30具成人尸体性腺动脉的研究

A. Wadhwa, S. Soni
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引用次数: 12

摘要

性腺动脉通常起源于腹主动脉。有关于这些动脉的不同起源的报道。在本研究中,我们调查了性腺动脉的起源和过程,并讨论了性腺动脉变异的临床意义。在60例解剖中,有55例可见性腺动脉起源于腹主动脉。其余5例中,3例出现肾源性腺动脉,2例在右侧,1例在左侧,2例出现肾上中源性腺动脉。目前的研究与教科书上的说法一致,即右睾丸动脉在大多数情况下通过下腔静脉,即27例(90%)。其余3例(10%)右侧睾丸动脉位于下腔静脉后方。在我们的研究中,总共60例解剖中,57例证实为I型(95%)。2例(3.3%)(11m, 16m)右侧可见II型征象。1例(1.7%)(20 M)睾丸左动脉直接起于主动脉,拱起于肾静脉,呈III型。在精索静脉曲张和睾丸隐睾等外科手术中,对睾丸动脉变化的认识变得非常重要。这里描述的变化是独特的,为外科医生解剖腹腔提供了重要的信息。
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A study of Gonadal Arteries in 30 Adult Human cadavers
The gonadal arteries normally arise from the abdominal aorta. There are reports about the variant origin of these arteries. In the present study, we investigated the origin and course of the gonadal arteries and clinical implications of variant gonadal arteries are discussed. Out of 60 dissections, in 55 cases the gonadal artery was seen arising from abdominal aorta. In the remaining 5 cases, gonadal artery of renal origin was present in 3 cases, two on right and one on left side and of middle suprarenal origin was present in 2 cases on the left side. The present study agreed with the text book account i.e. right testicular artery passing anterior to inferior vena cava in majority of the cases i.e. 27 (90%). In the remaining 3 cases (10%), the right testicular artery was posterior to inferior vena cava. In our study, out of a total of 60 dissections, 57 dissections confirmed to type I pattern (95%). In 2 cases (3.3%) (11 M, 16 M) a type II pattern was seen on the right side. In 1 case (1.7%) (20 M), the left testicular artery arose directly from the aorta and arched over the renal vein giving a type III pattern. Awareness of variations of the testicular arteries such as those presented here becomes important during surgical procedures like varicocele and undescended testes. The variations described here are unique and provide significant information to surgeons dissecting the abdominal cavity.
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期刊介绍: Clinical Medicine Insights: Reproductive Health is a peer reviewed; open access journal, which covers all aspects of Reproduction: Gynecology, Obstetrics, and Infertility, spanning both male and female issues, from the physical to the psychological and the social, including: sex, contraception, pregnancy, childbirth, and related topics such as social and emotional impacts. It welcomes original research and review articles from across the health sciences. Clinical subjects include fertility and sterility, infertility and assisted reproduction, IVF, fertility preservation despite gonadotoxic chemo- and/or radiotherapy, pregnancy problems, PPD, infections and disease, surgery, diagnosis, menopause, HRT, pelvic floor problems, reproductive cancers and environmental impacts on reproduction, although this list is by no means exhaustive Subjects covered include, but are not limited to: • fertility and sterility, • infertility and ART, • ART/IVF, • fertility preservation despite gonadotoxic chemo- and/or radiotherapy, • pregnancy problems, • Postpartum depression • Infections and disease, • Gyn/Ob surgery, • diagnosis, • Contraception • Premenstrual tension • Gynecologic Oncology • reproductive cancers • environmental impacts on reproduction, • Obstetrics/Gynaecology • Women''s Health • menopause, • HRT, • pelvic floor problems, • Paediatric and adolescent gynaecology • PID
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