扬州大学：《妇产科学》课程教学课件（PPT讲稿）01 女性生殖系统解剖学 Anatomy of female reproductive system 1/2

Anatomy of femalereproductive systemZhao Aimin

Anatomy of female reproductive system Zhao Aimin

Bony pelvisSacrum(骶骨)Embryology.Anatomy.andReproduciveGeneticsCHAPTER3Sacroiliac joint(尾骨)CoccyxAnterior.superioriliacspineGreater sciatic toramen（髋骨）Inguinal ligamentCoxaeLinea terminalisIschialspine口Iium（髂骨）essersciatictoramenSacralforameObturalorforamenIschium（坐Obturator.mernbraneSacrospinous ligament骨)Sacrotuberous.ligamentSymphysis pubisIschial tuberosity(耻骨）PubisPubictubercleCoopers ligamentLacunar higamentCoccyxViewofthepelvis fromalsove,showingbones,joints,ligaments,andFIGURE 3.4.foramina

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

PelvisFalase pelvisTrue pelvis(major)(minor)Sacrum and coccyxTo surport the pregnancyBoundedbylumbarposteriorlyvertebraeposteriorlyIschium and pubisiliac fossa bilaterallybilaterallyabdominal wall anteriorlyand 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 planeFour 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>Posteriorlybypromontoryofsacrum>Bilaterally by linea of iliac-pubis> Anteriorly by superior surface ofpubis

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

midplaneAnteriorly by the lower border ofpubisBilaterally by ischial spinesis very important clinicallybecause arrest of fetal descent occursmost 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

outletIrregularConsisting of two trianglesIt is bounded by Posteriorly: the tip of sacrumLaterally:ischialtuberositiessacrotuberous ligamentsAnteriorly: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

Type of female pelvisGyecoid type52-58.9%"lsvO""bnuoA"Platypelloid typebiolleqytsigbioosnya23.2-29%Anthropoid typeHsvo"14.2-18%"spbsw""pnolAndroid typebiorbnAbioqorlinA1-3.7%oivlsgyoloM-llswblsoo

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

Externalgenital organsmons pubis:fattyClitorisUrethratissueSkene's glandlabia majoraLabiumminoraVestibulelabia minoraLabiummajoraHymenwhich lie insideBartholin's ductopeningPosteriorfourchettethe labia majoraPerineumclitoris:is locatedanteriorto theVulva andperineumFIGURE3.7.labia minora

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 Lies between the labia minoraIsboundedAnteriorlyby clitorisPosteriorly by perineumUrethra and vaginalorifice open to themidline of the vestibule Bartholin's glands also empty into thevestibule

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