內容教程講稿

Composition:Internal

genital an

內Gonads

/

sex

glands

(

)-manufacture

the

sex

cells

and

secrete

the

sex

hormonesGenital

ducts

(生殖管道)-transport

the

sex

cells

from

the

site

of

production

to

the

site

offertilizationAccessory

glands

(附屬腺)-secrete

the

fluid2. External

genital

an生殖系統(tǒng)Composition:*Internal

genital

anGonads

/

sex

glands-

(

)Genital

ducts)A-

(-Ductus

deferens

(-

(-Male

urethra

()B)C)DAccessory

glands-Seminal

vesicle

(

)E-Prostate

(

)F-Bulbourethral

gland

(球腺)G2. External

genital

an-Penis

(

)H-Scrotum

(陰囊)IDCBAEFGIH1.Male

internal

genitalans:-paired

and

ovoid

ans-located

in

scrotum-structures:tunica

albuginea

(白膜)testicular

lobules(

小葉)100-200

contorted

seminiferous

tubules(精曲小管)2-4

straight

seminiferous

tubules(精直小管)rete

(

網(wǎng))efferent

ductules(

輸出小管)12-15-produce

sperm

and

secreteandrogencontorted

seminiferous

tubulesstraight

seminiferous

tubulesrete-comma-sh d,

with

head,body

and

tail-located

on

superior

extremityand

posterolateral

aspect

of-extends

from to

ductusdeferens-function:

site

of

storage

ofsperm

and

maturation

ofspermatosomeDuctus

deferens-muscular

tube

transporting

spermfromtesticular

part-tail

ofoffunicular

partto部(A)to

superior

extremity部(B)-superior

extremityofsuperficial

inguinal

ringtoinguinal

part-superficial

to

dee管部(C)uinal

ringpelvic

part

盆部(D)-dee uinal

ring

tobase

ofbladder-ampulla

ductus

deferentis-jointheABCDtesticular

partfunicular

&

inguinal

partspelvic

partVasectomy-funicular

part-to

induce

infertility-extends

from

theto

the管)inguinal

c

(-contents:ductus

deferenstesticular

and

deferential

arteriesvenous

plexusnerves

and

lymphaticsremnants

of

vaginal

process

(鞘突)-above

structures

are

bound

togetherby

connective

tissue

and

enclosed

bythe

internal

spermatic

fascia,cremaster

(提睪肌)

andexternalspermatic

fascia

(

內/外筋膜)

inturn-formed

by

the

union

ofdistal

portion

of

ductusdeferens

and

the

duct

ofseminalvesicle

(

)-passes

through

the

prostate( )

and

opens

to

theurethraSeminal

vesicle-paired

glands-located

on

posterior

surfaceof

bladder,

lateral

to

theampulla

ductus

deferentis(

)-secrete

part

of

seminal

fluidProstate-a

firm

chestnut-sh

d

an-base, x,

body

ofprostate-anterior

&

posterior

surface(prostatic

sulcus

溝)-lies

between

the

bladder

and

theurogenital

diaphragm

(尿生殖膈),and

in

front

of

the

rectum-(five

lobes:)anterior

lobemiddle

lobeposterior

loberight

and

left

lobes-secrete

part

of

seminalfluidRLAMPurethraBulbourethral

gland球腺-two

small

pea-sh d

glands-located

in

the

deep

transversemuscle

of

peri(

深橫肌)-opens

to

the

urethra-secrete

part

of

seminal

fluid2. External

genital

ansScrotum

陰囊-sac-like-behind

the

root

of

the

penis-divided

into

two

halves

byseptum

of

scrotum

(陰囊中隔)-contain

testes

and

their

ductsdartos

coat-superficial

fascia

containingsmooth

muscle

fibers

whichcan

contract

in

response

tocoldMembranes

of

the(from

outside

to

inside)external

spermatic

fascia(

外筋膜)

cremaster(提睪肌)

internal

spermatic

fascia

(

內筋膜)tunica

vaginalis(

)Parietal

peritoTransvers

fasciaTrasversus

abdominisObliquus

internusabdominisAponeurosis

of

obliquusexternus

abdominisExternal

spermatic

fascia外筋膜Cremaster

提睪肌Internal

spermatic

fascia內筋膜Tunica

vaginalis

ofParietal

layerViscerallayerVaginal頭)Penis-root,

body

and penis

(

External

orifice

of

urethra(

)Cavernous

body

of

penis(

)Cavernous

body

of

urethra(

)

Prepuce

of

penis(

)

Frenulum

of

prepuce(

系帶)Male

urethraProstatic

part

部-passes

through

the

prostate-the

widest

and

most

dilatable

partMembranous

part

膜部-passes

through

the

urogenitaldiaphragm

(尿生殖膈)-the

shortest

and

least

dilatable

part-surrounded

by

the

sphincter

ofurethra

(

括約肌)Cavernous

part

部-passes

through

the

cavernous

body

ofurethra-the

longest

partPosterior

urethra:

prostatic

andmembranous

partsAnterior

urethra:

cavernous

partThree

constrictions:at

internal

urethral

orificeat

membranous

partat

external

urethral

orificeThree

enlarged

parts:at

prostaticpartat

bulb

of

urethra

(球)at

navicular

fossa

of

urethra(

舟狀窩)Two

curvatures:Subpubic

curvature(恥骨下彎)-fixed

curvePrepubic

curvature(恥骨前彎)-bestraightenedwhen

erection女性生殖系統(tǒng)Composition:*Internal

genital

anGonads

/

sex

glands-Ovary

(

)Genital

ducts-Uterine

tube

()-Uterus

(-Vagina

())Accessory

gland-Greater

vestibular

gland(

)2. External

genital

an-

(

)Ovary-paired,

ovoid

an-lies

in

the

ovarian

fossa

locatedin

the

angle

between

theinternal

and

external

iliacvessels

on

the

lateral

pelvic

wall-superior

&

inferior

poles-medial

&

lateral

surfaces-anterior

&

posterior

bordersHilum

of

ovary

門(at

the

anterior

border)(Posterior

view)(Sagittal

section)Support

of

ovary:的固定Suspensory

ligamentof

ovary

懸韌帶-attach

to

the

pelvic

wall-contain

ovarian

vesselsProper

ligament

ofovary

固有韌帶-attach

to

the

uterusFunction

of

ovary:-produce

ova

and

secreteestrogen(Posterior

view)Uterine

tube-muscular

tube,about

10cm

long-located

at

the

upperedge

of

broad

ligamentof

uterus

(

闊韌帶),between

its

two

layers-abdominal

orifice

&uterine

orifice

ofuterine

tube(腹腔口&

口)Four

parts:*Infundibulum

of

uterinetube

漏斗-fimbriae

of

uterine

tube(

傘)Ampulla

of

uterine

tube-dilated

part

(2/3

in

total)-the

site

of

fertilizationIsthmus

of

uterine

tube峽-straight

and

narro

rt-the

place

where

the

tuballigation

(結扎)isperformed

for

infertilityUterine

part部-narrowest

part-pierces

uterine

wall

andopens

into

the

ofuterusUterus-muscular

pear-sh

d

an-fundus,

neck

and

body

of

uterus-neck

of

uterus

(cervix)

頸supravaginal

part

of

cervix(

頸

上部)

vaginal

part

ofcervix(

頸

部)-isthmus

of

uterus

峽A(transition

between

the

body

andthe

neck

of

uterus)A- of

uterus腔( in

the

body

ofuterus)-cof

cervix

of

uterus頸管(opens

into

the

vaginathrough

the

orificeof

uterus

口)Position

of

uterus:-lies

in

the

center

of

the

pelvic,

between

bladderandrectum-anteversion

&

anteflexion(when

the

bladder

is

empty)Anteversion

前傾-axis

of

uterus

is

bent

forward

atanangle

of

about

90o

with

that

ofvaginaAnteflexion

前屈-axis

of

body

of

uterus

is

bentforwardwith

that

of

thecervixforminganangle

of

about170o(body

of

uterus

is

bent

slightlyforward

at

isthmus)90o170oAnteversionAnteflexionSupports

of

uterus:(by

the

ligaments,

pelvicdiaphragm

and

surroundingans)Broad

ligament

of

uterus闊韌帶-from

the

pelvic

wall

and

floorto

the

lateral

wall

of

the

uterusRound

ligament

of

uterus圓韌帶-between

two

layers

of

thebroad

ligament-from

the

lateral

border

of

theuterus

to

the

pudendum

(

)Cardinal

ligament

of

uterus主韌帶-at

the

base

of

the

broadligament-from

the

cervix

to

the

pelvicwallUterosacral

ligament

ofuterus

骶韌帶-from

the

cervix

to

the

sacrum(backward)Vagina-fibromuscular

tube,

about9cm

long-vaginal

orifice

(

口)Fornix

of

vagina

穹-between

the

cervix

and

thewalls

of

vagina-posterior

fornix

后穹

(deepest

part,

related

to

therectouterine

pouch

直腸

陷凹)Accessory

gland:Great

vestibular

gland-on

either

side

of

thevaginal

orifice-open

into

the

vaginalvestibule

(

)Female

external

genital

ansMons

pubisGreater

lips

of

pudendumLesser

lips