pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMU10.34215/1609-1175-2023-3-32-38pmj-2545Research ArticleОБЗОРЫREVIEWSНовая концепция поддерживающей функции тазового дна: поперечнополосатый – гладкомышечный комплексA new concept of pelvic floor support function: Striated–smooth muscle complexhttps://orcid.org/0000-0002-9843-1065ЧемидроновС. Н.ChemidronovS. N.

Чемидронов Сергей Николаевич – канд. мед. наук, доцент, зав. кафедрой анатомии человека

443099, г. Самара, ул. Чапаевская, 89, 2

тел. + 7 (846) 374-10-04, доб. 4691

Sergey N. Chemidronov, Cand. Sci. (Med.), Associate Professor, Head of Human anatomy department

89, 2 Chapaevskaya str., Samara, 443099, Russia

phone: + 7 (846) 374-10-04, ext. 4691 

s.n.chemidronov@samsmu.ruКолсановА. В.KolsanovA. V.

443099, г. Самара, ул. Чапаевская, 89, 2

89, 2 Chapaevskaya str., Samara, 443099, Russia

СувороваГ. Н.SuvorovaG. N.

443099, г. Самара, ул. Чапаевская, 89, 2

89, 2 Chapaevskaya str., Samara, 443099, Russia

Самарский государственный медицинский университетРоссияSamara State Medical UniversityRussian Federation202321092023033238Copyright © 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://www.tmj-vgmu.ru/jour/article/view/2545

Мышцы тазового дна и промежности играют важную роль в формировании поддерживающего аппарата органов малого таза. Функциональная недостаточность миофасциальных структур зачастую приводит к развитию недержания мочи и кала, эректильным дисфункциям, пролапсу внутренних органов, формированию промежностных грыж. Еще в XX веке морфологи акцентировали внимание на скелетных мышцах тазового дна и промежности, выделяя их ведущую роль в удержании органов и создании внутрибрюшного давления. Однако в последние два десятилетия особое внимание уделяется гладкомышечным структурам области выхода из малого таза и их взаимоотношениям с опорнодвигательной системой. Появление новой концепции «поперечнополосатый – гладкомышечный комплекс» позволяет пересмотреть аспекты патофизиологии пролапса органов малого таза для диагностики и профилактики заболеваний тазового дна и промежности.

Pelvic floor and perineum muscles play an important role in the formation of an apparatus supporting pelvic organs. The functional insufficiency of myofascial structures frequently leads to the development of urinary and fecal incontinence, erectile dysfunction, prolapse of internal organs, and perineal hernias formation. Back in the 20th century, morphologists focused on the skeletal muscles in pelvic floor and perineum, highlighting their leading role in supporting organs and creating intraabdominal pressure. However, in the past two decades, particular attention has been paid to the smooth muscle structures and their relationship with the musculoskeletal system in the pelvic outlet area. The new concept of the striated–smooth muscle complex provides the basis for revising various aspects of pelvic organ prolapse and urinary and fecal incontinence pathophysiology. We believe that this may lead to improved early diagnosis and prevention of diseases of the pelvic floor and perineum.

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