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目的:为经皮穿刺股静脉介入栓塞睾丸静脉治疗精索静脉曲张提供解剖学基础。方法:解剖测量20具成年尸体的睾丸静脉和肾静脉等。结果:①髂总静脉汇合处至左、右肾静脉之间的下腔静脉长度分别为 12.0 cm和 11.8 cm。②左、右肾静脉长度分别为 7.5 cm、3.0 cm;其中点处外径分别为 13.1 mm、11.7mm。③左肾静脉与下腔静脉之间形成的夹角平均为77.9°,左侧睾丸静脉汇入点距下腔静脉的间距为3.4cm,在此处其外径平均为3.5 mm,左侧睾丸静脉与左肾静脉间形成的夹角平均为 105.6°,汇入点在左肾静脉下壁的占55%(11侧);前下壁的占35%(7侧);前壁的仅占10%(2侧)。结论:本文为行睾丸静脉介入栓塞治疗精索静脉曲张术时提供髂总静脉的长度和下腔静脉与肾静脉的夹角,左睾丸静脉内侧肾静脉的长度、外径,左侧睾丸静脉与肾静脉之间的夹角以及汇入点在肾静脉壁的位置等应用解剖学资料。
Objective: To provide anatomic basis for the treatment of varicocele by percutaneous puncture of the femoral vein with embolization of the testicular vein. Methods: Twenty adult testes and renal veins were dissected. Results: The length of IVC between the left common vein and the right renal vein was 12.0 cm and 11.8 cm, respectively. ② The length of the left and right renal veins were 7.5 cm and 3.0 cm, respectively. The outer diameters at the midpoint were 13.1 mm and 11.7 mm respectively. ③ left renal vein and the formation of the inferior vena cava between the average angle of 77.9 °, the left ventricular septum import distance from the inferior vena cava is 3.4cm, where the average diameter of 3.5 mm, the angle formed between left testicle vein and left renal vein was 105.6 ° on average, with 55% (11 sides) of the inferior wall of the left renal vein at the entry point and 35% (7 sides ); Only 10% of the anterior wall (2 sides). Conclusion: This article provides the length of the common iliac vein for the treatment of varicocele under testicular vein embolization and the angle between the inferior vena cava and the renal vein, the length of the left renal vein, the diameter of the left testicular vein, The angle between the renal vein and the location of the renal vein in the import point of the application of anatomical data.