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人体精囊管腔结构的三维重建。

Three-dimensional reconstruction of the luminal structure of human seminal vesicle.

机构信息

Department of Anatomy, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, Korea.

出版信息

J Anat. 2020 Dec;237(6):1006-1014. doi: 10.1111/joa.13269. Epub 2020 Jul 13.

Abstract

The seminal vesicles are the glands of male reproductive organs that produce the fluid and nutrient constituents of semen. It has been believed for a long time that the lumen of a seminal vesicle was a single-coiled tubular structure with irregular diverticula. There are several previous reports on the symmetry, differences in morphological sizes and classification of the seminal vesicles. However, a three-dimensional-coiled tubular structure is difficult to understand using a classical anatomical methodology, and hence, three-dimensional reconstruction is needed to understand the structure of the lumen. Thirty-one seminal vesicles harvested from 21 formalin-embalmed cadavers were investigated. The seminal vesicle along with the ampulla of the ductus deferens was separated, and the length and width of each seminal vesicle were measured. The vesicles were then embedded in coloured paraffin, and the resulting paraffin block was sectioned transversely and photographed at an interval of 500 μm, with the sectioned surfaces then utilized in three-dimensional reconstruction performed by 'Reconstruct' software. The mean length and width of the seminal vesicles were 39.4 mm and 13.4 mm, respectively, and the right seminal vesicle was a little larger than the one on the left. The size differed from previous reports, while the luminal structure was similar to the classification of Aboul-azm (Archives of Andrology, 3, 1979, 287-292) but differed from that of Pereira (AJR. American Journal of Roentgenology, 69, 1953, 361-379). The seminal vesicles typically comprised about 9 curls and had about 12 diverticula. The seminal vesicles resembled a skein of coral rather than comprising a single strand. These findings will help in improving the understanding of pathophysiologies of the seminal vesicles, such as recurrent inflammation of the gland.

摘要

精囊是男性生殖器官的腺体,它产生精液的液体和营养成分。长期以来,人们一直认为精囊管腔是一种单匝管状结构,具有不规则的憩室。以前有几个关于精囊对称性、形态大小差异和分类的报告。然而,使用经典的解剖学方法很难理解三维螺旋管状结构,因此需要进行三维重建来了解管腔的结构。从 21 例福尔马林固定的尸体中收集了 31 个精囊。将精囊连同输精管壶腹分离,测量每个精囊的长度和宽度。然后将精囊嵌入彩色石蜡中,将得到的石蜡块沿横向切片,间隔 500μm 拍摄,并利用“重建”软件对切片表面进行三维重建。精囊的平均长度和宽度分别为 39.4mm 和 13.4mm,右侧精囊稍大于左侧。其大小与以前的报告不同,而管腔结构与 Aboul-azm 的分类相似(《生殖医学档案》,第 3 卷,1979 年,第 287-292 页),但与 Pereira 的分类不同(《美国放射学杂志》,第 69 卷,1953 年,第 361-379 页)。精囊通常由约 9 个圈组成,有 12 个憩室。精囊类似于一束珊瑚,而不是由单股组成。这些发现将有助于提高对精囊病理生理学的理解,例如腺体的反复炎症。

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本文引用的文献

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The dimensions and symmetry of the seminal vesicles.精囊的大小和对称性。
J Robot Surg. 2009 Mar;3(1):29-33. doi: 10.1007/s11701-009-0134-x. Epub 2009 Feb 27.
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Lesions of the Seminal Vesicles and their MRI Characteristics.精囊病变及其磁共振成像特征
J Clin Imaging Sci. 2014 Oct 31;4:61. doi: 10.4103/2156-7514.143734. eCollection 2014.
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Branching morphogenesis in the prostate gland and seminal vesicles.前列腺和精囊中的分支形态发生。
Differentiation. 2006 Sep;74(7):382-92. doi: 10.1111/j.1432-0436.2006.00101.x.
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