From the Departments of Anatomy and Basic Sciences, Kansas City University of Medicine and Biosciences; Department of Genetics, University of Nebraska Medical Center; and School of Dentistry, Creighton University.
Plast Reconstr Surg. 2021 Nov 1;148(5):1005-1010. doi: 10.1097/PRS.0000000000008412.
The literature regarding the route of the dorsal nerve of the clitoris is sparse and lacks surgical focus. With an increasing number of procedures being performed on the labia, it is important to elucidate the route and note any variation from normal of the nerve.
Fifty-one cadavers were dissected to yield 97 dorsal nerve of the clitoris samples. Measurements were taken from (1) the dorsal nerve of the clitoris penetration point of the perineal membrane to the urethra, (2) the nerve's penetration point of the perineal membrane to the pubic bone, (3) the angle of the clitoris to the branch point of the dorsal nerve of the clitoris, and (4) the branch point of the nerve to the distalmost point of the glans clitoris. Any anomalous branching patterns of the dorsal nerve of the clitoris were recorded and classified.
The means and standard deviations of each measurement were used to create a surgical danger zone. The mean of each measurement was (1) 34.63 mm, (2) 5.74 mm, (3) -3.07 mm, and (4) 30.40 mm, respectively. In addition, six distinct branching patterns were observed, organized, and classified based on the location and number of branches observed.
The dorsal nerve of the clitoris has multiple branching patterns and typically travels along the same course in most women. Further investigation of the course and three-dimensional position of the dorsal nerve of the clitoris is warranted to preserve sexual sensation as the frequency of procedures involving the female pudendum increases.
关于阴蒂背侧神经的文献很少，且缺乏手术重点。随着阴唇手术数量的增加，阐明神经的走行并注意其与正常情况的任何差异非常重要。
对 51 具尸体进行解剖，获得 97 个阴蒂背侧神经样本。测量从（1）阴蒂背侧神经穿透会阴膜至尿道的点，（2）神经穿透会阴膜至耻骨的点，（3）阴蒂的角度至阴蒂背侧神经分支点，以及（4）神经分支点至阴蒂龟头的最远端点。记录并分类阴蒂背侧神经的任何异常分支模式。
每个测量值的平均值和标准差用于创建手术危险区。每个测量值的平均值分别为（1）34.63mm，（2）5.74mm，（3）-3.07mm 和（4）30.40mm。此外，观察到六种不同的分支模式，根据观察到的分支位置和数量进行组织和分类。
阴蒂背侧神经有多种分支模式，在大多数女性中通常沿着相同的路径行走。需要进一步研究阴蒂背侧神经的走行和三维位置，以保护女性生殖器的性感觉，因为涉及女性外阴的手术频率正在增加。
