腹股沟区的膜和腔隙精细解剖再认识

Reexamine the fine anatomy of fascia and space in the inguinal region

腔镜等微创技术的应用和发展使得腹股沟区膜和腔隙解剖逐渐为临床所重视,但目前对该区域结构和层次的认识以及其与前、后腹壁和盆壁的联系,仍较为模糊,并存在争议。笔者尝试从解剖学、胚胎发育和临床应用等方面,对腹股沟区膜和腔隙结构,如腹横筋膜、腹膜前筋膜、Bogros间隙、Retzius间隙等进行探讨,以清晰其在腹壁的存在状态和胚胎来源,并明确其在区域的特点是全腹(盆)壁层次在局部的呈现,为临床提供参考。

The application and development of minimally invasive technologies such as laparoscopy have increasingly brought the anatomy of the inguinal region's fascia and spaces into clinical focus.However,current knowledge of the structures and layers in this region,as well as their connections with the anterior and posterior abdominal walls and pelvic walls,is still somewhat vague and controversial.From the perspectives of anatomy,embryonic development,and clinical application,this article attempts to explore the structures of the inguinal region's fascia and spaces,such as the transversalis fascia,preperitoneal fascia,Bogros space,and Retzius space.This exploration helps to clarify their existence and embryonic origins in the abdominal wall,and to specify their regional characteristics as local representations of the entire abdominal(pelvic)wall,providing valuable insights for clinical practice.