会阴解剖图示分析报告.pptVIP

Appendix II  The Perineum (会阴) A. The Anal Region (triangle) [肛区 (肛三角)] B. The Urogenital Region (triangle) [尿生殖区 (尿生殖三角)] A. The Anal Region (Triangle) 1. Pelvic diaphragm (盆膈) 1) superior fascia of pelvic diaphragm (盆膈上筋膜) 2) levator ani (肛提肌) coccygeus (尾骨肌) 3) inferior fascia of pelvic diaphragm (盆膈下筋膜) 2 Anal canal (肛管) 1. Internal structure 1) anal columns (肛柱) 2) anal valves (肛瓣) [fissure in ano 肛裂] 3) anal sinuses (肛窦) [anal fistula 肛瘘] 4) dentate (anocutaneous) line (齿状线) 5) anal pecten (肛梳) [pile (hemorrhoid) 痔] 6) white line (intersphincter sulcus) (白线) 7) anus (肛门) [examination per anus 肛门检查] 2. ? Muscles 1) sphincter ani internus (肛门内括约肌) 2) sphincter ani externus (肛门外括约肌) a. subcutaneous part (皮下部) b. superficial part (浅部) c. deep part (深部) [fecal incontinence 大便失禁] pudendal nerve (S2-4) → anal nn. → perineal nn. → dorsal n. of penis (clitoris) B. The Urogenital Region (triangle) 1. Superficial fascia of perineum (Colles) (会阴浅筋膜) c. deep perineal space (会阴深间隙) i. deep transverse muscle of perineum (会阴深横肌) ii. sphincter of urethra M: (尿道括约肌) urethrovaginal sphincter F: (尿道阴道括约肌) Accessory gland The greater vestibular (Bartholin’s) glands On either side of vaginal orifice Open into vestibule at orifice of vagina II. The external reproductive organs Mons pubis Greater lips of pudendum Lesser lips of pudendum Vaginal vestibule Clitoris Bulb of vestibule The External Genital Organs (外生殖器) A. THE SCROTUM (阴囊) B. THE PENIS (阴茎) The external reproductive organs Pouch of thin skin lying below the root of the penis Divided into two haves by septum of scrotum, contains testes and their ducts Deep to skin is dartos coat , a connective tissue layer that contains many smooth muscle fibers which contracts in response to cold, pulling the testes clo