影像解剖-Posterior Abdominal Wall课件.ppt

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1、PosteriorAbdominalWall(P133-139,125-129)1.MusclespsoasmajorM.(2)quadratuslumborumM(3)iliacusM2.Nerves1)subcostalN.2)lumbarN.3)lumbarplexus(1)position:deeptothepsoasmajorm.(2)formed:ventralramusofpartofT12,L1-3andpartofL4,spinalnerves(3)branches*theN.emergingfromthemedialborderof

2、thepsoasmajor:obturatorN.*theNN.emergingfromthelateralborderofthepsoasmajor:iliohypogastricN.ilioinguinalN.lateralfemoralcutaneousN.femoralN.*TheN.piercingtheanteriorsurfaceofpsoasmajor:genitofemoralN.4)SympatheticnerveSympathetictrunkgreatersplanchnicn.(T5/6-T9)endstotheceliacg

3、anglionlessersplanchnicn.(T10-T11)endstotheaorticorenalganglion3.Arteriesabdominalaorta---communicationwiththoracicaortaBranches:*Unpairedvisceralbr.CeliactrunkSuperiormescentericInferiormescenteric*Pairedvisceralbr.Renalaa.Middlesuprarenalaa.Testicular/ovarianaa.*Parietalbr.Inf

4、eriorphrenica.Lumbara.Mediansacrala.4.vein1)inferiorvenacava(1).Formedbytheunionofleftandrightcommoniliacveins(2).Itstributariesaccompanyingwithaa.(3)lefttesticularandleftsuprarenalv.→leftrenalv.rightvv.→IVChepaticv.→IVC**Unpairedvisceralvv.(exceptliver)→portalv.2).leftandrighta

5、scendinglumbarveins5.Thoracicduct1)beginningatthecisternachyli,attheL1level2)formedbyleftandrightlumbartrunksandintestinaltrunkprotein,fat,dissolvinginfatcentrallactealsinthevilliofmucosaofsmallintestinemesentericnodessuperiormesentericnodesintestinaltrunkcisternachylithora

6、cicductleftvenousangleleftbrachiocephalicveinKidneysp.1251.position:1)tolieretroperitonealspace2)superiorandinferiorendsT11-L2(left),T12-L3(right)3)anterior:spleen,pancreas,leftcolicflexure,stomach(left)liver,descendingpartofduodenum,rightcolicflexure(right)4)posterior12thribS

7、up.to12thribdiaphragmInf.to12thribpsoasmajorquadratuslumborumtransversusabdominissubcostaln.iliohypogastricn.ilioinguinaln.2.Featurebean-shaped1)2surfaces,2margins,2poles2).Renalhilum--(1).Atthemediamargin(2).Averticalcleft(3).Renala.,v.,renalpelvis,N.,L.andconnectivetissue.ente

8、ringandleavingtheRenalhilum---renalpedicle(4).R