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1、Abdominalwall 山东大学医学院解剖教研室李振华 Anteriorwall Layers fromsuperficialtodeep SkinSuperficialfasciaAnterolateralmusclesTransversalisfascia腹横筋膜Extraperitonealfascia腹膜下筋膜Parietalperitoneum壁腹膜 Superficialfascia divisionsbelowumbilicusSuperficialfattylayer Camper s Membranouslayer Scarpa s Musclesofabdomen An
2、terolateralgroupObliquusexternusabsominis腹外斜肌Oblequusenternusabdominis腹内斜肌Transversusabdominis腹横肌Rectusabdominis腹直肌 PosteriorgroupQuadiatuslumborum腰方肌Psoasmajor腰大肌 Obliquusexternusabsominis腹外斜肌 Generaldirectionoffibers downward forwardandmedially rundownandinward StructuresInguinalligament腹股沟韧带Lacun
3、arligament腔隙韧带Superficialinguinalring腹股沟浅环 triangular shapeddefectinaponeurosisofobliquusexternusabdominisabovepubictubercle Obliquusinternusabdominis腹内斜肌 DeeptoobliquusexternusabdominisGeneraldirectionoffibres upwards forwardsandmedially Transverselsabdominis腹横肌 Deeptoobliquusinternus Inguinalfalx腹
4、股沟镰 archoverspermaticcord insertedwithtransversesabdominisfiberintomedialpartofpectenofpubisCremaster提睾肌 aroundthespermaticcordandtestis Rectusabdominis腹直肌 Position lieontoeitherofmidlineOrigin pubiccrestandsymphysisInsertion xiphoidand5th 7thcostalcartilagesHas3 4tendinousintersections腱划lineasemilu
5、aris半月线 Similarfunctionsforabovefourpairsofmuscles SupportandcompresstheabdominalvisceraIncreaseintra abdominalpressure aidinexpulsiveefforts vomiting coughing sneezing defecation urinationandchildbirth Depressribs assistin theactofforce 4 expiration Flex lateralflex androtatevertebralcolumn Sheatho
6、frectusabdominis腹直肌鞘 Antlayer formedbyfusionofaponeurosisofobliquusexternusabdominisandanteriorleafofaponeurosisofobliquusinternusabdominisPostlayerFormedbyfusionofposterionleafofaponeurosisofobliquusinternusabdominisandaponeurosisoftransversesabdominisAbsentinabout4 5cmbelowtheumbilicus whereaponeu
7、rosesofallthreemusclesformanteriorlayerthelowerfreebordernamedarcuatelineBelowthislinerectusabdominisincontactwithtransversefascia Lineaalba白线 tendinousraphebetweenrightandleftrectifromxiphoidtopubicsymphysis Inguinalregion腹股沟区 BoundariesInguinalligamentLateralmarginofrectusabdominisAhorizontallines
8、tretchingfromanterioriliacspinetolaeralmarginofrectusabdominis Descentoftestes Seven weekembryoshowingthetestisbeforeitsdescentfromthedorsalabdominalwall Fetusat28weekthetestispassingthroughtheinguinalcanal Newborn Inguinalcanal腹股沟管 Position obliquepassage 4cmlong located1 5cmabovemedialhalfofinguin
9、allig BoundariesAntwallAponeurosisofobliquusexternusabdominisObliquusinternusabdominis lateralthirdofwall PostwallTransversefasciaInguinalflaxmediallyRoof archedlowerfibersofobliquusinternusandtransversuaabdominisFloor inguinallig TwoopeningsSuperficialinguinalring腹股沟浅环Deepinguinalring腹股沟深环 defectin
10、transversefascia1 5cmabovemidpointofinguinalligament StructurespassingthroughtheinguinalcanalSpermaticcord精索andilioinguinalnerve髂腹股沟神经inmalesRoundligamentofuterus子宫圆韧带andilioinguinalnerve髂腹股沟神经infemales InguinalTriangle ofHesselbach 腹股沟三角 BoundariesInguinalligamentinferiorlyLateralborderofrectusabdo
11、minismediallyInferiorepigastricarterylaterally Indirectinguinalheiniaanddirecetinguinalheinia Superficialvesselsandcutaneousnerves ArteriesSuperficialepigastrica Superficialiliaccircumflexa VeinsThoracoepigastricv Superficialepigastricv CutaneousnervesAnteriorandlateralcutaneousn oflowersixthoracicI
12、liohypogastricn firstlumbnerves Deepvesselsandnerves ArteresSuperiorandinferiorepigastricarterisLowerposteriorintercostala Subcostala Fourlumbara NervesIliohypogastricn 髂腹下神经ArisesfromlubarplexusPassesforwardintheintervalbetweenobliquusinternusandtranversusabdominisPiecesobliquusinternusabdominis2 5
13、cmmedialtoanteriorsuperioriliacspinePiecesaponeurosisofobliquusexternusabdominisabout2 5cmabovesuperficialinguinalringIlioinguinaln 髂腹股沟神经Runsparallelwithiliohypogastricn atalowerlevelEntersinguinalcanalandemergesthroughsuperficialinguinalringGenitofemoraln 生殖股神经 Layer Abdomen2 山东大学医学院解剖教研室李振华 Abdom
14、inalaorta腹主动脉 ContinuationofthoracicaortaataortichiatusofdiaphragminfrontofT12TerminatesatlowerborderofL4vertebrabydividingintorightandleftcommoniliacarteries ParietalbranchesInferiorphrenica 膈下动脉 onepair Lumbara 腰动脉 fourpairsofarteriesthatsupplytheposteriorabdominalwall Mediansacrala 骶正中动脉 Visceral
15、branchesPairedbranchesMiddlesuprarenalartery肾上腺中动脉Renalartery肾动脉Testicular ovarian artery睾丸 卵巢 动脉 UnpairedbranchesCeliactrunk腹腔干 ashortthickvesselthatarisesfromthefrontofaorta atthelevelofT12Superiormesenterica 肠系膜上动脉 arisesfromthefrontofaorta atthelevelofL2Inferiormesenterica 肠系膜下动脉 arisesfromthefr
16、ontofaorta atlevelofL3 Celiactrunk Celiactrunk Colicmarginalartery RelationsofabdominalaortaAnteriorly fromabovedownward PancreasAscendingpartofduodenumRadixofmesenteryPosteriorlyUpperfourlumbervertebraeOnitsrightInferiorvenacavaOnitsleftLeftsympathetictrunk Veinsofabdomenandpelvis Internaliliacvein髂内静脉Parietaltributaries accompanywitharteriesVisceraltributaries superiorrectalvein inferiormesentericv Rectalvenousplexus inferiorrectalvein internaliliacv 直肠静脉丛 analvein internalpudendalv Vesicalven
