Sofikitis N, Dritsas K, Miyagawa I, Koutselinis A
Department of Forensic Medicine, Athens University School of Medicine, Greece.
Arch Androl. 1993 Mar-Apr;30(2):79-85. doi: 10.3109/01485019308987738.
Autopsy was performed on 49 male cadavers and the entire course of the left testicular vein (LTV) was studied. The testicular venous pathway was divided into four levels: scrotal, inguinal, pelvic, and lumbar. At the scrotal level, many small testicular veins constituting the pampiniform plexus showed various anastomoses with the cremasteric and vasal veins. At the inguinal and pelvic level, 4-12 and 2-8 LTVs were recognized, respectively. At the pelvic level, absence of valves was seen in 33% of the cases. At the lumbar level, 1-5 LTVs were observed and were mainly anastomosed with the retroperitoneal, ureteral, and kidney capsular veins. Absence of valves at the lumbar level was seen in 37% of the cases. In 11 cases, the valves that were present were incompetent. The presence of more than one LTV at the lumbar level indicates the necessity for attentive identification of all of the testicular veins during surgical treatment of varicocele.
对49具男性尸体进行了尸检，并研究了左侧睾丸静脉（LTV）的全程。睾丸静脉途径分为四个水平：阴囊、腹股沟、盆腔和腰部。在阴囊水平，构成蔓状静脉丛的许多小睾丸静脉与提睾肌静脉和输精管静脉呈现出各种吻合。在腹股沟和盆腔水平，分别识别出4 - 12条和2 - 8条LTV。在盆腔水平，33%的病例中未见瓣膜。在腰部水平，观察到1 - 5条LTV，主要与腹膜后、输尿管和肾包膜静脉吻合。37%的病例在腰部水平未见瓣膜。在11例病例中，存在的瓣膜功能不全。腰部水平存在不止一条LTV表明在精索静脉曲张手术治疗期间必须仔细识别所有睾丸静脉。
