Lam S K, Clarnette T D, Hutson J M
F. Douglas Stephens Surgical Research Laboratory, Royal Children's Hospital, Parkville, Victoria, Australia.
Anat Rec. 1998 Feb;250(2):159-63. doi: 10.1002/(SICI)1097-0185(199802)250:2<159::AID-AR5>3.0.CO;2-Z.
The role of the gubernaculum in descent of the testis is controversial. The mechanism of testicular descent has been studied in the rat, because inguino-scrotal descent occurs postnatally in this species. Several authors have claimed that the cremasteric sac forms by eversion of the gubernacular cone, whereby regression of the extra-abdominal part of the gubernaculum creates a space into which the gubernacular cone everts to form the processus vaginalis within the scrotum. This postulated lack of any gubernacular migration phase contrasts with the situation in the human, where gubernacular migration appears to be an integral component of testicular descent. This study was designed to determine in the rat whether there is any gubernacular migration toward the scrotum during testicular descent, or whether eversion of the cremasteric sac alone could account for the extension of this sac into the bottom of the scrotum.
Oblique sagittal sections of the inguino-perineal region were taken from rats aged 21 days of gestation and days 1, 3, 4, 6, 8, and 10 days postnatally. Histological sections were examined and the following measurements were obtained: gubernacular cone height, gubernaculum-scrotum distance, processus vaginalis length, and pubic symphysis-anus distance.
The gubernaculum was not in close proximity to the developing scrotum at any age. After 21 days of gestation, there was little evidence of a substantial gubernacular bulb distal to the processus vaginalis. At all ages the gubernacular cone height was significantly less than the distance from the gubernaculum to the scrotum.
These results show that the gubernaculum does not develop in close proximity to the developing scrotum. Even if complete eversion of the gubernaculum takes place, the gubernaculum would still fail to reach the bottom of the scrotum. It is proposed that gubernacular eversion is more apparent than real and that some degree of gubernacular migration is needed for complete extension of the cremasteric sac to the bottom of the scrotum.
睾丸引带在睾丸下降过程中的作用存在争议。由于大鼠的腹股沟 - 阴囊下降在出生后发生,因此对大鼠睾丸下降机制进行了研究。几位作者声称,提睾肌囊是由睾丸引带圆锥的外翻形成的,由此睾丸引带腹外部分的退化形成一个空间,睾丸引带圆锥外翻进入该空间,在阴囊内形成鞘突。这种假定的缺乏任何睾丸引带迁移阶段的情况与人类的情况形成对比,在人类中,睾丸引带迁移似乎是睾丸下降的一个组成部分。本研究旨在确定在大鼠睾丸下降过程中是否存在任何朝向阴囊的睾丸引带迁移,或者单独的提睾肌囊外翻是否可以解释该囊延伸至阴囊底部的情况。
从妊娠21天以及出生后第1、3、4、6、8和10天的大鼠获取腹股沟 - 会阴区域的斜矢状切片。检查组织学切片并获得以下测量值:睾丸引带圆锥高度、睾丸引带 - 阴囊距离、鞘突长度和耻骨联合 - 肛门距离。
在任何年龄,睾丸引带都未紧邻发育中的阴囊。妊娠21天后,在鞘突远端几乎没有明显的睾丸引带球茎的证据。在所有年龄,睾丸引带圆锥高度均显著小于睾丸引带至阴囊的距离。
这些结果表明,睾丸引带并非在紧邻发育中的阴囊处发育。即使睾丸引带完全外翻,它仍无法到达阴囊底部。有人提出,睾丸引带外翻比实际情况更明显,并且提睾肌囊完全延伸至阴囊底部需要一定程度的睾丸引带迁移。