Suprarenal gland caudate Gastros lobe Omenta bursa [les sacl, vestibule Spleen and vein Duodenum superior part Tail of Transverse colon Body of pancreas anterosuperior colon ransverse 临床意义:手术时,遇有外伤性肝破裂或肝门附近动脉出 血,可将示指伸入网膜孔内,拇指在小网膜游离缘前方加 压,进行暂时止血
• 网膜孔omental foramen(Winslow孔）：约在第12胸椎至第2腰 椎体的前方，成人可容1~2指通过。 • 网膜孔的境界：前界为肝十二指肠韧带，后界为覆盖在下腔静脉 表面的腹膜，上界为尾状叶，下界为十二指肠上部。 临床意义：手术时，遇有外伤性肝破裂或肝门附近动脉出 血，可将示指伸入网膜孔内，拇指在小网膜游离缘前方加 压，进行暂时止血
mental tenia (2) Haustra of colon s Fundus of s 系膜 tena cole flexure pabc flexure Mddle colic artery Rinht lobe Transverse mesocolon Pancreas Transverse mesocolon 横结肠系膜 Duodenum, inferior Superior and Mesentery recesses Semilunar tolds of 肠系膜 colon ileocecal fold Ureter, abdominal part Mesoappendix 阑尾
（2） 系 膜 Mesoappendix 阑 尾 Mesentery 肠系膜 Transverse mesocolon 横结肠系膜
(2)系膜 .Mesentery Transverse mesocolon Mesoappendix sigmoid mesocolon (3)韧带 .Hepatoduodenal ligamer Hepatogastric ligament o Gastrophrenic ligament Gastrosplenic ligament Phrenicocolic ligament (4)皱襞、隐窝和陷凹 Gastropancreatic fold Superior duodenal folds Inferior duodenal fold
•Mesentery •Transverse mesocolon •Mesoappendix •Sigmoid mesocolon （2）系膜 （4）皱襞、隐窝和陷凹 • Gastropancreatic fold • Superior duodenal folds • Inferior duodenal fold （3）韧带 •Hepatoduodenal ligament •Hepatogasttric ligament •Gastrophrenic ligament •Gastrosplenic ligament •Phrenicocolic ligament
1)腹后壁的皱襞和隐窝 Gastropancreatic fold Superior duodenal folds Inferior duodenal fold Superior duodenal recess Inferior duodenal recess Superior ileocecal recess Inferior ileocecal recess · Retrocecal recess Intersigmoid recess
• Gastropancreatic fold • Superior duodenal folds • Inferior duodenal fold • Superior duodenal recess • Inferior duodenal recess • Superior ileocecal recess • Inferior ileocecal recess • Retrocecal recess • Intersigmoid recess 1）腹后壁的皱襞和隐窝
2)腹前壁的皱襞和隐窝 脐正中襞 腹·直肌 Plica umbilicalis mediana M. rectus abdominis 壁腹膜 腹壁下动静脉 Peritoneum parietale A. et V. epigastrica inferior 腹外斜肌 脐内侧韧带 M. obliquus externus丶 Lig. umbilical medial abdominis 腹内斜肌 Lig. interfoveolare M. obliquus internus 腹股沟管深[腹]环 Annulus inguinalis 横肌 profundus transversus abdominis 髂筋 脐外侧襞 膜 Fascia iliaca Plica umbilicalis lateralis 髂外动脉 脐内侧襞 A. iliaca externa Plica umbilicalis medialis 输精管 髂肌 一 Ductus deferens 精囊 腹股沟外侧窝 Vesicula seminalis Fossa inguinalis lateralis 肛 提肌 腹股沟内侧窝 M. levator ani Fossa inguinalis medialis 膀胱上窝 Fossa supravesical 会阴深横肌 膀胱 M. transversus perinei profundus Vesica urinari 闭孔内肌 M. obturatorius internus 闭孔外肌 M. obturatorius externus 腹前壁内面的皱襞及凹窝
腹前壁内面的皱襞及凹窝 2）腹前壁的皱襞和隐窝