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目的:为临床行睾丸静脉分流术治疗小儿精索静脉曲张症提供应用解剖学资料。方法:在34侧小儿标本上,解剖观测了睾丸静脉、腹壁浅静脉的起始、位置、外径及分离长度。结果:腹壁浅静脉由脐下浅静脉汇成,以腹股沟为标志线,静脉在距前正中线3.5±0.8cm处,位于浅筋膜内几乎垂直下行注入大隐静脉,分离长度6.0±1.7cm,中1/3外径2.0±0.3mm。结论:腹壁浅静脉是治疗小儿精索静脉曲张症较为理想的分流血管。
OBJECTIVE: To provide anatomic data for clinical application of testicular venous shunt in pediatric varicocele. Methods: On the 34 pediatric specimens, the beginning, the location, the outer diameter and the separation length of the testis veins and superficial veins were observed anatomically. Results: The ventral superficial veins were merged by the superficial umbilical veins. The inguinal line was marked. The veins were 3.5 ± 0.8 cm from the anterior midline and almost vertical downward in the superficial fascia. .0 ± 1.7cm, 1/3 diameter 2.0 ± 0.3mm. Conclusion: Superficial abdominal veins is an ideal shunt for treating pediatric varicocele.