Abstract：
OBJECTIVE: Pelvic gynecological surgeries, whether for malignant or benign conditions, frequently result in functional complications due to injuries to the autonomic nervous system. Recognizing the deep uterine vein (DUV) as an essential anatomical reference can aid in preserving these structures. Despite its significance, the DUV is infrequently studied and lacks comprehensive documentation in Terminologia Anatomica. This research endeavors to elucidate a detailed characterization of the DUV.
METHODS: We undertook a systematic literature review aligning with the \"PRISMA\" guidelines, sourcing from PUBMED and EMBASE. Our comprehensive anatomical examination encompassed cadaveric dissections and radio-anatomical evaluations utilizing the Anatomage® Table.
RESULTS: The literary exploration revealed a consensus on the DUV\'s description based on both anatomical and surgical observations. It arises from the merger of cervical, vesical, and vaginal veins, coursing through the paracervix in a descending and rearward direction before culminating in the internal iliac vein. The hands-on anatomical study further delineated the DUV\'s associations throughout its course, highlighting its role in bifurcating the uterus\'s lateral aspect into two distinct zones: a superior vascular zone housing the uterine artery and ureter and an inferior nervous segment below the DUV representing the autonomic nerve pathway.
CONCLUSIONS: A profound understanding of the subperitoneal space anatomy is paramount for pelvic surgeons to mitigate postoperative complications. The DUV\'s intricate neurovascular interplays underscore its significance as an indispensable surgical guide for safeguarding nerves and the ureter.
METHODS: We undertook a systematic literature review aligning with the \"PRISMA\" guidelines, sourcing from PUBMED and EMBASE. Our comprehensive anatomical examination encompassed cadaveric dissections and radio-anatomical evaluations utilizing the Anatomage® Table.
RESULTS: The literary exploration revealed a consensus on the DUV\'s description based on both anatomical and surgical observations. It arises from the merger of cervical, vesical, and vaginal veins, coursing through the paracervix in a descending and rearward direction before culminating in the internal iliac vein. The hands-on anatomical study further delineated the DUV\'s associations throughout its course, highlighting its role in bifurcating the uterus\'s lateral aspect into two distinct zones: a superior vascular zone housing the uterine artery and ureter and an inferior nervous segment below the DUV representing the autonomic nerve pathway.
CONCLUSIONS: A profound understanding of the subperitoneal space anatomy is paramount for pelvic surgeons to mitigate postoperative complications. The DUV\'s intricate neurovascular interplays underscore its significance as an indispensable surgical guide for safeguarding nerves and the ureter.
摘要：
目的：盆腔妇科手术，无论是恶性还是良性疾病，由于自主神经系统的损伤，经常导致功能性并发症。将深子宫静脉（DUV）识别为必要的解剖学参考可以帮助保留这些结构。尽管意义重大,DUV很少被研究，并且在TerminologiaAnatomica中缺乏全面的文献。本研究试图阐明DUV的详细表征。
方法：我们根据“PRISMA”指南进行了系统的文献综述，从PUBMED和EMBASE采购。我们的全面解剖检查包括尸体解剖和放射解剖评估利用Anatomage®表。
结果：文学探索揭示了基于解剖和手术观察的DUV描述的共识。它源于宫颈的合并，vesical,和阴道静脉，沿下降和向后的方向穿过颈旁，然后最终进入the内静脉。动手解剖学研究在整个过程中进一步描绘了DUV的关联，强调其在将子宫的外侧分叉成两个不同的区域中的作用：容纳子宫动脉和输尿管的上血管区和代表自主神经通路的DUV下方的下神经段。
结论：对腹膜下间隙解剖结构的深刻理解对于骨盆外科医生减轻术后并发症至关重要。DUV复杂的神经血管相互作用强调了其作为保护神经和输尿管不可或缺的手术指南的重要性。
方法：我们根据“PRISMA”指南进行了系统的文献综述，从PUBMED和EMBASE采购。我们的全面解剖检查包括尸体解剖和放射解剖评估利用Anatomage®表。
结果：文学探索揭示了基于解剖和手术观察的DUV描述的共识。它源于宫颈的合并，vesical,和阴道静脉，沿下降和向后的方向穿过颈旁，然后最终进入the内静脉。动手解剖学研究在整个过程中进一步描绘了DUV的关联，强调其在将子宫的外侧分叉成两个不同的区域中的作用：容纳子宫动脉和输尿管的上血管区和代表自主神经通路的DUV下方的下神经段。
结论：对腹膜下间隙解剖结构的深刻理解对于骨盆外科医生减轻术后并发症至关重要。DUV复杂的神经血管相互作用强调了其作为保护神经和输尿管不可或缺的手术指南的重要性。
