《腹股沟韧带》PPT课件

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1、AnatomyofFemalereproductivesystemTengYinchengM.D.,Ph.D.,ProfessorDepartmentOfObstetrics&GynecologyRenjiHospitalAffiliatedtoSJTUSchoolofMedicinebonypelvisfemalegenitalorgansbloodsupplyoffemalegenitalorgansBonypelvisThebonypelvisismadeupof4bones:iliumischiumpubissacru

2、m1)2oscoxaeorinnominatebonestheiliumcoxaetheischiumthepubis2)1sacrum:Formedfrom5sacralvertebraewhichfuse.3)1coccyx:Formedfrom4fusedvertebrae.2.JointandligamentSacro-iliacjointSacro-coccygealjoint腹股沟韧带骶棘韧带骶结节韧带3.TruepelvisandfalsepelvisThepelvisisdividedintothepelvis

3、major(falsepelvis)isboundedbythelumbarvertebraeposteriorly,aniliacfossabilaterally,andtheabdominalwallanteriorlythepelvisminor(truepelvis)isformedbysacrumandcoccyxposteriorlyandbytheischiumandpubislaterallyandanteriorly4.PelvicplanesThepelvicinlet(pelvicbrim):thepro

4、montory,andalaeofthesacrum,lineaterminalisthesuperiorborderofthesymphysispubisTheplaneofgreatestdiameterisboundedbythejunctionofthesecondandthirdsacralvertebraeposteriorly,theupperpartoftheobturatorforaminalaterally,andthemidpointofthepubisanteriorlyTheplaneofleastd

5、iameter:extendsfromthelowerborderofthepubisanteriorlytolowersacrumattheleveloftheischialspinesTheplaneoftheoutletisirregularconsistingoftwointersectingtriangles5.ThetypesoffemalepelvisGynecoidpelvisOccurs40%--50%theinletisroundedthesidewallsarestraightthesacrumiswel

6、lcurved,andthesacrosciaticnotchisadequatePlatypelloidpelvisoccursinapproximately30%,10%to15%ofAfrican-americanwomenThereisanovalinletthesacrumisnormalthesidewallsarestraightthesacrosciaticnotchisnarrowerAndroidpelvisoccursinonly2%to5%ofwomenwedge-shapedinletthesidew

7、allsconvergethesacrumisinclinedforwardthesacrosciaticnotchisnarrowAnthropoidpelvisoccursinapproximately20%;approximately40%ofblackwomentheinletisoval,long,andnarrowthesidewallsarestraight(donotconverge)thesacrumislongandnarrowthesacrosciaticnotchiswide.Boththeinters

8、pinousandintertuberousdiameteraresomewhatsmaller6.Lengthofpelvicplanediameters7.Pelvicfloorfemalegenitalorgansmonspubis:fattytissuelabiama