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阴茎深静脉系统的应用解剖学研究

[Applied anatomical study of the penile deep venous system].

作者信息

Li Jun, Huang Jian, Yu Xiang-cai

机构信息

Department of Urology, The 2nd Hospital Affiliated to Sun Yat-Sen University, Guangzhou, Guangdong 510120, China.

出版信息

Zhonghua Nan Ke Xue. 2008 Oct;14(10):893-5.

Abstract

OBJECTIVE

To investigate the run and distribution of penile deep veins and to evaluate the application of the findings to penile vein ligating operation.

METHODS

We dissected the penises of 28 formalin-preserved male adult cadavers, whose health condition, penile erection condition when alive, exact age and cause of death were unknown, and recorded the number and location of the cavernous and crural veins and their relationship with the surrounding important organs and tissues.

RESULTS

The cavernous veins emerged from the dorsal groove of the fixed segment, ran proximately in the dorsal groove, branched into two and drained into either side of the internal pudendal vein respectively, with the internal pudendal artery-cavernous artery-dorsal artery system running laterally and superficially. All the cavernous veins had communications with the periprostatic venous plexus. In the 56 crura of the 28 specimens, there were 250 crural veins, 76 in 42 sides (75.0%) traveling medial to the internal pudendal artery-cavernous artery-dorsal artery system.

CONCLUSION

The penile deep venous system is structurally complicated, extensively connected with the surrounding veins and closely related to the surrounding organs, which makes it very difficult to ligate all the deep veins and avoid damage to the cavernous arteries and nerves in vein-involved surgery.

摘要

目的

研究阴茎深静脉的走行与分布,并评估其研究结果在阴茎静脉结扎手术中的应用。

方法

我们解剖了28具用福尔马林保存的成年男性尸体的阴茎,这些尸体的健康状况、生前阴茎勃起情况、确切年龄及死因均不详,记录海绵体静脉和脚静脉的数量及位置,以及它们与周围重要器官和组织的关系。

结果

海绵体静脉从固定段的背侧沟发出,在背侧沟内近侧走行,分成两支,分别注入阴部内静脉两侧,阴部内动脉 - 海绵体动脉 - 背动脉系统在外侧和浅表走行。所有海绵体静脉均与前列腺周围静脉丛相通。在28个标本的56个脚中,有250条脚静脉,42侧中的76条(75.0%)走行于阴部内动脉 - 海绵体动脉 - 背动脉系统的内侧。

结论

阴茎深静脉系统结构复杂,与周围静脉广泛连通,与周围器官密切相关,这使得在涉及静脉的手术中结扎所有深静脉并避免损伤海绵体动脉和神经非常困难。

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