腹部概述腹前外侧壁解剖.ppt

January, 2007 Copyright? Depart. Anatomy, School of Medicine, Lanzhou University. All right reserved by YP HOU and YF SONG 　腹横肌：肌纤维起自下6对肋骨内面、髂棘、胸腰筋膜及腹股沟韧带外侧1/3，自后向前内侧横行，在腹直肌外侧移行为腱膜。 腹横肌 January, 2007 Copyright? Depart. Anatomy, School of Medicine, Lanzhou University. All right reserved by YP HOU and YF SONG 腹横肌与腹内斜肌共同形成的结构： ①弓状下缘 ②腹股沟镰（联合腱） ③提睾肌 January, 2007 Copyright? Depart. Anatomy, School of Medicine, Lanzhou University. All right reserved by YP HOU and YF SONG 4、腹横筋膜 腹横筋膜为腹内筋膜的一部分，位于腹横肌深面，形成的结构有： 凹间韧带 腹股沟管深环 精索内筋膜 January, 2007 Copyright? Depart. Anatomy, School of Medicine, Lanzhou University. All right reserved by YP HOU and YF SONG 5、腹膜外组织 腹膜外组织又称腹膜外脂肪，是位于腹横筋膜与壁腹膜之间的疏松结缔组织，向后与腹膜后隙的疏松结缔组织相续。在腹股沟区此层含脂肪较多。输精管、腹壁下动脉等均行于此层内，临床行泌尿外科和妇产科手术，尽量避免进入腹膜腔，经腹膜外组织入路进行。 January, 2007 Copyright? Depart. Anatomy, School of Medicine, Lanzhou University. All right reserved by YP HOU and YF SONG 6、壁腹膜 皱襞 脐正中襞 脐内侧襞 脐外侧襞 隐窝 腹股沟内侧窝 膀胱上窝 腹股沟外侧窝 January, 2007 Copyright? Depart. Anatomy, School of Medicine, Lanzhou University. All right reserved by YP HOU and YF SONG 腹前外侧壁的血管、神经 1.血管 ①腹壁上、下动脉 ②下5对肋间后动脉 ③肋下动脉 ④4对腰动脉 ⑤旋髂深动脉 January, 2007 Copyright? Depart. Anatomy, School of Medicine, Lanzhou University. All right reserved by YP HOU and YF SONG 腹壁下动脉 　　 腹壁下动脉是髂外动脉经过腹股沟韧带深面时发出的分支，其体表投影为腹股沟韧带中内1/3交点与脐的连线。故腹膜腔穿刺应在此线的外上方，以免损伤腹壁下动脉。 January, 2007 Copyright? Depart. Anatomy, School of Medicine, Lanzhou University. All right reserved by YP HOU and YF SONG 　　 旋髂深动脉：与腹壁下动脉同一水平发自髂外动脉，经髂前上棘内侧，行向髂棘前部的上缘，在此分支入髂棘内唇，临床上常取其为营养动脉的带血管蒂髂骨移植。 旋髂深动脉 January, 2007 Copyright? Depart. Anatomy, School of Medicine, Lanzhou University. All right reserved by YP HOU and YF SONG 2. 神经 第7-12胸神经前支 髂腹下神经 髂腹股沟神经 生殖股神经 January, 2007 Copyright? Depart. Anatomy, School of Medicine, Lanzhou University. All right reserved by YP HOU and YF SONG 第7-12胸神经前支 January, 2007 Copyright? Depart. Anatomy, School of Medicine, Lanzhou University. All right reserved