腹壁 Abdominal wall

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1、Abdominalwall腹壁山东大学医学院解剖教研室BoundariesoftheabdomenBoundariesSuperiorly－xiphoidprocess,lowerborderofcostalarch,11thand12thribs,vertebraT12Inferiorly－superiorborderofpubicsymphysis,pubiccrest,pubictubercle,foldofinguinalcanal,anteriorsuperioriliacspine,iliaccrest,sp

2、inousprocessofL5Theabdominalregions腹部分区——NineregionsR.hypochondriacregion右季肋区Epigastricregion腹上区L.hypochondriacregion左季肋区R.lateralregions右外区Umbilicalregion脐区L.lateralregions左外侧区R.inguinalregion右腹股沟区L.inguinalregion左腹股沟区Pubicregion耻区Theabdominalregions腹部分区——Fourqu

3、adrantsLeftandrightupperquadrantsLeftandrightlowerquadrantsLandmarksofabdomenPubicsymphysisPubictubercleIliaccrestUmbiicusLineasemilunarisTranspyloricplaneAnterolateralabdominalwallLayers(fromsuperficialtodeep)SkinSuperficialfasciaAnterolateralmusclesTransversefa

4、scia腹横筋膜Extraperitonealfascia腹膜下筋膜Parietalperitoneum壁腹膜AnterolateralabdominalwallSuperficialfascia－divisionsbelowumbilicusFattylayer(Camper’sfascia)continuouswiththesuperficialfasciaovertherestofthebody.Membranouslayer(Scarpa’sfascia)passesovertheinguinalligament

5、tofusethedeepfasciaofthethigh(fascialata)approximatelyonefingerbreadthbelowtheinguinalligament.Inthemidline,itisnotattachedtothepubisbutinsteadfromatubularsheathforthepenis(clitoris).Intheperineum,itisattachesoneachsidetothemarginsofthepubicarchandisknowasColles’

6、fascia.SuperficialvesselsandcutaneousnervesArteriesSuperficialepigastrica.Superficialiliaccircumflexa.VeinsThoracoepigastricv.Superficialepigastricv.CutaneousnervesAnteriorandlateralcutaneousn.oflowersixthoracicIliohypogastricn.(firstlumbnerves)Superficialvessels

7、andcutaneousnervesLymphdraingeSuperficiallymphvesselsabovetheleveloftheumbilicusgrainupwardintothepectoralLn.ThevesselsbelowthisleveldraindownwardintothesuperficialinguinalLn.MusclesofabdomenMusclesofabdomenAnterolateralgroupObliquusexternusabdominis腹外斜肌Obliquusi

8、nternusabdominis腹内斜肌Transversusabdominis腹横肌Rectusabdominis腹直肌MusclesofabdomenPosteriorgroupQuadratuslumborum腰方肌Psoasmajor腰大肌Obliquusexternusabsominis腹外斜肌Genera