系统解剖学英文版教学课件：The lymphatic system.pptVIP

Chapter two The lymphatic system Section one IntroductionI . Composition: lymphatic vessels , lymphatic tissue, lymphatic organs II. The lymphatic vessels1. Lymphatic capillary2. Lymphatic vessels3. Trunks : nine trunks →right and left jugular trunks, right and left subclavian trunks, right and left bronchomediastinal trunks,right and left lumbar trunks, intestinal trunk4. Lymphatic ducts: right lymphatic duct and thoracic duct III. The lymphatic tissue IV. The lymphatic organs Include lymph nodes, thymus,spleen and tonsils. 1. Lymph nodesa Mophology : bean-shaped matter. The afferent and efferent lymph vessels enter and leave the nodes.b Groups: superficial and deep lymph nodesc Regional lymph node Section two The lymphatic ducts1. The thoracic duct(left lymphatic duct)a. Coures :arise from the cisterna chyli and ends by opening into the left venous angle.b. Collecting lymph vessels: six trunks. About three-quarters of the body2. The right lymphatic duct three trunks. About upper right quadrant of the body. Section three The lymphatic drainageI. The lymphatic drainage of head 1. Location : around the adjoining part of the head and neck.2. Lymph nodes II. The lymphatic drainage of neck1. Anterior cervical lymph node2. Lateral cervical lymph nodea. Superficial lateral cervical lymph nodes: lie along external jugular v.b. Deep lateral cervical lymph nodes: lie along internal jugular v. 1) Superior deep lateral cervical lymph nodesretropharyngeal lymph nodes :nasopharyngeal cancerjugulodigastric lymph nodes juguloomohyoid lymph nodes2) Inferior deep lateral cervical lymph nodessupraclavicular lymph nodes ( left →Virchow lymph nodes ) : stomach cancer or esophageal cancerEfferents form jugular trunk III. The lymphatic drainage of upper limb1. Supratrochlear lymph nodes2. Infraclavicular nodes3. The axillary lymph nodesanterior group(pectoral lymph nodes)lateral groupposterior group(subscapular group)central groupapical group: eff