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ID:56487948
大小:7.33 MB
页数:83页
时间:2020-06-24
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1、AbdominalwallAnteriorwallLayers(fromsuperficialtodeep)SkinSuperficialfasciaAnterolateralmusclesTransversalisfascia腹横筋膜Extraperitonealfascia腹膜下筋膜Parietalperitoneum壁腹膜Superficialfascia-divisionsbelowumbilicusSuperficialfattylayer(Camper’s)Membranouslayer(Scarpa
2、’s)MusclesofabdomenAnterolateralgroupObliquusexternusabsominis腹外斜肌Oblequusenternusabdominis腹内斜肌Transversusabdominis腹横肌Rectusabdominis腹直肌PosteriorgroupQuadiatuslumborum腰方肌Psoasmajor腰大肌Obliquusexternusabsominis腹外斜肌Generaldirectionoffibers:downward,forwardandmed
3、ially(rundownandinward)StructuresInguinalligament腹股沟韧带Lacunarligament腔隙韧带Superficialinguinalring腹股沟浅环-triangular-shapeddefectinaponeurosisofobliquusexternusabdominisabovepubictubercleObliquusinternusabdominis腹内斜肌DeeptoobliquusexternusabdominisGeneraldirection
4、offibres:upwards,forwardsandmediallyTransverselsabdominis腹横肌DeeptoobliquusinternusInguinalfalx腹股沟镰:archoverspermaticcord,insertedwithtransversesabdominisfiberintomedialpartofpectenofpubisCremaster提睾肌:aroundthespermaticcordandtestisRectusabdominis腹直肌Position:l
5、ieontoeitherofmidlineOrigin:pubiccrestandsymphysisInsertion:xiphoidand5th-7thcostalcartilagesHas3-4tendinousintersections腱划lineasemiluaris半月线SimilarfunctionsforabovefourpairsofmusclesSupportandcompresstheabdominalvisceraIncreaseintra-abdominalpressure,aidinex
6、pulsiveefforts-vomiting,coughing,sneezing,defecation,urinationandchildbirth.Depressribs,assistin(theactofforce(4)expiration.Flex,lateralflex,androtatevertebralcolumnSheathofrectusabdominis腹直肌鞘Antlayer-formedbyfusionofaponeurosisofobliquusexternusabdominisanda
7、nteriorleafofaponeurosisofobliquusinternusabdominisPostlayerFormedbyfusionofposterionleafofaponeurosisofobliquusinternusabdominisandaponeurosisoftransversesabdominisAbsentinabout4-5cmbelowtheumbilicus,whereaponeurosesofallthreemusclesformanteriorlayerthelower
8、freebordernamedarcuatelineBelowthislinerectusabdominisincontactwithtransversefasciaLineaalba白线-tendinousraphebetweenrightandleftrectifromxiphoidtopubicsymphysis.Inguinalregion腹股沟区Boundari
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