(2.13)-系統(tǒng)解剖學(xué)13－男生2女生1

思考題1.泌尿系統(tǒng)的組成2.腎的位置、腎區(qū)、腎的結(jié)構(gòu)與被膜3.輸尿管的狹窄4.膀胱三角5.男性生殖系統(tǒng)的組成6.睪丸和附睪的結(jié)構(gòu)7.輸精管的分部TheMaleReproductiveSystem第一節(jié)internalgenitalorgans內(nèi)生殖器Pairedsacculated囊狀glandsSecretepartofseminalfluidLocatedonposteriorsurfaceofbladder膀胱底后方,lateraltoampullaductusdeferens輸精管外側(cè)seminalvesicle四、Seminalvesicle精囊TheMaleReproductiveSystem第一節(jié)internalgenitalorgans內(nèi)生殖器五、Prostate前列腺

positionLiesbehindpubicsymphysis恥骨聯(lián)合,betweenneckofbladder膀胱頸andurogenitaldiaphragm尿生殖膈Shape：倒置的栗子形BaseofprostateApexofprostateBodyofpeostatePosteriorsurfaces－prostaticsulcus

前列腺溝peostateTheMaleReproductiveSystem第一節(jié)internalgenitalorgans內(nèi)生殖器五、Prostate前列腺ContainsoffivelobesAnteriorlobeMiddlelobePosteriorlobeRightandleftlobes尿道TheMaleReproductiveSystem第一節(jié)internalgenitalorgans內(nèi)生殖器3.Bulbourethralgland

尿道球腺－twosmallpea-shaped豌豆樣glands,locatedinthedeeptransversemuscleofperineum會陰深橫肌,opensintobulbofurethra尿道球部bulbourethralglandTheMaleReproductiveSystem第二節(jié)Externalgenitalorgans外生殖器一、Scrotum陰囊Pouchofthinskinlyingbelowtherootofthepenis陰莖Dividedintotwohavesbyseptumofscrotum陰囊中隔,containstestesandepididymisTheMaleReproductiveSystem第二節(jié)Externalgenitalorgans外生殖器一、Scrotum陰囊輸精管精索外筋膜精索內(nèi)筋膜提睪肌睪丸鞘膜（壁層）鞘膜腔skindartoscoat肉膜,aconnectivetissuelayerthatcontainsmanysmoothmusclefibers.Externalspermaticfascia精索外筋膜Cremastter提睪肌Internalspermaticfascia精索內(nèi)筋膜Tunicavaginalisoftestis睪丸鞘膜TheMaleReproductiveSystem第二節(jié)Externalgenitalorgans外生殖器二、Penis陰莖

尿道外口包皮系帶陰莖體陰莖根陰莖包皮陰莖頭陰莖海綿體尿道海綿體尿道球恥骨陰莖腳男尿道尿道球腺Consistsof

Cavernousbodyofpenis

陰莖海綿體:2

Cavernousbodyofurethra

尿道海綿體:1division:root陰莖根

body陰莖體

glanspenis陰莖頭TheMaleReproductiveSystem第二節(jié)Externalgenitalorgans外生殖器Skin－thinandloosePrepuceofpenis陰莖包皮Frenulumofprepuce

包皮系帶二、Penis陰莖

TheMaleReproductiveSystem第三節(jié)Maleurethra男性尿道ThreepartsProstaticpart前列腺部－lieswithintheprostateMembranouspart膜部–lieswithintheurogenitaldiaphragmsurroundbythesphincterofurethraCavernouspart海綿體部－transversethealllengthofcavernousbodyofurethra膜部TheMaleReproductiveSystem第三節(jié)Maleurethra男性尿道Posteriorurethra后尿道

prostaticpartmembranouspartAnteriorurethra

前尿道–cavernouspartTheMaleReproductiveSystem第三節(jié)Maleurethra男性尿道ThreeconstrictionsInternalurethralorifice尿道內(nèi)口membranouspart膜部externalorificeofurethra尿道外口ThreeenlargedpartsProstaticpart前列腺部Bulbofurethra尿道球部Navicularfossaofurethra尿道舟狀窩TheMaleReproductiveSystem第三節(jié)Maleurethra男性尿道TwocurvaturesSubpubiccurvature恥骨下彎－concaveupwardPrepubiccurvature

恥骨前彎－concavedownward恥骨前彎恥骨下彎TheFemaleReproductiveSystem第九章TheFemaleReproductiveSystem

女性生殖系統(tǒng)Composion:Internalgenitalorgans內(nèi)生殖器

Ovaries卵巢

ConveyingductsExternalgenitalorgans外生殖器Uterinetubes輸卵管Uterus子宮Vagina陰道TheFemaleReproductiveSystemPosition－liesintheovarianfossa卵巢窩intheanglebetweentheinternalandexternaliliacvesselsonthelateralpelvicwall.一、Ovary卵巢Shape－anovoidorganSuperiorpole上端Inferiorpole下端第一節(jié)internalgenitalorgans內(nèi)生殖器Anteriorborder

Mesovarianborder系膜緣

Hilumofovary

卵巢門TheFemaleReproductiveSystem一、Ovary卵巢第一節(jié)internalgenitalorgans內(nèi)生殖器SupportingstructuresSuspensoryligamentofovary卵巢懸韌帶Properligamentofovary卵巢固有韌帶Function:Produceova卵子

secreteestrogens雌激素卵巢固有韌帶TheFemaleReproductiveSystem一、Ovary卵巢TheFemaleReproductiveSystem二、Uterinetube輸卵管GeneralfeaturesAbout10cmlongLocatedintheupperedgeofbroadligamentofuterus卵巢傘輸卵管傘輸卵管漏斗輸卵管壺腹輸卵管峽輸卵管子宮部輸卵管子宮口輸卵管腹腔口Fourpart四個部分：漏斗部壺腹部峽部子宮部TheFemaleReproductiveSystem二、Uterinetube輸卵管Infundibulumofuterinetube輸卵管漏斗Fimbriaeofuterinetube輸卵管傘ovarianfimbria卵巢傘Ampullaofuterinetube輸卵管壺腹－relativelywide,tortuous,longstpart,wherethefertilizationoftheovumtakesplace輸卵管傘輸卵管壺腹輸卵管漏斗卵巢傘TheFemaleReproductiveSystem二、Uterinetube輸卵管Isthmusofuterinetube

輸卵管峽－straightandnarrowportion,istheplacewherethetuballigationisperformedUterinepart

子宮部－piercesuterinewallandopensintocavityofuterusbyuterineorificeofuterinetube輸卵管子宮口輸卵管峽輸卵管子宮部TheFemaleReproductiveSystem三、Uterus子宮子宮底子宮峽子宮頸子宮體輸卵管峽子宮頸陰道上部子宮頸陰道部子宮角Generalfeatures－muscularpear-shapedorganThreepartsFundusofuterus子宮底Bodyofuterus子宮體Neckofuterus子宮頸Vaginalpartsofcervix子宮頸陰道部

Supravaginalpartsofcervix

子宮頸陰道上部TheFemaleReproductiveSystem三、Uterus子宮Isthmusofuterus子宮峽

－shortconstrictedpart,betweenthebodyandtheneckofuterus子宮底子宮峽子宮頸子宮體輸卵管峽子宮頸陰道上部子宮頸陰道部子宮角TheFemaleReproductiveSystem三、Uterus子宮InteriorcavityCavityofuterus子宮腔－thecavityofbodyofuterus,istriangularincoronalsectionCanalofcervixofuterus子宮頸管－thecavityoftheneck,opensintothevaginaattheorificeofuterus

子宮口

子宮頸管子宮口未產(chǎn)婦經(jīng)產(chǎn)婦TheFemaleReproductiveSystem三、Uterus子宮Position

Liesinthecenterofthepelviccatity,betweenbladderandrectum；usuallyitisanteversion前傾anteflexion前屈TheFemaleReproductiveSystem三、Uterus子宮Anteversion前傾－子宮長軸與陰道長軸形成一個向前開放的鈍角，稍大于90o;PositionAnteflexion前屈－子宮體與子宮頸之間形成的一個向前開放的鈍角，約為170o

陰道的長軸

子宮的長軸子宮頸TheFemaleReproductiveSystem三、Uterus子宮Supportsofuterus

PelvicdiaphragmLigamentsBroadligamentofuterus子宮闊韌帶Roundligamentofuterus子宮圓韌帶Cardinalligamentofuterus子宮主韌帶Uterosacralligamentofuterus骶子宮韌帶TheFemaleReproductiveSystem三、Uterus子宮Broadligamentofuterus

子宮闊韌帶Mesosalpinxfortheuterinetubes輸卵管系膜Mesometriumfortheovary卵巢系膜Mesovarium子宮系膜Roundligamentofuterus子宮圓韌帶：子宮闊韌帶子宮圓韌帶TheFemaleReproductiveSystem三、Uterus子宮Cardinalligamentofuterus子宮主韌帶：supportthepositionofuterustopreventfromdropping.Uterosacralligamentofuterus骶子宮韌帶：maintaininantevertedpositionofuterusTheFemaleReproductiveSystem四、Vagina陰道Flattenedfibromusculartube,about8～9c