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[奇静脉下系统、卵巢静脉和精索静脉的放射解剖学]

[Radiographic anatomy of the inferior azygos system, the ovarian and spermatic veins].

作者信息

Gillot C

机构信息

Laboratoire d'anatomie, Unité Biomédicale des Saints-Peres, Paris.

出版信息

Phlebologie. 1993 Jul-Sep;46(3):355-88.

PMID:8248303
Abstract

The spermatic vein is tributary at the right of the infra-renal cava mainstem and at the left of the renal vein. It is fitted with an ostium or pre-ostium valvula which is normally tight. In the broad ligament of the uterus, the ovarian vein exchanges plexiform anastomosi with the homolateral or contralateral uterine vein through pre- or retro-uterine arches. The spermatic or ovarian reflux is more frequent on the left. Retrograde venography under cava occlusion is a good means to explore these vessels. The big Azygous vein joins the sub-renal vena cava by two roots. The internal root, which is often slender, perforates vertically the dialitic membrane. The external root, bigger, is the vein in L2; the lateral part of its track takes place in the psoas where it gains veins proceeding from the foramina of the adjacent conjugations. On the left side, the roots of the hemi-Azygos appear most frequently in the left-renal vein. There may be a single root: the external root is the Lejars' arch. The variations of the derivative cavo-cava system represented by the Azygos veins are studied on the anatomical plan. Pathological literature complements this study.

摘要

精索静脉在肾下腔主干右侧及肾静脉左侧汇入。它有一个开口或开口前瓣膜,通常是紧密的。在子宫阔韧带内,卵巢静脉通过子宫前或子宫后弓与同侧或对侧子宫静脉进行丛状吻合。精索或卵巢反流在左侧更常见。腔静脉阻塞下的逆行静脉造影是探查这些血管的好方法。奇静脉通过两根汇入肾下腔静脉。内侧根通常较细,垂直穿过膈肌。外侧根较粗,是L2的静脉;其走行的外侧部分在腰大肌内,在此处它接纳来自相邻椎间孔的静脉。在左侧,半奇静脉的根最常出现在左肾静脉内。可能有单个根:外侧根是勒雅尔弓。从解剖学角度研究了以奇静脉为代表的腔静脉系统衍生物的变异。病理学文献补充了这项研究。

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