(妇产科学)年制natomy中文.ppt

为髂内动脉前干分支，在腹膜后沿骨盆侧壁向下向前行，经阔韧带基底部、宫旁组织到达子宫外侧，距宫颈内口水平约2cm处横跨输尿管至子宫侧缘，此后分为上、下两支:上支较粗，沿子宫上缘迂曲上行称宫体支，至宫角处又分为宫底支(分布于宫底部)卵巢支(与卵巢动脉末梢吻合)及输卵管支(分布于输卵管)；下支较细，分布于宫颈及阴道上段称宫颈-阴道支。 THE UTERUS Blood Supply LYMPHATIC DRAINAGE 子宫淋巴回流：阔韧带上部淋巴网---骨盆漏斗韧带---腹主动脉旁淋巴结 前壁---圆韧带---腹股沟，或----膀胱淋巴结 后壁---骶韧带---直肠淋巴结 下段---宫旁---闭孔---髂内、髂外淋巴结---髂总 宫颈淋巴回流：宫旁---闭孔---髂内、髂外---髂总---腹主动脉旁---骶前 THE FALLOPIAN TUBE 输卵管 It is described in four parts: the interstitial portion: 间质部 the isthmus: 峡部 The ampulla 壶腹部 fimbriae portions: 伞部. . fluid accumulated in the pelvic cavity hysterosalpingography THE OVARIES 卵巢 Columnar epithelium Cortex: various stages of follicles Medulla: connective tissue , fibers, smooth muscle cells, blood vessels, nerves, lymphatic vessels (1) primodial follicles ( 2) oocyte (3)nucleus of oocyte ( 4) zona pellcida (5) Corpora radiata (6) Zona granulosa (7)Follicular space (8) Theca interna (9) theca externa (10) Stroma (11) germinal epithelium corpus luteum THE OVARIES 卵巢动脉 自腹主动脉分出（左侧可来自左肾动脉）。在腹膜后沿腰大肌前下行至骨盆腔，跨过输尿管与髂总动脉下段，经骨盆漏斗韧带向内横行，再经卵巢系膜进入卵巢门。卵巢动脉分出若干支供应输卵管，其末梢在宫角附近与子宫动脉上行的卵巢支相吻合。 妇科手术中 注意保留卵巢功能 LYMPHATIC DRAINAGE 卵巢淋巴回流 盆漏斗韧带---腹主动脉旁淋巴结 卵巢门---髂内、髂外淋巴结---髂总---腹主动脉旁淋巴结 圆韧带---髂外---腹股沟淋巴结 The external genitalia 外生殖器官 mons pubis 阴阜 THE VULVA labia majora 大阴唇 labia minora prepuce 小阴唇 Frenulum labium pudendal Frenulum The vestibule 前庭 Vestibular bulb 前庭球 Bartholin‘s glands 前庭大腺 The clitoris 阴蒂 Hymen: 处女膜. 阴部内动脉 髂内动脉前干终支，到达会阴 和肛门后分为4支 痣下动脉-直肠下段和肛门 会阴动脉-会阴浅部 阴唇动脉-大小阴唇 阴蒂动脉-阴蒂和前庭球 LYMPHATIC DRAINAGE 外阴淋回流巴 腹股沟浅---腹股沟深---闭孔---髂内 骨盆 骨盆的组成 ilium 髂骨 coccyx 尾骨 ischium 坐骨 sacrum 骶骨 pubis 耻骨 骶 岬 * The uterus is classically pear-shaped and weighs 40 to 50 grams in the nulliparous patient and approximately 60 to 80 grams in the multiparous patient. The uterus consists of a body and fundus. The fundus is that portion of the uterus at and above the lev