上海交通大学医学院：《妇产科学》（双语） 42 Anatomy of female reproductive system

Anatomy of female reproductive system Zhao aimin

Anatomy of female reproductive system Zhao Aimin

Bony pelvis Sacrum(骶骨) CHAPTER 3 Embryology, Anatomy, and Reproductive Genetics C occUr (尾骨) Anterior superior ac sp Greater scatc toram Coxae(髋骨) Linea terminals 口Iium(髂骨) Lesser scintc forar Sacral fora Obturator foramen 口 Ischium(坐 Obturator mermbrane 骨) Sacrotuberous igan 口 Pubis(耻骨) schal tuberosity FIGURE 3. 4. View of the pelvis from above, showing bones, joints, ligaments, and

Bony pelvis Sacrum(骶骨） Coccyx（尾骨） Coxae（髋骨） ❑Ilium（髂骨） ❑Ischium（坐 骨） ❑Pubis（耻骨）

P elvis Falase pelvis True pelvis malor (minor) To surport the pregnancy Sacrum and coccyx Bounded by lumbar pe posterior vertebrae posteriorly, liac fossa bilaterally Ischium and pubis abdominal wall anteriorly bilateral and anteriorly

Pelvis Falase pelvis (major) True pelvis (minor) To surport the pregnancy Bounded by lumbar vertebrae posteriorly, iliac fossa bilaterally abdominal wall anteriorly Sacrum and coccyx posteriorly Ischium and pubis bilaterally and anteriorly

The pelvis plane Four planes The pelvic inlet: the greatest The midplane the least The pelvic outlet(two planes)

The pelvis plane Four planes ➢The pelvic inlet: the greatest ➢The midplane:the least ➢The pelvic outlet(two planes)

Pelvic inlet Posteriorly by promontory of sacrum Bilaterally by linea of iliac-pubis Anteriorly by superior surface of pubis

Pelvic inlet ➢Posteriorly by promontory of sacrum ➢Bilaterally by linea of iliac-pubis ➢Anteriorly by superior surface of pubis

midplane ANteriorly by the lower border of pubis a Bilaterally by ischial spines is very important clinically because arrest of fetal descent occurs most frequently

midplane ❑Anteriorly by the lower border of pubis ❑Bilaterally by ischial spines is very important clinically because arrest of fetal descent occurs most frequently

outlet Irregular Consisting of two triangles It is bounded by a Posteriorly: the tip of sacrum o Laterally ischial tuberosities sacrotuberous ligaments a Anteriorly: the lower border of pubis symphysis

outlet Irregular Consisting of two triangles It is bounded by ❑ Posteriorly: the tip of sacrum ❑ Laterally : ischial tuberosities sacrotuberous ligaments ❑ Anteriorly:the lower border of pubis symphysis

ype of female pelvIs 口 Gyecoid type 52-58.9% "lsvO "bnuoA 口 Platypelloid type biollegytsl9 3.2-29% biopsy 口 Anthropoid type 14.2-18% levO e 口 Android type 1-3.7 bogoria bignonA pivloq yoloM-llowbls2.aE 3AUDH 29qY

Type of female pelvis ❑ Gyecoid type 52-58.9% ❑ Platypelloid type 23.2-29% ❑ Anthropoid type 14.2-18% ❑ Android type 1-3.7%

External genital organs 口 mons pubis: fatty Clitoris tissue Urethra Skenes gland 口 la bia majora Labium minora Vestibule 口 labia minora Labium majora Hymen which lie inside Bartholin's duct opening the labia majora Posterior fourchette Perineum 口 clitoris: is located anterior to the labia minora FIGURE 3.7. Vulva and perineum

External genital organs ❑ mons pubis: fatty tissue ❑ labia majora ❑ labia minora which lie inside the labia majora ❑ clitoris: is located anterior to the labia minora

Vestibule(前庭) D Lies between the labia minora 口 Is bounded Anteriorly by clitoris Posteriorly by perineum Q Urethra and vaginal orifice open to the midline of the vestibule 口 Bartholin’ s glands also empty into the vestibule

Vestibule(前庭） ❑ Lies between the labia minora ❑ Is bounded Anteriorly by clitoris Posteriorly by perineum ❑ Urethra and vaginal orifice open to the midline of the vestibule ❑ Bartholin’s glands also empty into the vestibule