直肠解剖和分期讲义.ppt

直肠解剖和分期;最佳的治疗方案？;化疗？放疗？手术？;How ？;T ？;T1、T2、T3;TME ＆ CRM;38% ↓ 10%;直肠系膜筋膜是否受累？;直肠系膜 ＆直肠系膜筋膜 ？;直肠系膜;直肠筋膜;;骶前筋膜; 骶前筋膜;盆脏筋膜构成直肠系膜筋膜 The mesorectal fascia, or visceral layer of the endopelvic fascia, encircles the rectum and the mesorectal fat, nodes, and lymphatic vessels to form a distinct anatomic unit. The mesorectal fascia runs along the anterior aspect of the sacrum, where it fuses with the presacral fascia, and then laterally on either side of the rectum, where it is easily identified on axial T2-weighted images as a thin hypointense line;MRI成像技术与解剖;清肠、排空膀胱; Series;肛门直肠环：肛门外括约肌深、浅部、直肠壁纵行肌、肛门内括约肌、耻骨直肠肌;直肠癌T分期;T1期;T2期;T3期;T4期;直肠癌累及腹膜;直肠癌累及肛门括约肌;5 mm;肿瘤侵及直肠系膜深度;肿瘤距离直肠系膜筋膜缘;决定预后的2大因素！;淋巴结转移;大小？信号？形态？;形态不规则或 边缘呈针状突起;总 结;Suggested Checklist for Use Prior to MR Imaging of Rectal Cancer;MRI的应用;选择正确的治疗措施; 准确的肿瘤分期！;谢 谢 ！