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1、ThePelvicWall(P145-154)1.Thebonypelvis1)Formationhipbones(ilium,pubis,ischium),sacrum,coccyxandjoints2)Superiorpelvicaperture:superiormarginofpubicsymphysis,pectenofpubis,arcuateline,promontoryofsacrumGreaterpelvisLesserpelvis3)InferiorpelvicapertureInferiorm
2、arginofpubicsymphysisPubicarchesIschialtuberositiesSacrotuberouslig.TipofcoccyxThedifferencesofthemaleandfemalepelvisfemalepelvismalepelvis*anguluspubis90degree70-75degree*highdegreeofthelesserpelvisshorterhigher*superiorpelvicaperturelargersmallerthanfemale*
3、ischialtuberosityturninglaterallynotturninglaterally*ischialspinesmallerlarger*transversediameterbetweenlongershorterthe2ischialtuberosity*bonysurfacesmootherlessersmooth2.MusclesofthepelvicwallObturaterinternusPiriformisLevatoraniCoccygeus3.Bloodvesselsandne
4、rves1)Commoniliaca.2)Internaliliaca.(1)parietalbr.Illiolumbara.Lateralsacrala.Superiorgluteala.Inferiorgluteala.Obturatora.**Mediansacrala.(2)visceralbr.Internalpudendaa.Umbilicala.Inferiorvesiclea.Inferiorrectala.Uterinea.—about2cmfromthecervixoftheuterus,it
5、crossesaboveandinfrontofureter.3)Pelvicveins(1)theveinssurroundtheorganstoformthevenousplexus(2)theveinsoftheorgansinthepelvisbeginwiththethevenousplexusandaccompanythesamea.(3)thereareanastomosesbetweentheplexus.4)Sacralplexus(1)Tolieontheanteriortothepirifo
6、rmis(2)Tobeformedbythelumbosacraltrunk,ventralramiofsacralandcoccygealnerves(3)Br.Superiorglutealn.Inferiorglutealn.Pudendaln.Sciaticn.5)TheothersSuperiorrectala.Obturatorn.PelvicsympathetictrunkPelvicsplanchnicn.Pelvicviscera(P154-167,173-177)1.Pelvicpartoft
7、heureter 2.Urinarybladder1)position:2)relation:Posteriorly:seminalvesicles,rectum,ampullaofductusdeferens---inmaleuterus,vaginainfemaleInferiorly:Inmale,prostateInfemale,urogenitaldiaphragm3)Thefeatureandshapeofurinarybladder(1)division:apex,fundus,neckandbod
8、yVolumeisabout300-500milliliters(2)Trigoneofthebladder:AttheinnersurfaceofthefundusFormedbyleftandrightorificesofuretersinternalurethralorifice3.Urethra1).Femaleurethra:broader,shorter,st
