男性盆丛解剖标志在下尿路手术中的意义  

Roles of anatomical landmark in male pelvic plexus on lower urinary tract surgery

作　　者：陈凌武[1] 梅骅[1] 王晓波[1] 朱全胜[1] 洪衍波 

机构地区：[1]广州中山医科大学附属第一医院泌尿外科,中山医科大学病理教研室,中山医科大学解剖教研室

出　　处：《临床泌尿外科杂志》1996年第5期272-275,共4页Journal of Clinical Urology

摘　　要：为探寻下尿路手术中避免损伤盆丛的解剖标志，对１０个盆腔器官标本作盆丛大体解剖或大切片，观察盆丛与盆腔器官的毗邻关系。结果表明：盆丛位于直肠的前外侧，精囊腺的后外侧，在前列腺基底部与前列腺外侧的血管形成神经血管束，于尿道膜部的外侧和后外侧穿过尿生殖膈。认为精囊腺和神经血管束可作为下尿路术中避免损伤盆丛的解剖标志。文中还对盆丛的解剖分布及其与医源性阳萎的关系进行了讨论。In an effort to delineat the exact relation of pelvic plexus to its adjacent organs, detailed anatomy on pelvic plexus or observation on whole mount sections of pelvic organs were carried out on 10 male cadavers. The study demonstrated that the pelvic plexus was located on the anterolateral to the rectum, posterolateral to the seminal vesicle, gradually forming neurovascular bundles (NVB) at the level of prostate and finally penetrating genitourinary diaphragm on lateral and posterolateral to the membranous urethra. Therefore the seminal vesicle and NVB can be used as landmarks intraoperatively to avoid injury to the pelvic plexus. Relation between anatomical distribution of pelvic plexus and impotence were also discussed.

关 键 词：盆丛 解剖学 下尿路手术 阳萎 

分 类 号：R699.6[医药卫生—泌尿科学]