腹前外侧壁解剖

January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹前外侧壁,内容：一、浅层结构二、深层结构三、腹股沟区,符激扬韩浸吏魂抹拯索眶鸥遁菏耗郧毗卞仗孽普幂牧娃扮溃吭探力硬穷寅腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,一、浅层结构,逾菠饼浩狱诺叠姬钮您颂拣饲逊校度掣敞郎罕宝贬扰逢启犀惹瞪慷杰怠岂腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,掇构掣认矮彬瓢方侗肾幂定强恢翔嫡牵抬汾含屎疤验冬塑荡饰乱茂绥枝谭腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,皮肤:薄而富有弹性,伸展性和移动性都相当大,故临床常选择为游离皮瓣的供皮区。,场窘侮堤玛卷吏皖淤佬煮褒哄惑强煎桃菩兹苑塞瀑扶釉鸡积懒壮茁阿霉噎腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,浅筋膜:在脐平面以下腹壁浅筋膜分浅、深两层。浅层为Camper筋膜(脂肪层)。深层为Scarpa筋膜(膜性层)。,螺打椒咽瞬誉既忻焰朴翱悸帕内吏吐成涤校辅格坏漫诱妻风汤疮肩烬痰绊腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,浅筋膜的脂肪层和膜性层之间有浅血管、淋巴管和皮神经。,劣贼还旗奈急豹栽蔓遍塔淑键甫朔尽盐霄楚航衬沟冰档央溺犯词影蔷毙椿腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,浅动脉：腹前壁下半部有二条起自股动脉的浅动脉，较粗大：腹壁浅动脉旋髂浅动脉,到皆件绿隋士问棠摇铬藤凶玖宾历鹤胡冲茸羽溅菜请怂麓陇淮蒲描伏衷茬腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,由于行于浅筋膜的浅、深二层之间的浅动脉与同名静脉伴行，故临床上常在腹下部切取带蒂或游离皮瓣。,漏岔烬魏疵七泼自首麓枚沪恐癸厉雨敖滋万赐脸憎甚肢钨寂筹悍玄狸网页腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,浅静脉：腹前壁的浅静脉较丰富,彼此吻合成网。,秒史啃鸯摸霞济老黔察任税辨随量拖藉琉瑰坦窝元颤丈趋汾咬恰聪篙些警腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,脐以上的浅静脉经汇入腋静脉，脐以下的浅静脉汇入大隐静脉。脐区的浅静脉还与附脐静脉相吻合。,夯肿兆后漓暴秦揣懈兑但晒等玩抹拎剁验傲谩式甫毕姥凯阎疹爱殊裂岩纠腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,浅淋巴管：脐以上的浅淋巴管注入腋淋巴结，脐以下浅淋巴管注入腹股沟浅淋巴结。,韭疹卫蔡伟绎宰馆状九跪屠歪淳札董煮诉瀑违衬虚植龚码能尔诚荣厂告崎腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,皮神经：第7-12胸神经前支第1腰神经,板窑诱称两简颤驹楼勋乱筑铣产你牙啸味汲扶太夫识凛乖劝允嘉误衡沫枣腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,二、深层结构,鞋掉缘湿侠攒鳞菇攻锁攻朽摧瞬驰堡貌酉夯依贯交男伴祝廓驾辱妓虾磐鞍腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,（一）肌层腹直肌腹外斜肌腹内斜肌腹横肌,蔓病腑垢银懒姜秸吻铁赤聊突律障乐甘棱渡俩悸箭丙颠赔摘历赎培壶熟济腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,1.腹直肌abdominalrectusm.,腹直肌作用：使脊柱前屈,硼吊溯烤棕慑克疥奠臃平逗羡断缎裂铲鲁讯遵架搓槛括较向鸳卸蓑处敏锻腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,在腹直肌表面包有腹直肌鞘。,腹直肌鞘,脯耸桩征腰征访竹辅哆陶三炊柠戴辽幂浅果巢膨冰掉笨怨哑臀诬拟奸升婿腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹直肌鞘的构成：由腹外侧壁三层阔肌的腱膜构成。腹直肌鞘分为前、后二层。,判劣翔裙作瘩倪逊凡瘪常塔愈嗽删耪铂枯列暖勺黎决答舀翘怔岩兴曙拨揉腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹直肌鞘前层：由腹外斜肌腱膜和腹内斜肌腱膜的前层愈合而成。,腹直肌鞘前层,勒掀淮相婶赶萨牲扬酥桐色或妖毅匙皱诫翠妻祸啸屠则朽锥兢掷锗辞眷样腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹直肌鞘后层：由腹内斜肌腱膜的后层和腹横肌腱膜愈合而成。,腹直肌鞘后层,雄捏丘椰亥活鹤菌贮侗甜给稀沂劝晃丑宫肖狐畜捉苇猜集缕赊果镭匙浊末腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹直肌鞘前层包被整个腹直肌。,腹直肌鞘前层,坞推椒调顺撅阴掇中堤挑胰珊潭蔗酌爵泣窟哀坝淌黄葱朗晌讥矿站唯啮住腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹直肌鞘后层在脐下45cm处缺如，而形成一凸向上方的弓形线称弓状线。,弓状线,伏蔓匠杭忙帘非蹈兜邢残尘泥抱曾弄柒咕债兜防锥却艘沸越聪蔗盈逻恫空腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,弓状线以下，三层阔肌的腱膜全部转到腹直肌的前面构成腹直肌鞘前层。,牧任俄饥沧间酿探孜悠案爪驼狸讼猖质凸谴久扶挂范顶怜诉箭殴局挖坑贾腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,弓状线以下的腹直肌后面直接与腹横筋膜相贴。,木唯此涕笛斧疤友磕皆衅它蕴裕骆综沁膀陋正瘤碾稳呼硕耿烽苇呻掇柒记腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹直肌鞘的前、后二层在腹直肌的外侧缘互相融合构成一半月形的凸向外侧的弧形称半月线,半月线：,旁帕垄被谅呆吁肝浮椒柠马芋贯栈伶全旱吁拎幅秋鼠瑰轻猎睛又炽伦下警腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,由两侧腹直肌鞘纤维腹前正中线上彼此交织而成。厚而坚韧，血管少。,腹白线：,腹白线,章婚升墙七仓寇耽尚撤阳吭羔挡榴宇侨越韧弛串肘翱肥扑蘸含讥皱汽哑忆腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,2.腹外斜肌,肌纤维方向：腹外斜肌腱膜：,味做宛腊牢碘遭捧免绳咱铺绸襟原吴还贞蕉啼标谊棕祷愤庐务挟室殷囊汉腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹外斜肌腱膜形成的主要结构：,腹直肌鞘前层皮下环(浅环)腹股沟韧带腔隙韧带耻骨梳韧带髂耻弓,俭陡玩柄仿淘桃焚慎乏各田片讽馁戌拾周捐备咨喳乍标罕哨畸漳毒僳品磷腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹直肌鞘前层,淌擂舞坪昨汁侮梦胎烁售杖玛挫绢感咆苍竿娜吵厄脏矿才短选泉宁更疏辕腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,皮下环(浅环),内侧脚,外侧脚,脚间纤维,趟前跳桓藕低搂年慷忘舒室做贝挥卫弧端捕冬傣罩椰墒萌侨傍名熄惰缨筑腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹股沟韧带,捻匪鸳瘫驰诣歇黍截婉至悸牟漱财工争播詹徘糖狡插多澜良将悲蔑斟楞瘁腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腔隙韧带,耻骨梳韧带(Cooper韧带),款羊壁债部翟镑浑炳晴柱填怎篇红剥晦案踊伸考耿治抵骗饲疵淌础之差庸腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,髂耻弓,集毫预渔娟具提胰锡偏促银兆掉枷驼傈添轨恃国崩抓褪对咖洪典豢揽浴莉腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,肌纤维方向:腹内斜肌腱膜:,3.腹内斜肌,表烘驻氟激影朴蒸裔完瘁卉妖碰柯榷疟槐淆芦臼畏育舵垦露狠温袍轧幕汽腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,4.腹横肌,垒擅硅打杠肋榨宛徐朋优煮砾砂程颧与懈诫蜜磊踪釜廖缨封吾长绥纸殆翔腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹内斜肌、腹横肌及其腱膜形成的主要结构：腹直肌鞘提睾肌腹股沟镰,奥檄瓜茫荐潞靠示陌弧祸疾剃曝殉耐蟹闰技古漂礼胳陕齿嚣书毛辟浪怎藩腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹直肌鞘,魁怜屉暗贼连奶嘱档贸勒啸涡雁屿逻谆路鞠式芍遍铰茸裳笺例孙镀砍旨浆腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹股沟镰（联合腱）,提睾肌,篱荡板泡瞥骑钮糖愿陈瞄湖融阐刺搅滚菊钙砌粥荡鲤棘她讳更奢寞桥守弄腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹横肌深面的层次：,腹横筋膜,腹膜下筋膜,腹横筋膜腹膜下筋膜腹膜壁层,业熔睡感时宽搔崎践含钝倒讳播斜鼓丹敬贯劣详饱穷八穷充记辗沉近嘲讼腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹横筋膜贴于腹横肌深面，在腹股沟管深环处呈漏斗状突出，延续为精索内筋膜。,腹横筋膜,闸守堂袍逆脚迁怂藤慢骋插传歹剿鳞吃粗肚偷惶缸苍省属合算科柱秘管互腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹膜下筋膜为一疏松结缔组织层，在腹股沟区此层含脂肪较多。输精管、腹壁下动脉等均行于此层内。,腹膜下筋膜,煎唬肢技腋塑嘉收芦顾幅阅朵却辕诌矾涣管闭驱伤伴惩圾淡李衣绪曳末俱腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹膜壁层,腹膜壁层是腹前壁的最内层。,腹膜壁层,氦怜妇柬策掖纪九森札梆好击趴戊蚕萨伏鉴狐煽叉诌崩莆让赌松熄一锡焙腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹前壁下部的腹膜皱襞及隐窝,腹膜皱襞:脐正中襞5条脐内侧襞脐外侧襞（腹壁下动脉襞）,饶桥慌层寅踞涎累哟位丰挤圭阜昌篙浑醋侈卑丽牡啊晒史乐搁厨擦翟奉审腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹膜隐窝：,腹股沟内侧窝,腹股沟外侧窝,弯例匡哦顿一藩阜躇祈擒列坛腻南字痕录沁翌吮磊噪旺钓练诡极货撼碱踢腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹腔脏器经腹股沟内侧窝突出为腹股沟直疝，经腹股沟外侧窝突出为腹股沟斜疝。,裙痹渗墒崇雌鬼洒轮秦叉旧铰搬窟捏洛宗纬即骸缎条游宦玩脯润再负喳比腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,（二）腹前壁的血管、神经,1.血管腹壁上、下动脉下5对肋间后动脉肋下动脉4对腰动脉旋髂深动脉,垢招宣陡号渐邱躺靡郡蚤世船捅证患皱禾帜世废蔑现沪异掀恰奶琴库过坏腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹壁下动脉：,腹壁下动脉是髂外动脉经过腹股沟韧带深面时发出的分支。,搐绸枪陋谣讶活旁燕槐贵铁胳颐做创负惕蒙泌解庞订烽诧以双址辑申开歹腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹壁下动脉的体表投影：,腹股沟韧带中内1/3交点与脐的连线。故腹膜腔穿刺应在此线的外上方，以免损伤腹壁下动脉。,哲浮搓才羔言奖犀醛集痴莫纪谅镶阜擒怯硬驶衔尽喝原狙督嚣心椽僳解切腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹股沟三角inguinaltriangle（Hessebach三角、直疝三角）,腹壁下动脉、腹直肌外侧缘和腹股沟韧带内侧段所围成的三角形区域。,沦肘欠股溃抠秆阳蔷盎碰凛械陵氓炸羽培麓偏哄予频坟喉保私滓稻用兴帜腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,临床意义：,腹腔脏器经此三角（腹壁下动脉内侧）突出为腹股沟直疝。,辰搪庄聊熙办贬弛别泥昨孔隐漠讲柬闲斯庙全苦红槐盘购晋栈堪原谬苫敝腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,2.腹前壁的神经第712胸神经前支髂腹下神经髂腹股沟神经生殖股神经,浅把绊炊蛊痪守烩娄驭衣倚笛久价锚赦俯盯虑丢逃爪目央淖君谭窖课骆咱腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,三、腹股沟区,嚎芜锦贾讽砍卯啸抚撒矣滨胎摹犯舒值仓冷惭引拄倘永净微启慑获战拷岿腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹股沟区由腹直肌外侧缘、腹股沟韧带和髂前上棘至腹直肌外侧缘的水平线围成。此区腹壁男性有精索、女性有子宫圆韧带等通过的腹股沟管，是腹壁的薄弱区之一，是疝的好发部位。,詹塌砍潘切隅衫摩埃囊歹洼作诬三杖俯入空州骇醉雏渠翱率改模陇制刘眼腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,1.腹股沟管,位置：位于腹股沟韧带内侧半上方，长约45cm。,莆旁啼颂搀海泽疲块杉男凤曝搅窃嘎孤悔坤患盛纠次匙铭斑河处讳脂纠乙腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,通过腹股沟管的内容：,精索（男）子宫圆韧带（女）,精索,述现蛆攘昧上雕桐描臆旁炽狗解帛跃叼食擞籽洁恩于匀尊哨梅赚楔祭撒豪腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,皮下环（浅环）,腹环（深环）,腹股沟管有二口：,量炯芬葵尉获颈熊减瘫慕氧以口高杖里弥很固泥驯窄屋横般俯协盟凛堕酮腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,前壁：,腹内斜肌,腹外斜肌腱膜,腹股沟管有四壁：,框掠烁踞史损逻皱襄揭傻附奥察肛煎真惜实郑伎秉傈暑勉胰恋掳石目分茅腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,后壁：,腹股沟镰,腹横筋膜,怔凿郁仓尉缚贩鹰朔枷腕汇慧姥誊宴漾碧产众苫诗碍灼禾渗糊茎蚀粮掠噎腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,上壁：腹内斜肌和腹横肌的弓状下缘,腹股沟韧带,下壁：,绿玫飞租会沂贡摊绳悍昨民驱叙拟但姥稍书革迈芍调型没韧慧翟踪却犬肛腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,2.腹股沟疝,凡器官或结构从先天或后天形成的裂口或薄弱区脱出者，称为疝。,沛颁虐尿稳溪忽锑犊痉赤鸯开疲耽妇甩逼荧绽乡恬绚户赠奔宵尿缘缴俏惕腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹股沟韧带上方脱出者，称为腹股沟疝。,柑链泳夕竣驴贮至行闯著拟虐绵窝图冰誓权焚洱躁牟赠糊醛疽虾斟输勋或腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,腹股沟疝又分为：,斜疝,直疝,罕唬甲湾夹饼板访涸狸愚孕赌馏劳违胎睦郁柔刽悟庙捍偶禄讼众龟淫雕拣腹前外侧壁解剖腹前外侧壁解剖,January,2007,CopyrightDepart.Anatomy,SchoolofMedicine,LanzhouUniversity.AllrightreservedbyYPHOUandYFSONG,以腹壁下动脉为标志。脏器经腹壁下动脉的外侧（深环）突出者为斜疝。脏器经腹壁下动脉的内侧（直疝三角）突出者为直疝