为自有解剖和手术以来,就有关于层面或筋膜的描述。这些描述大致可以归类为层面说、筋膜说和系膜说。然而,这些学说都很难满足科学的基本范式,即描述上的唯一性、验证上的独立性以及实际问题的解决能力、与前述理论的迭代性等。近年来,我们提出并验证了"膜解剖"学说。膜解剖是广义的系膜与系膜床的解剖,背后是筋膜(和浆膜)形成的结构、其内的生命事件和普遍的秩序;广义的系膜是指,筋膜(和浆膜)包绕着器官(或组织)及其供养系统,悬挂并通向体后壁的信封样结构;解剖是指,机体内的设置(或结构)及其内的生命事件(或功能)。在膜解剖的研究和讨论中,恪守科学范式,秉持科学精神,是获得可靠知识的唯一途径,也是深入科学研究的准绳。
Anatomical plane and fascia have been described in medical behaviors for hundreds of years since the appearance of anatomy and operation.Generally,these descriptions can be sorted into three theories,i.e.plane surgery,fascia theory and mesentery anatomy.However,these theories are difficult to satisfy the scientific paradigm that includes consistency in description,independence in validation,potential to solve practical problems,and the interaction of the above-mentioned theries.Recently,membrane anatomy was proposed as the anatomy of mesentery and its beds in broad sense.Behind it lies fascia membrane/serous membrane structure,as well as inherent life events and general order.Mesentery in broad sense is described as the fascia membrane/serous membrane in serous cavity,which envelops and suspends the organ/tissue and its feeding structures to the posterior wall of the body.Anatomy is the setting/structure,in which life events/functions occur.In the research and discussion of membrane anatomy,abiding by the scientific paradigm and upholding the scientific spirit are the only way to obtain reliable knowledge and the criterion for in-depth scientific research.
作者
龚建平
Gong Jianping(Gastrointestinal Cancer Research Institute,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《中华胃肠外科杂志》
CSCD
北大核心
2021年第7期557-559,共3页
Chinese Journal of Gastrointestinal Surgery
基金
国家自然科学基金面上项目(81874185、81372324)。
关键词
膜解剖
胃肠外科手术
规范化
Membrane anatomy
Gastrointestinal surgery
Standardization