卵巢的淋巴流向

本文在90例女性新生儿及婴儿尸体上,用器官内淋巴管注射方法,观察了卵巢的淋巴流向。实验材料分为3组,每组各30例(60侧)。第1组:由卵巢注入普鲁士蓝氯仿溶液。每个卵巢发出4～10条集合淋巴管,沿卵巢动、静脉上行,注入腰淋巴结。右侧卵巢的集合淋巴管多是注入主动脉腔静脉间淋巴结,一部分人腔静脉外侧淋巴结、腔静脉前淋巴结及主动脉下淋巴结。左侧卵巢的集合淋巴管多是注入主动脉外侧淋巴结;一部分入主动脉前淋巴结。第2组:先结扎两侧卵巢悬韧带,然后进行注射。有26侧(43％)卵巢发出的1～2条集合淋巴管,经过子宫阔韧带,注入髂间淋巴结、髂内淋巴结及髂外淋巴结。第3组:同时结扎两侧卵巢悬韧带和卵巢固有韧带,然后再进行注射。有19侧(31％)卵巢的1条集合淋巴管,经过子宫阔韧带,注入髂间淋巴结、髂外淋巴结及髂内淋巴结。本文研究表明,卵巢的淋巴可通过上、下两条路径。在正常情况下,都向上汇入腰淋巴结;当结扎卵巢悬韧带后,则可向下进入盆部的淋巴结。

THE LYMPHATIC DRAINAGE OF THE OVARY

A study of the lymphatic drainage of the ovary in 90 infant cadavers was carried out by injecting into the lymphatics. The specimens were divided into threegroups: in 30 cases the Prussian Blue was injected into the substance of the ovary; in the other 30 cases the infundibulopelvic ligaments were ligated before injection; in the remainder the infundibulopelvic and utero-ovarian ligaments were ligated before injection. The first group: 4-10 lymphatics emerging from the hilus of the ovary ascend along the ovarian blood vessels and terminate in the lumbar nodes. The lymphatics. from the right ovary mostly open into the interaorticocaval nodes and some of them end in the laterocaval nodes, the precaval nodes and the subaortic nodes. The lymphatics from the left ovary mostly end in the lateroaortic nodes and some of them empty into the preaortic nodes. The second group: in 26 sides of the specimens (43%); 1-2 lymphatics emerging from the ovary reach the pelvic wall through the broad ligament and terminate in the interiliac nodes, the internal iliac nodes or the external iliac nodes. The third group: in 19 sides of the specimens (32%), the lymphatics of the ovary also open into the interiliac nodes, the external iliac nodes or the internal iliac nodes. The results demonstrate that the lymph of the ovary drains into the lumbar nodes under normal conditions, and when the primary pathway is ligated the lymph of the ovary may drain into the pelvic nodes.