vmireavizВестник медицинского института «РЕАВИЗ». Реабилитация, Врач и ЗдоровьеBulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)2226-762X2782-1579РЕАВИЗ10.20340/vmi-rvz.2023.4.MORPH.1vmireaviz-822Research ArticleМорфология, патологияMorphology, pathologyСинтопические взаимоотношения мышцы, поднимающей задний проход, с прямой кишкой и стенкой таза человека по данным классических и цифровых морфологических методов исследованияHuman’s levator ani muscle & rectum syntopic relations in the light of classic and digital morphologic methods’ datahttps://orcid.org/0000-0002-9843-1065ЧемидроновС. Н.ChemidronovS. N.

Чемидронов Сергей Николаевич - кандидат медицинский наук, доцент, заведующий кафедрой анатомии человека.

Ул. Чапаевская, д. 89, Самара, 443099

Sergey N. Chemidronov - Cand. Sci. (Med.), Docent, Head of the Department of Human Anatomy.

89, Chapaevskaya, Samara, 443099

gfrs@inbox.ruhttps://orcid.org/0000-0002-4144-7090КолсановА. В.KolsanovA. V.

Колсанов Александр Владимирович - доктор медицинских наук, профессор, профессор РАН, заслуженный деятель науки РФ, ректор, заведующий кафедрой оперативной хирургии и клинической анатомии с курсом медицинских информационных технологий.

Ул. Чапаевская, д. 89, Самара, 443099

Alexandr V. Kolsanov - Dr. Sci. (Med.), Professor, Professor of the Russian Academy of Sciences, Honored scientist of Russia, Rector, Head of the Department of Operative Surgery and Clinical Anatomy with a course in medical information technology.

89, Chapaevskaya, Samara, 443099

a.v.kolsanov@samsmu.ruhttps://orcid.org/0000-0002-0462-1344СувороваГ. Н.SuvorovaG. N.

Суворова Галина Николаевна – доктор биологических наук, профессор, заведующая кафедрой гистологии и эмбриологии.

Ул. Чапаевская, д. 89, Самара, 443099

Galina N. Suvorova - Dr. Sci. (Biol.), Professor, Head of the Department of Histology and Embryology.

89, Chapaevskaya, Samara, 443099

g.n.suvorova@samsmu.ruСамарский государственный медицинский университетРоссияSamara State Medical UniversityRussian Federation2023110820231341420Copyright © Чемидронов С.Н., Колсанов А.В., Суворова Г.Н., 20232023Чемидронов С.Н., Колсанов А.В., Суворова Г.Н.Chemidronov S.N., Kolsanov A.V., Suvorova G.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestnik.reaviz.ru/jour/article/view/822

В последнее время одним из наиболее актуальных вопросов современной медицины является дисфункция тазового дна, которая включает в себя пролапс органов малого таза, недержание мочи, кишечных газов и кала [1-3]. Ведущая роль в поддержании органов малого таза отводится мышце, поднимающей задний проход. Исследование особенностей прикрепления мышцы к стенкам таза, прямой кишке позволит прояснить патогенез недостаточности тазового дна и развитие симптомов недержания и пролапса органов малого таза. Использование в работе классических морфологических и новейших технологий аппаратно-программного комплекса «Автоплан» (Государственный контракт Минпромторга РФ от 07.04.2014 г. № 14411.2049999.19.013 «4.3-Автоплан-2014»), на основании данных МРТ позволило выявить морфологически более плотные и разреженные зоны стенки дистальных отделов прямой кишки, непосредственно связанных с прикреплением к ней волокон мышцы, поднимающей задний проход.

Recently, one of the most pressing issues of modern medicine is pelvic floor dysfunction, which includes pelvic organ prolapse, urinary and fecal incontinence []. The leading role in maintaining the pelvic organs is assigned to levator ani muscle. The study of attachment features of muscle to pelvis, rectum will clarify the pathogenesis of pelvic floor insufficiency and development of incontinence symptoms and pelvic organs prolapse. The use of classical morphological and innovation technologies of «Autoplan» hardware and software complex using MRI data made it possible to identify morphologically denser and sparse zones of the wall of the distal rectum, directly related to the attachment of levator ani muscle fibers to it.

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The authors declare that there are no conflicts of interest present.