Abstract:

Recognition of anatomy of the membranes in inguinal region        LI Hang-yu, WEI Shi-bo. Department of General Surgery, the Fourth Affiliated Hospital, China Medical University, Shenyang 110032, China
Correspongding author: LI Hang-yu, E-mail: li_hangyu@126.com
Abstract    The anatomy of inguinal region has been the focus of attention by surgeons, but there are still some controversies about the concept and understanding of anatomical structures. Transverse fascia is a acellular fascial structure from the view of embryology. The deep surface of fascial structure containing adipose tissue is preperitonealfascia (PPF), which is developed from the intermediate layer of mesenchyme. According to the characteristics of organ development which process involves covering with membranes, inguinal region can be divided into the region of umbilical bladder, the region of triangle of Doom and the region of iliac fossa. Each region has a different membrane structure. It's helpful for surgeons to recognize the anatomy of the inguinal membrane by regions.

Key words: inguinal, transverse fascia, preperitoneal fascial

摘要：

腹股沟区膜的解剖一直受到外科医师的关注，但仍有一些解剖结构的概念和认识存在争议，准确地理解膜的解剖层次对于外科手术具有重要的意义。从胚胎学的角度，腹横筋膜是一层无细胞的筋膜结构。其深面含脂肪组织的筋膜结构是间充质中间层发育而来的腹膜前筋膜（PPF）。根据器官发育过程膜的包绕特点，腹股沟区可以划分为脐膀胱区、Doom三角区和髂窝区。每个区域膜的结构各有不同，分区有利于外科医师认识腹股沟区膜的解剖。

关键词: 腹股沟, 腹横筋膜, 腹膜前筋膜