上海交通大学医学院：《妇产科学》（双语） 30 Anatomy of the Female Reproductive System

Anatomy of the Female Reproductive System Liu Wei Department of ob Gy Ren Ji hospital

Anatomy of the Female Reproductive System Liu Wei Department of Ob & Gy Ren Ji hospital

Introduction Pelvis Pelvic floor External genitalia Internal genitalia Vessel and nerve and lymph Adjacent organs

Introduction ▪ Pelvis ▪ Pelvic floor ▪ External genitalia ▪ Internal genitalia ▪ Vessel and nerve and lymph ▪ Adjacent organs

Pelvis

Pelvis

Pelvis Bony pelvis Hi 骼骨 os sacrum 骶骨 OS cOCCyX 尾骨 os ischium p 耻骨 坐骨

Pelvis ▪ Bony pelvis os ilium 髂骨 os coccyx 尾骨 os sacrum 骶骨 os pubis 耻骨 os ischium 坐骨

Pelvis Joints Sacro-iliac joint 骶髂关节 coccygeal 骶尾关节 bie 耻骨联合

Pelvis ▪ Joints Sacro-iliac joint 骶髂关节 Sacro￾coccygeal joint 骶尾关节 Symphysis pubica 耻骨联合

Pelvis Ligaments Sacrospinous ligament骶棘韧带 Extend from the lateral border of the sacrum and coccyx to the spine of the ischium 2. Sacrotuberous ligament骶结节韧带 Extend from the posterior aspect of the lower 3 sacral vertebrae to the ischial tuberosity

Pelvis ▪ Ligaments 1. Sacrospinous ligament 骶棘韧带 Extend from the lateral border of the sacrum and coccyx to the spine of the ischium 2. Sacrotuberous ligament 骶结节韧带 Extend from the posterior aspect of the lower 3 sacral vertebrae to the ischial tuberosity

quina ligament Anterior Sacrospinal lac ligament fascia Sacrotuberal ligament Obturator membrane Figure 2-16. Ligaments of the pelvis

Pelvis Pelvic divisions (iliopectineal line髂耻线) False pelvis (pelvis major Ture pelvis(pelvis minor) bony birth canal the pelvic inlet the pelvic out let and the pelvic cavity

Pelvis ▪ Pelvic divisions (iliopectineal line 髂耻线) 1. False pelvis (pelvis major) 2. Ture pelvis (pelvis minor) Bony birth canal the Pelvic inlet, the pelvic out let and the pelvic cavity

Pelvis Types of pelvis The gynecoid type(女型骨盆) round slightly ovoid or elliptical inlet. adequate sacrosciatic notch. wide interspinous diameters(210cm).52%-589% The platypelloid type(扁平型骨盆) distinct oval inlet. very wide subpubic arch 23.2%-29%

Pelvis ▪ Types of pelvis 1. The gynecoid type (女型骨盆) round, slightly ovoid or elliptical inlet. adequate sacrosciatic notch. wide interspinous diameters(≥10cm). 52%-58.9% 2. The platypelloid type (扁平型骨盆) distinct oval inlet. very wide subpubic arch. 23.2%-29%