老师课件-循环系统-8胸、腹盆部脉管

2022/12/291胸、腹、盆部的脉管

Theangiologyofthethorax、theabdomenandthepelvis

南京大学医学院人体解剖教研室朱亚文2022/12/2922022/12/2932022/12/2942022/12/2952022/12/2962022/12/2972022/12/2982022/12/2992022/12/29102022/12/29112022/12/29122022/12/29132022/12/29142022/12/29152022/12/29162022/12/29172022/12/2918腹主动脉

abdominalaorta（1）1、胸12至腰4水平，长约14-15厘米。2、不成对的脏支：腹腔干celiactrunk肠系膜上动脉superiormesenterica.肠系膜下动脉inferiormesenterica.2022/12/2919腹主动脉

abdominalaorta（2）3、成对的脏支：肾上腺中动脉middlesuprarenala.肾动脉、renala.睾丸（卵巢）动脉testicular(ovarian)a.4、壁支：膈下动脉inferiorphrenica.腰动脉lumbara.骶正中动脉middlesacrala.2022/12/29202022/12/2921下腔静脉Inferiorvenacava1、前面：肝、胰头、十二指肠水平部、右睾丸（卵巢）动脉、肠系膜根2、属支：髂总静脉、右睾丸（卵巢）静脉testicular（ovarian）vein、肾静脉、右肾上腺静脉、肝静脉、膈下静脉inferiorphrenicvein、腰静脉lumbarvein3、腰升静脉ascendinglumbarvein：向下-髂腰静脉-髂总静脉向上-半奇静脉-奇静脉-上腔静脉2022/12/29222022/12/29232022/12/2924腰部的神经

thelumbarnerves

1、腰交感干Lumbarsympathetictrunk

位于脊柱与腰大肌之间2、腰神经节lumbarganglion3、腹腔神经丛celiacplexus4、腰丛lumbarplexus

2022/12/29252022/12/2926腹腔干Theceliactrunk（1）1、胃左动脉theleftgastrica.2、肝总动脉thecommonhepatica.肝固有动脉Theproperhepatica.胆囊动脉Thecystica.2022/12/2927胃右动脉Therightgastrica.左右肝支Therightandleftbranche胃十二指肠动脉Thegastroduodenala.胃网膜右动脉Therightgastroepiploica.胰十二指肠上动脉(前、后支)Thesuperiorpancreaticoduodenala.2022/12/29282022/12/29292022/12/29302022/12/29312022/12/29322022/12/29332022/12/29342022/12/2935腹腔干Theceliactrunk（2）3、脾动脉thesplenica.胰支thepancreaticbranches胰背动脉thedorsalpancreatica.胰横（胰下）动脉theinferiorpancreatica.胰尾动脉thecaudalpancreatica胰大动脉Thegreatpancreatica胃短动脉theshortgastrica.胃网膜左动脉theleftgastroepiploica.2022/12/29362022/12/29372022/12/2938肠系膜上动脉

thesuperiormesenterica.1、胰十二指肠下动脉（前、后支）theinferiorpanreaticoduodenala.2、空肠和回肠动脉thejejunalandileala.3、回结肠动脉theileocolica.A.结肠支B.盲肠支C.回肠支D.阑尾支4、右结肠动脉therightcolica.5、中结肠动脉themiddlecolica.2022/12/29392022/12/29402022/12/29412022/12/2942肠系膜下动脉

Theinferiormesenterica.1、左结肠动脉theleftcolica.2、乙状结肠动脉thesigmoida.3、直肠上动脉thesuperiorrectala.4、胰十二指肠上动脉前后支与胰十二指肠下动脉前后支吻合成前后弓5、直肠上、下动脉吻合6、所有结肠动脉吻合成动脉弓，称边缘动脉colicmarginala.，由其发出终末动脉。2022/12/29432022/12/29442022/12/2945脾脏thespleen1、位置与毗邻左季肋区，具后正中线4-5厘米。2、韧带胃脾韧带、脾肾韧带、膈脾韧带、脾结肠韧带3、血供：脾动脉、静脉4、副脾accessoryspleen2022/12/29462022/12/29472022/12/29482022/12/29492022/12/29502022/12/29512022/12/29522022/12/29532022/12/29542022/12/29552022/12/29562022/12/29572022/12/29582022/12/29592022/12/29602022/12/29612022/12/29622022/12/29632022/12/2964髂总动脉thecommoniliaca.

髂外动脉theexternaliliaca.腹壁下动脉theinferiorepigastrica.精索外动脉（子宫元韧带动脉）、耻骨支（闭孔支）与闭孔动脉的耻骨支吻合。有时吻合支很粗大，而闭孔动脉很细小，前者代替后者，成为异常闭孔动脉。旋髂深动脉thedeepiliaccircumflexa.2022/12/2965髂内动脉theinternaliliaca.1、壁支theparietalbranches闭孔动脉theobturatora.分为前后两支，后支分出小支穿股骨头韧带血供髋关节；耻骨支；髂腰动脉theiliolumbara.向外上走骶外侧动脉thelateralsacrala.臀上动脉thesuperiorgluteala.臀下动脉theinferiorgluteala.2022/12/29662、壁支thevisceralbranches膀胱上动脉thesuperiorvesicala.脐动脉theumbilicala.膀胱下动脉theinferiorvesicala.输精管动脉thedeferentiala.直肠下动脉theinferiorrectala.子宫动脉theuterinea.阴道支、底支、输卵管支、卵巢支、子宫支2022/12/2967G.阴部内动脉theinternalpundendala.行走在阴部管，分肛门动脉、会阴动脉、男性阴茎动脉（阴茎背动脉、阴茎深动脉）、女性阴蒂动脉（阴蒂背动脉、阴蒂深动脉）。2022/12/29682022/12/29692022/12/29702022/12/29712022/12/2972盆部的淋巴

thelymphofpelvis1、髂外淋巴结externaliliaclymphnodes2、髂内淋巴结internaliliaclymphnodes3、骶淋巴结sacrallymphnodes4、髂总淋巴结commoniliaclymphnodes2022/12/29732022/12/29742022/12/29752022