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男性盆腔内脏神经与盆筋膜及盆内脏器的毗邻关系复杂,且个体形态学差异大,临床上涉及肛肠外科、泌尿外科、男科等多个学科,应用甚广。近年来,对内脏神经的术中保护越来越受到重视。男性盆腔内脏神经主要包括上腹下丛、腹下神经、下腹下丛(即盆丛)、盆内脏神经、膀胱丛、前列腺丛、直肠丛及其分支等。现已证明盆腔内脏神经的损伤会给患者的排便、排尿及阴茎勃起等造成功能障碍。熟悉男性盆腔内脏神经及其分支的形态特点及其与周围结构的关系,能降低手术并发症,提高患者术后生活质量。
Male pelvic visceral nerve and pelvic fascia and pelvic organ adjacent to the complex relationship between the individual morphological differences, clinical involving anorectal surgery, urology, and many other disciplines, is widely used. In recent years, more attention has been paid to intraoperative protection of visceral nerves. Male pelvic visceral nerve mainly includes the lower abdomen plexus, hypogastric nerve, the lower abdomen plexus (ie, pelvic plexus), pelvic visceral nerve, bladder plexus, prostate plexus, rectum plexus and its branches. It has been demonstrated that pelvic visceral nerve damage can cause dysfunction in patients with defecation, urination and penile erection. Familiar with male pelvic visceral nerve morphology and its branches and its relationship with the surrounding structure, can reduce surgical complications and improve postoperative quality of life.