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1、腹前外侧壁内容:一、浅层结构二、深层结构三、腹股沟区January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG一、浅层结构January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONGJanuary,2007Copyright©Depart.Anatomy,Schoolo
2、fMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG皮肤:薄而富有弹性,伸展性和移动性都相当大,故临床常选择为游离皮瓣的供皮区。January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG浅筋膜:在脐平面以下腹壁浅筋膜分浅、深两层。①浅层为Camper筋膜(脂肪层)。②深层为Scarpa筋膜(膜性层)。January,2007Copyright©De
3、part.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG浅筋膜的脂肪层和膜性层之间有浅血管、淋巴管和皮神经。January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG浅动脉:腹前壁下半部有二条起自股动脉的浅动脉,较粗大:①腹壁浅动脉②旋髂浅动脉January,2007Copyright©Depart.Anatom
4、y,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG由于行于浅筋膜的浅、深二层之间的浅动脉与同名静脉伴行,故临床上常在腹下部切取带蒂或游离皮瓣。January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG浅静脉:腹前壁的浅静脉较丰富,彼此吻合成网。January,2007Copyright©Depart.Anatomy,School
5、ofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG脐以上的浅静脉经汇入腋静脉,脐以下的浅静脉汇入大隐静脉。脐区的浅静脉还与附脐静脉相吻合。January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG浅淋巴管:脐以上的浅淋巴管注入腋淋巴结,脐以下浅淋巴管注入腹股沟浅淋巴结。January,2007Copyright©Depart.Anatomy,S
6、choolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG皮神经:①第7-12胸神经前支②第1腰神经January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG二、深层结构January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.Allrightreserve
7、dbyYPHOUandYFSONG(一)肌层腹直肌腹外斜肌腹内斜肌腹横肌January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG1.腹直肌abdominalrectusm.腹直肌作用:使脊柱前屈January,2007Copyright©Depart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG在腹直肌表面包
8、有腹直肌鞘。腹直肌鞘Ja