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胃食道前庭和下胃食道:是一样的东西
Owen Korn1, Juan C Oñate2, Attila Csendes1
1Department of Surgery, Clinical Hospital University of Chile, Santiago, Chile.
概括
胃食道前庭 (GEV) 是由下胃食道 (LES) 肌肉纤维形成的独特,可扩展的结构. 这项研究详细介绍了GEV.
科学领域:
- 人体解剖学 解剖学 解剖学
- 胃肠病学 胃肠病学
- 手术解剖学 手术解剖学
背景情况:
- 胃食道结的解剖学是复杂的,管状食道过渡到钟形胃食道前庭 (GEV).
- 虽然GEV的整体解剖学和生理学是已知的,但其特定的肌肉结构和与下管关节 (LES) 的关系仍然未被描述.
研究的目的:
- 为了阐明胃食道前庭 (GEV) 的肌肉结构.
- 定义GEV的肌肉纤维与下管道 (LES) 的肌肉纤维之间的关系.
主要方法:
- 从尸体中分析了人类胃食道样本 (n=20).
- 标本用水进行最大限度的扩张;测量了长度和周边.
- 通过剥离粘膜以进行纤维分析,将GEV的内部肌肉外套暴露出来.
主要成果:
- GEV的长度各不相同,在较小的曲率 (3.7厘米) 处比较大的曲率 (2.8厘米) 处更长.
- 在GEV的基础周长范围从7.1厘米 (基底) 到11.6厘米 (扩展).
- Z线位于GEV的中和下三分之一的结合处,该GEV由"Clasp"和斜 (Sling) 纤维组成.
结论:
- 胃食道前庭 (GEV) 是胃食道结合处的唯一可扩张的结构.
- 在结构上,GEV是由下食道 (LES) 的肌肉纤维组成的.
- 在功能和解剖学上,GEV与下消化道 (LES) 相对应.
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