读书笔记前列腺血管与神经超声英文

点击上方“小于大夫的超声角”订阅喔

前列腺の血管与神经Theprostateissuppliedbytheprostaticovesicalarteries,whicharisefromtheinternaliliacarteriesoneachside.Thesevesselsthengivesrisetotheprostaticarteryandinferiorvesicalartery.前列腺的血供主要来源于前列腺膀胱动脉干（左右各一支），其来源于左右髂内动脉，这些血管再分支为前列腺动脉及膀胱下动脉。Theprostaticarterygivesrisetotheurethralandcapsulararteries.Theurethralarterysuppliesaboutonethirdoftheprostate,andthecapsularbranchessupplytheremainder.前列腺动脉前行分出尿道支及蔓状支。尿道分支血管供应?前列腺，而蔓状分支血管供应余下?前列腺。Theinferiorvesicalarterysuppliesthebladderbase,seminalvesicles,andureter.膀胱下动脉供应膀胱基底部、精囊腺以及输尿管。WithcolorDopplerultrasound,particularlyusingthepowermode,theprostateappearsmildlytomoderatelyvascular.运用CDF，特别是能量模式CDE，正常前列腺内见少-中量的彩色血流信号。CDI：对比CDE能量模式CDI血流显示受仪器设置影响较大Thecapsularandurethralarteriesareeasilyseen,andbranchestotheinnerglandandperipheralzonemaybeprominent,ofteninaspokelikeradialpatternwiththeperiurethralvesselsastheaxle.蔓状支及尿道支血管易探及，伸向内腺及外腺的细小分支亦显示清晰，呈放射状分布，而其两侧的蔓状支及尿道支即显示为放射的主轴。Adenseclusterofvesselsisoftenseencappingthebaseoftheprostate,andcaremustbetakennottomistakethesefortumorvascularity.密集树枝状血流分布常常在前列腺底部被探及，但不要误认为是肿瘤血管。Thenervesupplytotheprostatehasonlyrecentlybeenclarified,andnotalltextbooksarecurrent.前列腺的神经支配近些年才逐渐被阐明，并不是所有的教科书都会叙述到。ParasympatheticsupplyisthroughtheS2-S4sacralroots,andsympatheticsupplyisthroughthehypogastricnerve.前列腺的副交感神经支配是通过S2-S4骶神经根传递，而交感神经支配是通过腹下神经传递。These







































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