腹股沟管解剖课件

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,Hernia: Anatomy Significant Events,疝:解剖和重大事件,Hernia: Anatomy Significant Ev,1,Session Outline,课程概述,疝诊断的历史,解剖标志,解剖学组织分层和结构,腹股沟区解剖,腹股沟斜疝的发病机理及临床症状,Session Outline,2,Where it all began,疝医学诊断的开端,Hammurabi of Babylon(1700 BC)-Described hernia,reduction and application of bandages to prevent,巴比伦的汗莫拉比(1700BC)一描述了疝气的回纳和使用,绷带防治突出的适应症,Hippocrates (400 BO)-Described hernia as a tear in the,abdomen,希波克拉底(400BC)-把疝气描述成腹壁的眼泪,Celsus(100 AD)-Introduced translumination; described,clinical signs that differentiate a hernia from a hydrocele,希尔銮司(100AD)一使用透光来作为惭床鉴别疝和阴囊积,水的标志,Where it all began,3,The Modern Anatomists: Historic firsts,现代解剖学家:历史上的第,Poupart(france)-Described the inguinal ligament.,波庞特(法国)一第一个描述腹股沟韧带,Heister -First to describe indirect direct hernias. (1724),海斯特一第一个描述直疝和斜元(1724年),Camper( Holland)-Described the superficial subcutaneous,炊博斯(荷兰)一第一个描述浅筋膜,Scarpa(italy)-Described deep subcutaneous fascia;,anatomic and surgical importance of sliding hernias(1814),思卡帕意大利)一第一个描述深筋膜并解释了滑疝对解剖,和手术重要性(1814年,The Modern Anatomists: Histori,4,The modern anatomists: Historic firsts,现代解剖学家:历史上的第,Sir Ashley Cooper(England )-Described anatomy and,surgical treatment of crural and umbilical hernias; anatomy,of the groin including the superior pubic( Cooper) ligament,阿仕利库珀爵士(英国)一描述了裂孔疝和脐疝的解剖和手,术治疗并描述了腹股沟区解剖包括了耻骨梳韧带,Morton- Described the conjoined tendon,莫顿一描述了联合韧带,Richter(germany )-Described partial obstruction and,incarceration of the bowel in a hernia defect,李克特(德国)一描述了肠管部分和究全嵌顿在疝缺损部位,The modern anatomists: Histori,5,Hesselbach(Germany)-Defined iliopubic tract; described importance of the,medial triangle of the groin(included the femoral canal),海思勒(德国)一详细说明了髂耻束并描述了腹股沟区海思勒三角(甸括股,Fino tO饿股沟韧亭,0,Medial,Triangle,http:/mwrwmedscapecom,Hesselbach(Germany)-Defined il,6,A Few Terms to Remember,解剖名词,Aponeurosis: joins muscle to muscle; the convergence,of the anterior and posterior sheaths; fascia,腱膜:连接肌肉和肌肉,Tendon joins muscle to bone,肌腱:连接肌肉和骨头,Ligament: joins bone to bone,韧带:连接骨头和骨头,A Few Terms to Remember,7,“ Layers of the Cake,N蛋糕的分层”,Skin,皮肤,“ Layers of the Cake,8,Subcutaneous fat,皮下脂肪,Described by,Camper(holland),Also refered to as,Campers fascia,最初由炊博斯(荷兰),发现描述故又被称作,坎博斯筋膜,Subcutaneous fat,9,Scarpas Fascia,思卡帕筋膜,Scarpa(Italy),思卡帕(意大利,Sometimes refered to as,subcutaneous muscle,有时被当作皮下的肌肉(膜,性组织,i. e horse shaking flies off,Scarpas Fascia,10,腹股沟管解剖课件,11,腹股沟管解剖课件,12,腹股沟管解剖课件,13,腹股沟管解剖课件,14,腹股沟管解剖课件,15,腹股沟管解剖课件,16,腹股沟管解剖课件,17,腹股沟管解剖课件,18,腹股沟管解剖课件,19,腹股沟管解剖课件,20,腹股沟管解剖课件,21,腹股沟管解剖课件,22,腹股沟管解剖课件,23,腹股沟管解剖课件,24,腹股沟管解剖课件,25,腹股沟管解剖课件,26,腹股沟管解剖课件,27,腹股沟管解剖课件,28,腹股沟管解剖课件,29,腹股沟管解剖课件,30,腹股沟管解剖课件,31,腹股沟管解剖课件,32,腹股沟管解剖课件,33,腹股沟管解剖课件,34,腹股沟管解剖课件,35,腹股沟管解剖课件,36,腹股沟管解剖课件,37,腹股沟管解剖课件,38,腹股沟管解剖课件,39,