Shafik A
Int J Fertil. 1987 Jul-Aug;32(4):324-30.
Three ligaments are described in relation to the epididymis: superior and inferior epididymal, and vasal ligaments. The study was conducted on 38 cadavers and included direct dissection and histologic examination. The superior and inferior epididymal ligaments are triangular folds of the visceral tunica vaginalis, and extend from epididymis to testicle. The superior ligament binds the epididymal head to the testicle, protecting the fine efferent ductules from damage. The inferior ligament fixes body and tail and mesoepididymis; further, it prevents epididymal convolutions from unraveling. The vasal ligament is a fibrous band, which binds the proximal end of the vas to the epididymal tail. It maintains an acute epididymovasal angle. In two cadavers, the inferior epididymal and vasal ligaments were absent. Convolutions of the lower body and tail of the epididymis were unraveled. The mesoepididymis was broad, and the epididymis was freely mobile from side to side; the epididymo-vasal angle was opened. The role of the epididymal and vasal ligaments in fixation of the epididymis, preservation of blood supply to both testicle and epididymis, and preventing unraveling of epididymal convolutions is stressed. Absent epididymal ligaments lead to "mobile epididymis," which may cause infertility.
附睾上韧带、附睾下韧带和输精管韧带。该研究在38具尸体上进行，包括直接解剖和组织学检查。附睾上韧带和附睾下韧带是脏层鞘膜的三角形皱襞，从附睾延伸至睾丸。上韧带将附睾头部与睾丸相连，保护精细的输出小管免受损伤。下韧带固定附睾体、尾部及附睾系膜；此外，它可防止附睾盘曲展开。输精管韧带是一条纤维带，将输精管近端与附睾尾部相连。它维持附睾与输精管之间的锐角。在两具尸体中，附睾下韧带和输精管韧带缺如。附睾体尾部的盘曲展开。附睾系膜增宽，附睾可左右自由移动；附睾-输精管角张开。强调了附睾韧带和输精管韧带在固定附睾、维持睾丸和附睾血供以及防止附睾盘曲展开方面的作用。附睾韧带缺如会导致“游动附睾”，这可能会导致不育。
