内部精子静脉的腹腔镜解剖学特征在内阴环区域上方2厘米处
Jiangsong Li1, Chen Chen1,2, Wei Zhao1
1Department of Urology, Liaocheng People's Hospital, Liaocheng, Shandong, China.
ANZ journal of surgery
|January 16, 2026
概括
腹腔镜静脉切除术揭示了环上方2厘米内部精子静脉的独特解剖特征. 了解这些特征,包括静脉数变化,可以改善手术结果并减少并发症.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术解剖学 手术解剖学
- 最少侵入性的手术
背景情况:
- 静脉影响男性生育能力,通常用手术绑定内部精子静脉来治疗.
- laparoscopic varicocelectomy 是一种标准的治疗方法,需要精确识别血管结构以确保有效性和安全性.
研究的目的:
- 在腹腔镜静脉切除术期间,在内环上方2厘米处划出内部精子静脉 (ISV) 的解剖特征.
- 为了确定ISV数量和与丸动脉和淋巴血管的空间关系的变化,在静脉患者中.
主要方法:
- 对447名经过腹腔镜静脉瘤切除术的原发性静脉瘤患者的临床数据进行了回顾性分析.
- 系统地记录ISV的数量,位置和外观,丸动脉和淋巴血管在内环上方2厘米处.
主要成果:
- 常见的ISV呈暗红色,直立,膨胀;丸动脉扭曲和脉动;淋巴血管是白色和闪闪发光.
- 在患有左侧静脉瘤的患者中,内 inguinal 环上方的 ISV 的平均数为 2.29 ± 0.12 在左侧.
- 在双侧静脉中,左侧有2.30 ± 0.04 ISV,右侧有2.07 ± 0.04 ISV,这是统计学上显著的差异 (p ≤ 0.05).
结论:
- 在内环上方2厘米处的解剖结构通过腹腔镜清晰可视化.
- 国际静脉血管,动脉和淋巴血管的独特特征有助于减少错过的带并防止意外损伤.
- 这些发现为增强治疗疗效和尽量减少静脉瘤切除术中的手术并发症提供了解剖学的基础.
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