输精管精索部的应用解剖  

Clinical anatomy of the funicular part of spermatic duct

作　　者：吕伯实[1] 刘中华[1] 朱继明[1] 

机构地区：[1]泰山医学院解剖学教研室

出　　处：《中国临床解剖学杂志》1998年第1期74-75,共2页Chinese Journal of Clinical Anatomy

摘　　要：目的：为输精管结扎术、吻合术的临床应用提供形态学基础。方法：选用３０具成人男性尸体对输精管精索部进行了解剖学观测。结果：输精管精索部位于精索后方，睾丸动脉位于中央，静脉位于最前方，生殖股神经生殖支位于输精管精索部外侧。输精管精索部长左侧７．６±２．９（５０～１１．３）ｃｍ；右侧７．３±３．２（５．２～１１．０）ｃｍ。其内径左、右侧均为０．６±０．１（０．４～０．８）ｍｍ。经统计学处理（Ｐ＞０．０５）左右侧均无显著性差异。结论：在输精管结扎术、吻合术手术时应注意保护输精管外侧的生殖股神经生殖支、输精管精索部管径小、壁厚、吻合成功率高。因管径小、术后不宜安放支架，以免术后引起管腔阻塞。bjective: The study was designed to provide morphological basis for vasoligation and anastomosis of spermatic duct. Methods:The funicular part of spermatic duct was dissected and measured on 30 adult male cadaveric specimens.Results:The spermatic cord was in front of funicular part of spermatic duct and the genital branch of genitofermoral nerves was at the lateral.There were no significant differences between the right and the left lengths or diameters of the funicular part of spermatic duct.Conclusions:The genital branch of genitofermoral nerves should be protected during operation.It is easy to anastomose the spermatic duct at this part.

关 键 词：输精管 精索部 输精管结扎术 输精管吻合术 

分 类 号：R322.64[医药卫生—人体解剖和组织胚胎学] R699.8[医药卫生—基础医学]