腹膜后隙解剖课件

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,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,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,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,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,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,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,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,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,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,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,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,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,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,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,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,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,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,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,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,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,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,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,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,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,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,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,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,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,*,*,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,*,*,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,*,*,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,*,*,腹膜后隙解剖,腹膜后隙解剖腹膜后隙解剖 一、概 述 腹膜后隙位置：位于腹后壁，介于腹后壁腹膜与腹内筋膜之间。,范围：上起膈，下至骶骨岬，两侧续于腹膜外筋膜，向下续于盆部的腹膜后间隙。January,2007Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,人有了知识，就会具备各种分析能力，明辨是非的能力。,腹膜后隙解剖腹膜后隙解剖腹膜后隙解剖,一、概 述,腹膜后隙位置,：位于腹后壁，介于腹后壁腹膜与腹内筋膜之间。,范围：,上起膈，下至骶骨岬，两侧续于腹膜外筋膜,，,向下续于盆部的腹膜后间隙。,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,一、概 述 腹膜后隙位置：位于腹后,主要结构：,腹膜后隙有肾、肾上腺、输尿管、腹部大血管、神经和淋巴结等重要结构。,(,胰腺、十二指肠已于结肠上区内介绍,),January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,主要结构：腹膜后隙有肾、肾上腺、输尿管、腹部大血管、神经和淋,二、肾,kidney,内容：,（一）,肾的位置和,毗邻,（二）肾门、肾窦和肾蒂,（三）,肾的血管,（四）肾的被膜,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,二、肾 kidney 内容：Janu,（一）肾的位置及,毗邻,位置：,肾位于脊柱两侧，紧贴于腹后壁。由于肝的存在，左肾略高于右肾。,左肾：上端,平第,11,胸椎下缘,下端,平第,2,腰椎下缘,右肾：上端,平第,12,胸椎上缘,下端,平第,3,腰椎上缘,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,（一）肾的位置及毗邻 位置：肾位于脊柱两侧，紧贴于腹后壁。由,肾的毗邻：,毗邻（相同点）：,两肾上端,:,肾上腺,两肾后面：膈,腰大肌,腰方肌,腹横肌,两肾内下方：肾盂 输尿管,两肾内后方：左右腰交感干,膈肌,腰大肌,腰方肌,腹横肌,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,肾的毗邻：,毗邻（不同点）：,两肾内侧：,左肾：腹主动脉,右肾：下腔静脉,左肾前面邻：,胃 胰,空肠 结肠左曲,右肾前面邻：,肝右叶 结肠右曲,十二指肠降部,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,毗邻（不同点）：January,2007Copyr,肾区,竖脊肌外侧缘与第,12,肋之间所夹的部位称,肾区,（,脊肋角,）,。在某些肾疾病患者，叩击或触压该区可引起疼痛。,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,肾区 竖脊肌外侧缘与第12肋之间所夹的部位称肾区,（二）,肾门、肾窦和,肾蒂,肾门：,肾的内侧缘中部凹陷，是肾的血管、神经、淋巴管和肾盂出入肾的部位，称,肾门,。,肾窦：,肾门深入肾实质所围成的腔隙称为肾窦。,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,（二）肾门、肾窦和肾蒂 肾门：肾的内侧缘中部凹陷，是肾,肾蒂,：,出入肾门的结构合称,肾蒂,，主要结构有,肾动脉、肾静脉、肾盂。,肾蒂内主要结构的排列关系,:,由前向后依次为：,肾静脉、肾动脉、肾盂,从上向下依次为：,肾动脉、肾静脉、肾盂,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,肾蒂：出入肾门的结构合称肾蒂，主要结构有肾动脉、肾静脉、肾,肾动脉和肾段,肾段：,每一段动脉供给的肾实质区域称为肾段，共,5,个。,（三）肾血管和肾段,上段动脉,上前段动脉,下段动脉,下前段动脉,后段动脉,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All right reserved by YP HOU and YF SONG,肾动脉和肾段（三）肾血管和肾段上段动脉上前段动脉下段动脉下前,2.,肾静脉,右肾静脉通常无肾外属支，而左肾静脉收纳左肾上腺、左睾丸（卵巢）静脉血，其属支与周围静脉有吻合，借此可建立门,-,腔静脉间的侧支循环。,January,2007,Copyright Depart.Anatomy,School of Medicine,Lanzhou University.All righ