婦產科學教學課件：女性生殖系統(tǒng)解剖

AnatomyofFemaleGenitalSystem

第一節(jié)骨盆第二節(jié)骨盆底第三節(jié)外生殖器第四節(jié)內生殖器第五節(jié)血管、淋巴及神經第六節(jié)鄰近器官女性生殖系統(tǒng)解剖AnatomyofFemaleGenitalSystem

女性生殖系統(tǒng)解剖AnatomyofFemaleGenitalSystem

MiddleAurignacianperiodAristotel(384-322BC)feeledconfessedRenaissanceperiodin1600s5quintets:Sylvius,Vesalius,Fabriscius,Eustachius,FallopiusAnatomyofFemaleGenitalSystem

AnatomyofFemaleGenitalSystem

Heassertedtheexistenceofthehymeninvirgins,wasfirsttodescribetheclitoris,coinedthewordvagina,anddisprovedthepopularnotionthatthepenisenteredtheuterusduringintercourse.Healsodevelopedalinensheathforuseinpreventingtransmissionofsyphilis.InreportingtheresultsofperhapsthefirstclinicaltrialofcondomefficacyFalloppioproclaimed:"Itriedtheexperiment[theuseofcondoms]on1,100men,andIcallimmortalGodtowitnessthatnotoneofthemwasinfected."

Hiscontraceptivewasheldonbyapinkribbonsothatitwouldappealtowomen.GabrieleFalloppio(1523-1562)

ItaliansurgeonandanatomistFalloppiowasoneofthegreatanatomistsofhistime.Hewasthefirsttoaccuratelydescribethetubesleadingfromtheovarytotheuterus(the"trumpetsoftheuterus"ashecalledthem).Theyweresubsequentlynamedthe"Fallopiantubes"inhishonor,althoughhefailedtograsptheirfunction.

PartI

ThePelvis骨盆Pelvis骶骨sacrum髂骨ilium髂脊ilioridge髂棘spinailiace恥骨梳pectenpubis恥骨pubis坐骨ischium恥骨聯(lián)合pubicsymphysis坐骨棘ischialspine坐骨節(jié)結ischialtuberosityFemalPelvis骨盆Pelvis尾骨coccyx閉孔obturatorforamen骨盆Pelvis腹股溝韌帶inguinallig恥骨韌帶pectineallig骶棘韌帶sacrospinousllig骶結節(jié)韌帶sacrotuberouslig骨盆Pelvis閉孔obturatorforamen尾骨coccyx坐骨大孔greatersciaticformaen坐骨小孔lessersciaticformaen骨盆分界真骨盆（largepelvis）假骨盆（lesserpelvis）骨盆入口骨盆腔骨盆出口恥骨聯(lián)合：4.2cm骶骨：11.8cm骨盆形狀分型Callwell&MoloyPelvicaxesandinclinationPartII骨盆底PelvicFloor髂肌iliacus尾骨肌coccygeus梨狀肌piruformis閉孔肌Obturatorinternus骨盆底PelvicFloor白線閉孔筋膜缺損提肛肌肛門會陰體白線Arcustendineus提肛肌肛門會陰體白線Arcustendineus提肛肌恥尾肌pubococcygeus肛門會陰體白線Arcustendineus提肛肌恥尾肌pubococcygeus髂尾肌iliococcygeus女性盆底功能解剖

會陰深橫肌會陰腺體會陰淺橫肌會陰深筋膜－上會陰深筋膜－下臀大肌Gluteusmaximus肛門括約肌球海綿體肌會陰PartIII外生殖器

externalgenitalia陰阜monspubis大陰唇labiummajus小陰唇labiumminus陰蒂clitoris陰道前庭

vestibule前庭球

vestibularbulb

前庭大腺

vestibulargland尿道口

urethralorifice陰道口及處女膜

vaginalorificeandhymenPartIV女性內生殖器內生殖器輸卵管oviduct卵巢ovary子宮uterus陰道vagina子宮陰道輸卵管

FallopianTube間質部interstitial峽部isthmic壺腹部ampulla傘部infundibulum卵巢ovary生發(fā)上皮

germinalepithelium白膜

tunicaalbuginea皮質

cortex髓質

medullaPartV神經、血管及淋巴系統(tǒng)盆腔臟器的神經支配淋巴PartVI鄰近器官尿道

urethra膀胱

urinarybladder輸尿管

ureter直腸

rectum闌尾

appendixvermiformis輸尿管走行分段：腹段