Transcript 14腹膜(11)
Chapter 7 THE PERITONEUM A. Introduction (概述) B. The Relationship Between the Viscera and Peritoneum (内脏与腹膜的关系) C. The Peritoneal Reflections (腹膜形成物) Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 1 A. Introduction 1. Composition 1) parietal peritoneum (壁腹膜) 2) visceral peritoneum (脏腹膜) 3) peritoneal cavity (腹膜腔) [peritonitis 腹膜炎] [wooden belly 板状腹] Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 2 A. Introduction 2. Functions 1) peritoneal fluid(腹膜液) provides a lubricating film (润滑层) for the parietal and visceral surfaces and facilitates free mobility of the viscera with minimal friction (减少摩擦). 2) peritoneum absorbs (吸收) with the aid of phagocytes (吞噬细胞). [hydroperitoneum (ascites)腹水] Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 3 B. The Relationship Between the Viscera and Peritoneum 1. Intraperitoneal viscera (腹膜内位器官) stomach, jejunum, transverse colon, spleen etc. 2. Interperitoneal viscera (腹膜间位器官) liver, ascending colon, uterus etc. 3. Retroperitoneal viscera (腹膜外位器官) kidney, pancrease etc Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 4 C. The Peritoneal Reflections 1. The omentum (网膜) 1) lesser omentum (小网膜) a. hepatogastric ligament (肝胃韧带) b. hepatoduodenal ligament (肝十二指肠韧带) Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 5 C. The Peritoneal Reflections 2) greater omentum (大网膜) gastrocolic ligament (胃结肠韧带) 3) omental bursa (网膜囊) omental foramen (网膜孔) Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 6 The Peritoneal Reflections 2. The mesenteries (系膜) 1) mesentery (肠系膜) radix of mesentery(根) 2) mesoappendix (阑尾系膜) 3) transverse mesocolon (横结肠系膜) 4) sigmoid mesocolon (乙状结肠系膜) [volvulus 肠扭转] Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 7 The Peritoneal Reflections Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 8 The Peritoneal Reflections 3. The ligaments (韧带) 1) liver (肝): a. falciform ligament (镰状韧带) b. coronary ligament (冠状韧带) : left & right c. triangular ligament (三角韧带) : left & right Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 9 The Peritoneal Reflections 2) spleen (脾): a. splenorenal ligament (脾肾韧带) b. gastrosplenic ligament (胃脾韧带) c. phrenicosplenic ligament (膈脾韧带) Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 10 The Peritoneal Reflections 3) stomach (胃): gastrophrenic ligament (胃膈韧带) 4) colon (结肠): phrenicocolic ligament (膈结肠韧带) Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 11 The Peritoneal Reflections 4. The folds (腹膜皱襞) 1) supraduodenal fold (十二指肠上襞) 2) infraduodenal fold (十二指肠下襞) Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 12 The Peritoneal Reflections 3) median umbilical fold (脐正中襞): 脐尿管 4) medial umbilical fold (脐内侧壁): 脐动脉 5) lateral umbilical fold (脐外侧壁): 腹壁下动脉 腹壁下静脉 Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 13 The Peritoneal Reflections 5. The recesses and fossa (隐 窝和凹) 1) supraduodenal recess (十二指肠上隐窝) 2) infraduodenal recess (十二指肠下隐窝) Dept. of Anatomy, Medical College, Qingdao University Human Anatomy 14 The Peritoneal Reflections 3) retrocecal recess (盲肠后隐窝) 4) hepatorenal recess (肝肾隐窝) 5) intersigmoid recess (乙状结肠隐窝) Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 15 The Peritoneal Reflections 6) supravesical fossa (膀胱上窝) 7) medial inguinal fossa (腹股沟内侧凹) 8) lateral inguinal fossa (腹股沟外侧凹) 6. The pouches (陷凹) 1) vesicouterine pouch (膀胱子宫陷凹) Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 16 The Peritoneal Reflections 2) rectovesical pouch (直肠膀胱陷凹) Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 17 The Peritoneal Reflections 3) rectouterine (Douglas) pouch (直肠子宫陷凹) [douglasitis 直肠子宫陷凹炎] Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 18 The Peritoneal Reflections The pouches (陷凹) Human Anatomy Dept. of Anatomy, Medical College, Qingdao University 19