资源描述：
《腹部概述腹前外侧壁解剖课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。
1、January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG腹部ABDOMENJanuary,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG境界分区内容概述January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUnivers
2、ity.AllrightreservedbyYPHOUandYFSONG境界上界：剑突、肋弓、第11肋前端、第12肋下缘和第12胸椎下界:耻骨联合上缘、耻骨嵴、耻骨结节、腹股沟韧带、髂嵴至第5腰椎下缘的连线。January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG分区九分法四分法January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.Allri
3、ghtreservedbyYPHOUandYFSONG内容腹壁结肠上区结肠下区、腹膜后隙January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG腹前外侧壁层次局部结构睾丸下降与腹股沟疝的关系January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG层次1、皮肤2、浅筋膜3、肌层4、腹
4、横筋膜5、腹膜外组织6、壁腹膜January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG1、皮肤腹前外侧壁的皮肤薄而富有弹性,临床常选择为游离皮瓣的供皮区。January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG腹前外侧壁浅筋膜较厚，在脐平面以下分浅、深两层。①浅层：为含大量脂肪组织
5、的Camper筋膜(脂肪层)，向下与股部的浅筋膜相续。②深层：为富含弹性纤维的Scarpa筋膜(膜性层)，中线处附于白线，向下在腹股沟韧带下方约一横指处附于阔筋膜，向内下与阴囊肉膜及会阴浅筋膜相续。2、浅筋膜January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG浅筋膜内含有丰富的浅血管、淋巴管和皮神经。浅动脉：有三组①腹侧壁浅动脉：来自肋间后动脉、肋下动脉及腰动脉。②正中线附近浅动脉：来自腹壁上、下动脉的分支。③腹前壁下半部浅动
6、脉：腹壁浅动脉、旋髂浅动脉，为股动脉分支。January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG脐以下的浅静脉汇入股静脉。浅静脉：丰富,吻合成脐周静脉网。脐以上的浅静脉汇入腋静脉。在脐区，浅静脉与深部的附脐静脉吻合，并借此静脉沟通肝门静脉，从而构成肝门静脉系统与上、下腔静脉系统的沟通。January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.A
7、llrightreservedbyYPHOUandYFSONG浅淋巴管：与浅血管伴行。脐以上入腋淋巴结；脐以下入腹股沟浅淋巴结；脐部淋巴管可经肝圆韧带与肝的淋巴管交通。January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG皮神经：呈节段性分布第7肋间神经—剑突平面第10肋间神经—脐平面第12肋间神经—髂前上棘平面第1腰神经—腹股
