S. 056-059 Bd.2.FH11 Mon Apr 18 12:36:07 2011 Page 1 C 056 M Y CM MY CY CMY K Ñòåíêè ãðóäíîé è áðþøíîé ïîëîñòåé Thoracic and abdominal wall Ïîâåðõíîñòü òåëà Surface Ñêåëåò Skeleton Ìûøöû Muscles Ìûøöû æèâîòà Abdominal muscles Ligg. costoxiphoidea Ðåáåðíî-ìå÷åâèäíûå ñâÿçêè Costoxiphoid ligaments M. pectoralis major, Pars sternocostalis Áîëüøàÿ ãðóäíàÿ ìûøöà, ãðóäèíî-ðåáåðíàÿ ÷àñòü Pectoralis major, sternocostal head M. serratus anterior Ïåðåäíÿÿ çóá÷àòàÿ ìûøöà Serratus anterior M. pectoralis major, Pars abdominalis Áîëüøàÿ ãðóäíàÿ ìûøöà, áðþøíàÿ ÷àñòü Pectoralis major, abdominal part Vagina musculi recti abdominis, Lamina anterior Âëàãàëèùå ïðÿìîé ìûøöû æèâîòà, ïåðåäíÿÿ ïëàñòèíêà Rectus sheath, anterior layer M. obliquus externus abdominis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà External oblique M. rectus abdominis, Intersectio tendinea Ïðÿìàÿ ìûøöà æèâîòà, ñóõîæèëüíàÿ ïåðåìû÷êà Rectus abdominis, tendinous intersection Mm. intercostales interni Âíóòðåííèå ìåæðåáåðíûå ìûøöû Internal intercostal muscles M. rectus abdominis Ïðÿìàÿ ìûøöà æèâîòà Rectus abdominis M. rectus abdominis Ïðÿìàÿ ìûøöà æèâîòà Rectus abdominis M. obliquus internus abdominis, Aponeurosis Âíóòðåííÿÿ êîñàÿ ìûøöà æèâîòà, àïîíåâðîç Internal oblique, aponeurosis M. obliquus externus abdominis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà External oblique Anulus umbilicalis Ïóïî÷íîå êîëüöî Umbilical ring M. obliquus externus abdominis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà External oblique Linea alba Áåëàÿ ëèíèÿ Linea alba Spina iliaca anterior superior Âåðõíÿÿ ïåðåäíÿÿ ïîäâçäîøíàÿ îñòü Anterior superior iliac spine M. obliquus internus abdominis Âíóòðåííÿÿ êîñàÿ ìûøöà æèâîòà Internal oblique Fibrae intercrurales Ìåæíîæêîâûå âîëîêíà Intercrural fibres Anulus inguinalis superficialis Ïîâåðõíîñòíîå ïàõîâîå êîëüöî Superficial inguinal ring M. obliquus externus abdominis, Aponeurosis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà, àïîíåâðîç External oblique, aponeurosis Crus laterale Ëàòåðàëüíàÿ íîæêà Lateral crus Crus mediale Ìåäèàëüíàÿ íîæêà Medial crus T 13T 15, T 17, T 26 M. pyramidalis Ïèðàìèäàëüíàÿ ìûøöà Pyramidalis Lig. reflexum Çàãíóòàÿ ñâÿçêà Reflected ligament Funiculus spermaticus; M. cremaster Ñåìåííîé êàíàòèê; Ìûøöà, ïîäíèìàþùàÿ ÿè÷êî Spermatic cord; Cremaster Ðèñ. 843 Ìûøöû æèâîòà, Mm. abdominis; ïîâåðõíîñòíûé è ñðåäíèé ñëîè Muscles of the abdominal wall, Mm. abdominis; superficial and middle layers S. 056-059 Bd.2.FH11 Mon Apr 18 12:36:07 2011 Page 2 C Îðãàíû Organs Òîïîãðàôèÿ Topography M Y CM MY CY CMY K 057 Ñðåçû Sections Ìûøöû æèâîòà Abdominal muscles M. pectoralis major Áîëüøàÿ ãðóäíàÿ ìûøöà Pectoralis major M. serratus anterior Ïåðåäíÿÿ çóá÷àòàÿ ìûøöà Serratus anterior M. latissimus dorsi Øèðî÷àéøàÿ ìûøöà ñïèíû Latissimus dorsi M. obliquus externus abdominis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà External oblique M. obliquus externus abdominis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà External oblique Intersectiones tendineae Ñóõîæèëüíûå ïåðåìû÷êè Tendinous intersections Mm. intercostales externi Íàðóæíûå ìåæðåáåðíûå ìûøöû External intercostal muscles Vagina musculi recti abdominis, Lamina anterior Âëàãàëèùå ïðÿìîé ìûøöû æèâîòà, ïåðåäíÿÿ ïëàñòèíêà Rectus sheath, anterior layer Mm. intercostales interni Âíóòðåííèå ìåæðåáåðíûå ìûøöû Internal intercostal muscles Cartilago costalis X Ðåáåðíûé õðÿù X Costal cartilage X M. rectus abdominis Ïðÿìàÿ ìûøöà æèâîòà Rectus abdominis M. obliquus externus abdominis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà External oblique Vagina musculi recti abdominis, Lamina anterior Âëàãàëèùå ïðÿìîé ìûøöû æèâîòà, ïåðåäíÿÿ ïëàñòèíêà Rectus sheath, anterior layer M. obliquus internus abdominis Âíóòðåííÿÿ êîñàÿ ìûøöà æèâîòà Internal oblique Spina iliaca anterior superior Âåðõíÿÿ ïåðåäíÿÿ ïîäâçäîøíàÿ îñòü Anterior superior iliac spine Lig. inguinale * Ïàõîâàÿ ñâÿçêà * Inguinal ligament * Anulus inguinalis superficialis Ïîâåðõíîñòíîå ïàõîâîå êîëüöî Superficial inguinal ring Funiculus spermaticus; M. cremaster Ñåìåííîé êàíàòèê; Ìûøöà, ïîäíèìàþùàÿ ÿè÷êî Spermatic cord; Cremaster M. pyramidalis Ïèðàìèäàëüíàÿ ìûøöà Pyramidalis Ðèñ. 844 Ìûøöû æèâîòà, Mm. abdominis; ñðåäíèé ñëîé Muscles of the abdominal wall, Mm. abdominis; middle layer * Êëèíè÷åñêèé òåðìèí: ïóïàðòîâà ñâÿçêà. Clinical term: POUPARTs ligament. T 13T 15, T 17 S. 056-059 Bd.2.FH11 Mon Apr 18 12:36:07 2011 Page 3 C 058 M Y CM MY CY CMY K Ñòåíêè ãðóäíîé è áðþøíîé ïîëîñòåé Thoracic and abdominal wall Ïîâåðõíîñòü òåëà Surface Ñêåëåò Skeleton Ìûøöû Muscles Ìûøöû æèâîòà Abdominal muscles M. rectus abdominis Ïðÿìàÿ ìûøöà æèâîòà Rectus abdominis M. pectoralis major Áîëüøàÿ ãðóäíàÿ ìûøöà Pectoralis major Mm. intercostales externi Íàðóæíûå ìåæðåáåðíûå ìûøöû External intercostal muscles M. latissimus dorsi Øèðî÷àéøàÿ ìûøöà ñïèíû Latissimus dorsi Mm. intercostales interni Âíóòðåííèå ìåæðåáåðíûå ìûøöû Internal intercostal muscles M. serratus anterior Ïåðåäíÿÿ çóá÷àòàÿ ìûøöà Serratus anterior M. obliquus externus abdominis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà External oblique Mm. intercostales externi Íàðóæíûå ìåæðåáåðíûå ìûøöû External intercostal muscles Cartilagines costales Ðåáåðíûå õðÿùè Costal cartilages M. obliquus externus abdominis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà External oblique Intersectiones tendineae Ñóõîæèëüíûå ïåðåìû÷êè Tendinous intersections Costae IX; X Ðåáðà IX; X Ribs IX; X Vagina musculi recti abdominis, Lamina anterior Âëàãàëèùå ïðÿìîé ìûøöû æèâîòà, ïåðåäíÿÿ ïëàñòèíêà Rectus sheath, anterior layer Vagina musculi recti abdominis, Lamina posterior Âëàãàëèùå ïðÿìîé ìûøöû æèâîòà, çàäíÿÿ ïëàñòèíêà Rectus sheath, posterior layer M. rectus abdominis Ïðÿìàÿ ìûøöà æèâîòà Rectus abdominis M. obliquus internus abdominis Âíóòðåííÿÿ êîñàÿ ìûøöà æèâîòà Internal oblique Linea semilunaris Ïîëóëóííàÿ ëèíèÿ Linea semilunaris M. transversus abdominis Ïîïåðå÷íàÿ ìûøöà æèâîòà Transversus abdominis M. transversus abdominis Ïîïåðå÷íàÿ ìûøöà æèâîòà Transversus abdominis Intersectio tendinea Ñóõîæèëüíàÿ ïåðåìû÷êà Tendinous intersection M. obliquus internus abdominis Âíóòðåííÿÿ êîñàÿ ìûøöà æèâîòà Internal oblique M. obliquus internus abdominis Âíóòðåííÿÿ êîñàÿ ìûøöà æèâîòà Internal oblique M. obliquus internus abdominis, Aponeurosis Âíóòðåííÿÿ êîñàÿ ìûøöà æèâîòà, àïîíåâðîç Internal oblique, aponeurosis Vagina musculi recti abdominis, Lamina anterior Âëàãàëèùå ïðÿìîé ìûøöû æèâîòà, ïåðåäíÿÿ ïëàñòèíêà Rectus sheath, anterior layer Linea arcuata Äóãîîáðàçíàÿ ëèíèÿ Arcuate line Anulus inguinalis superficialis, Crus mediale Ïîâåðõíîñòíîå ïàõîâîå êîëüöî, ìåäèàëüíàÿ íîæêà Superficial inguinal ring, medial crus Fascia transversalis Ïîïåðå÷íàÿ ôàñöèÿ Transversalis fascia Funiculus spermaticus Ñåìåííîé êàíàòèê Spermatic cord T 13T 15 M. rectus abdominis Ïðÿìàÿ ìûøöà æèâîòà Rectus abdominis M. pyramidalis Ïèðàìèäàëüíàÿ ìûøöà Pyramidalis Anulus inguinalis superficialis, Crus laterale Ïîâåðõíîñòíîå ïàõîâîå êîëüöî, ëàòåðàëüíàÿ íîæêà Superficial inguinal ring, lateral crus Ðèñ. 845 Ìûøöû æèâîòà, Mm. abdominis; ãëóáîêèé ñëîé Muscles of the abdominal wall, Mm. abdominis; deep layer S. 056-059 Bd.2.FH11 Mon Apr 18 12:36:07 2011 Page 4 C Îðãàíû Organs Òîïîãðàôèÿ Topography M Y CM MY CY CMY K 059 Ñðåçû Sections Ñòåíêà áðþøíîé ïîëîñòè Abdominal wall Linea arcuata Äóãîîáðàçíàÿ ëèíèÿ Arcuate line Lig. teres hepatis Êðóãëàÿ ñâÿçêà ïå÷åíè Round ligament of liver Lig. falciforme Ñåðïîâèäíàÿ ñâÿçêà Falciform ligament Diaphragma Äèàôðàãìà Diaphragm Diaphragma Äèàôðàãìà Diaphragm Umbilicus Ïóïîê Umbilicus M. transversus abdominis Ïîïåðå÷íàÿ ìûøöà æèâîòà Transversus abdominis Peritoneum parietale Ïàðèåòàëüíàÿ áðþøèíà Parietal peritoneum Fascia transversalis; M. rectus abdominis Ïîïåðå÷íàÿ ôàñöèÿ; Ïðÿìàÿ ìûøöà æèâîòà Transversalis fascia; Rectus abdominis Plica umbilicalis lateralis Ëàòåðàëüíàÿ ïóïî÷íàÿ ñêëàäêà Lateral umbilical fold Fossa inguinalis lateralis Ëàòåðàëüíàÿ ïàõîâàÿ ÿìêà Lateral inguinal fossa Plica umbilicalis medialis Ìåäèàëüíàÿ ïóïî÷íàÿ ñêëàäêà Medial umbilical fold Fossa inguinalis medialis Ìåäèàëüíàÿ ïàõîâàÿ ÿìêà Medial inguinal fossa Fossa paravesicalis Îêîëîïóçûðíàÿ ÿìêà Paravesical fossa A.; V. epigastrica inferior Íèæíèå íàä÷ðåâíûå àðòåðèÿ è âåíà Inferior epigastric artery and vein Plica umbilicalis mediana Ñðåäèííàÿ ïóïî÷íàÿ ñêëàäêà Median umbilical fold Chorda a. umbilicalis Ñâÿçêà ïóïî÷íîé àðòåðèè Cord of umbilical artery Lig. umbilicale medianum Ñðåäèííàÿ ïóïî÷íàÿ ñâÿçêà Median umbilical ligament Ðèñ. 846 Âíóòðåííÿÿ ïîâåðõíîñòü ïåðåäíåé áðþøíîé ñòåíêè; ïàðèåòàëüíàÿ áðþøèíà ïðàâîé ïîëîâèíû áðþøíîé ñòåíêè óäàëåíà Internal surface of the anterior abdominal wall; the parietal peritoneum of the right half of the wall has been removed T 14, T 15, T 21 S. 060-063 Bd.2.FH11 Mon Apr 18 12:37:34 2011 Page 1 C 060 M Y CM MY CY CMY K Ñòåíêè ãðóäíîé è áðþøíîé ïîëîñòåé Thoracic and abdominal wall Ïîâåðõíîñòü òåëà Surface Ñêåëåò Skeleton Ìûøöû Muscles Ïàõîâûé êàíàë Inguinal canal M. obliquus externus abdominis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà External oblique M. obliquus externus abdominis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà External oblique M. obliquus externus abdominis, Aponeurosis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà, àïîíåâðîç External oblique, aponeurosis Linea alba Áåëàÿ ëèíèÿ Linea alba M. obliquus externus abdominis, Aponeurosis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà, àïîíåâðîç External oblique, aponeurosis M. obliquus internus abdominis Âíóòðåííÿÿ êîñàÿ ìûøöà æèâîòà Internal oblique Lig. inguinale Ïàõîâàÿ ñâÿçêà Inguinal ligament M. cremaster Ìûøöà, ïîäíèìàþùàÿ ÿè÷êî Cremaster Fibrae intercrurales Ìåæíîæêîâûå âîëîêíà Intercrural fibres Lig. reflexum Çàãíóòàÿ ñâÿçêà Reflected ligament Crus laterale Ëàòåðàëüíàÿ íîæêà Lateral crus Crus mediale Ìåäèàëüíàÿ íîæêà Medial crus Anulus inguinalis superficialis Ïîâåðõíîñòíîå ïàõîâîå êîëüöî Superficial inguinal ring Funiculus spermaticus Ñåìåííîé êàíàòèê Spermatic cord Lig. fundiforme penis Ïðàùåâèäíàÿ ñâÿçêà ïîëîâîãî ÷ëåíà Fundiform ligament of penis Ðèñ. 847 Ïîâåðõíîñòíîå ïàõîâîå êîëüöî Anulus inguinalis superficialis Superficial inguinal ring M. transversus abdominis Ïîïåðå÷íàÿ ìûøöà æèâîòà Transversus abdominis Anulus inguinalis profundus Ãëóáîêîå ïàõîâîå êîëüöî Deep inguinal ring M. obliquus externus abdominis, Aponeurosis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà, àïîíåâðîç External oblique, aponeurosis M. obliquus internus abdominis Âíóòðåííÿÿ êîñàÿ ìûøöà æèâîòà Internal oblique N. ilioinguinalis Ïîäâçäîøíî-ïàõîâûé íåðâ Ilio-inguinal nerve Fascia spermatica interna (Fascia transversalis) Âíóòðåííÿÿ ñåìåííàÿ ôàñöèÿ (Ïîïåðå÷íàÿ ôàñöèÿ) Internal spermatic fascia (Transversalis fascia) A.; Vv. epigastrica(e) inferior(es) Íèæíèå íàä÷ðåâíûå àðòåðèÿ è âåíû Inferior epigastric artery and veins A. ductus deferentis Àðòåðèÿ ñåìÿâûíîñÿùåãî ïðîòîêà Artery to ductus deferens Fascia transversalis Ïîïåðå÷íàÿ ôàñöèÿ Transversalis fascia Ductus deferens Ñåìÿâûíîñÿùèé ïðîòîê Ductus deferens N. ilioinguinalis Ïîäâçäîøíî-ïàõîâûé íåðâ Ilio-inguinal nerve Plexus pampiniformis Ëîçîâèäíîå ñïëåòåíèå Pampiniform plexus N. genitofemoralis, R. genitalis Áåäðåííî-ïîëîâîé íåðâ, ïîëîâàÿ âåòâü Genitofemoral nerve, genital branch M. cremaster Ìûøöà, ïîäíèìàþùàÿ ÿè÷êî Cremaster Lig. inguinale Ïàõîâàÿ ñâÿçêà Inguinal ligament Fascia spermatica externa Íàðóæíàÿ ñåìåííàÿ ôàñöèÿ External spermatic fascia Ðèñ. 848 Ñòåíêè ïàõîâîãî êàíàëà Walls of the inguinal canal Anulus inguinalis superficialis Ïîâåðõíîñòíîå ïàõîâîå êîëüöî Superficial inguinal ring Lig. reflexum Çàãíóòàÿ ñâÿçêà Reflected ligament N. genitofemoralis, R. genitalis Áåäðåííî-ïîëîâîé íåðâ, ïîëîâàÿ âåòâü Genitofemoral nerve, genital branch S. 060-063 Bd.2.FH11 Mon Apr 18 12:37:34 2011 Page 2 C Îðãàíû Organs Òîïîãðàôèÿ Topography M Y CM MY CY CMY K 061 Ñðåçû Sections Ïàõîâûé êàíàë è ïàõîâûå ãðûæè Inguinal canal and inguinal hernias M. obliquus externus abdominis, Aponeurosis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà, àïîíåâðîç External oblique, aponeurosis Peritoneum parietale Ïàðèåòàëüíàÿ áðþøèíà Parietal peritoneum Fascia transversalis Ïîïåðå÷íàÿ ôàñöèÿ 3 Transversalis fascia M. transversus abdominis Ïîïåðå÷íàÿ ìûøöà æèâîòà Transversus abdominis M. obliquus internus abdominis Âíóòðåííÿÿ êîñàÿ ìûøöà æèâîòà Internal oblique M. obliquus externus abdominis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà External oblique Fascia spermatica externa (Fascia superficialis) (Ïîâåðõíîñòíàÿ ôàñöèÿ) Íàðóæíàÿ ñåìåííàÿ ôàñöèÿ External spermatic fascia (Superficial fascia) Lig. umbilicale medianum Ñðåäèííàÿ ïóïî÷íàÿ ñâÿçêà Median umbilical ligament A. epigastrica inferior Íèæíÿÿ íàä÷ðåâíàÿ àðòåðèÿ Inferior epigastric artery 2 1 M. rectus abdominis Ïðÿìàÿ ìûøöà æèâîòà Rectus abdominis Chorda a. umbilicalis Ñâÿçêà ïóïî÷íîé àðòåðèè Cord of umbilical artery 2 1 3 Anulus inguinalis superficialis Ïîâåðõíîñòíîå ïàõîâîå êîëüöî Superficial inguinal ring (Proc. vaginalis peritonei persistens) (Íåçàðàùåííûé âëàãàëèùíûé îòðîñòîê áðþøèíû) (Persisted processus vaginalis of peritoneum) Fascia cremasterica; M. cremaster Ôàñöèÿ ìûøöû, ïîäíèìàþùåé ÿè÷êî; Ìûøöà, ïîäíèìàþùàÿ ÿè÷êî Cremasteric fascia; Cremaster Fascia spermatica interna Âíóòðåííÿÿ ñåìåííàÿ ôàñöèÿ Internal spermatic fascia Ductus deferens Ñåìÿâûíîñÿùèé ïðîòîê Ductus deferens Septum scroti Ïåðåãîðîäêà ìîøîíêè Septum of scrotum Epididymis Ïðèäàòîê ÿè÷êà Epididymis Testis [Orchis] ßè÷êî Testis (Cavitas serosa scroti) (Ñåðîçíàÿ ïîëîñòü ìîøîíêè) (Serous cavity of scrotum) Ðèñ. 849 Ñõåìàòè÷åñêîå èçîáðàæåíèå ïàõîâîãî êàíàëà. Äëÿ ëó÷øåãî ïîíèìàíèÿ ïàõîâûé êàíàë, ñåìåííîé êàíàòèê è ìîøîíêà ïðåäñòàâëåíû â îäíîé ïëîñêîñòè Diagram of the inguinal canal. The inguinal canal, the spermatic cord and the scrotum are illustrated in the same plane for didactical reasons 3 Peritoneum parietale Ïàðèåòàëüíàÿ áðþøèíà Parietal peritoneum 1 Fossa supravesicalis. Íàäïóçûðíàÿ ÿìêà. Supravesical fossa 2 Fossa inguinalis medialis. Ìåäèàëüíàÿ ïàõîâàÿ ÿìêà. Medial inguinal fossa 3 Fossa inguinalis lateralis. Ëàòåðàëüíàÿ ïàõîâàÿ ÿìêà. Lateral inguinal fossa 2 A. epigastrica inferior Íèæíÿÿ íàä÷ðåâíàÿ àðòåðèÿ Inferior epigastric artery Anulus inguinalis superficialis Ïîâåðõíîñòíîå ïàõîâîå êîëüöî Superficial inguinal ring Fascia transversalis Ïîïåðå÷íàÿ ôàñöèÿ Transversalis fascia A. epigastrica inferior Íèæíÿÿ íàä÷ðåâíàÿ àðòåðèÿ Inferior epigastric artery A. epigastrica inferior Íèæíÿÿ íàä÷ðåâíàÿ àðòåðèÿ Inferior epigastric artery 3 Anulus inguinalis superficialis Ïîâåðõíîñòíîå ïàõîâîå êîëüöî Superficial inguinal ring M. obliquus externus abdominis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà External oblique M. transversus abdominis Ïîïåðå÷íàÿ ìûøöà æèâîòà Transversus abdominis M. obliquus internus abdominis Âíóòðåííÿÿ êîñàÿ ìûøöà æèâîòà Internal oblique Fascia spermatica externa Íàðóæíàÿ ñåìåííàÿ ôàñöèÿ External spermatic fascia (Fascia superficialis) (Ïîâåðõíîñòíàÿ ôàñöèÿ) (Superficial fascia) Fascia transversalis Ïîïåðå÷íàÿ ôàñöèÿ Transversalis fascia * *** ** Ductus deferens Ñåìÿâûíîñÿùèé ïðîòîê Ductus deferens (Proc. vaginalis peritonei), Peritoneum parietale (Âëàãàëèùíûé îòðîñòîê áðþøèíû), ïàðèåòàëüíàÿ áðþøèíà (Processus vaginalis of peritoneum), parietal peritoneum Fascia spermatica interna Âíóòðåííÿÿ ñåìåííàÿ ôàñöèÿ Internal spermatic fascia Fascia cremasterica; M. cremaster Ôàñöèÿ ìûøöû, ïîäíèìàþùåé ÿè÷êî; Ìûøöà, ïîäíèìàþùàÿ ÿè÷êî Cremasteric fascia; Cremaster Fascia spermatica externa Íàðóæíàÿ ñåìåííàÿ ôàñöèÿ External spermatic fascia Ðèñ. 850 Ñõåìàòè÷åñêîå èçîáðàæåíèå ïàõîâûõ ãðûæ. Ñëåâà: ëàòåðàëüíàÿ, êîñàÿ ãðûæà. Ñïðàâà: ìåäèàëüíàÿ, ïðÿìàÿ ãðûæà Diagram of inguinal hernias; left side: lateral, indirect hernia; right side: medial, direct hernia ** * Ductus deferens Ñåìÿâûíîñÿùèé ïðîòîê Ductus deferens Fascia spermatica interna Âíóòðåííÿÿ ñåìåííàÿ ôàñöèÿ Internal spermatic fascia Fascia cremasterica; M. cremaster Ôàñöèÿ ìûøöû, ïîäíèìàþùåé ÿè÷êî; Ìûøöà, ïîäíèìàþùàÿ ÿè÷êî Cremasteric fascia; Cremaster (Cavitas serosa scroti) (Ñåðîçíàÿ ïîëîñòü ìîøîíêè) (Serous cavity of scrotum) * Ãðûæåâîé ìåøîê ñ êèøå÷íîé ïåòëåé. Hernial sac with an intestinal loop. ** Áðþøèííîå ïðîñòðàíñòâî. Peritoneal space. *** Áðþøèíà â ñîñòàâå ñòåíêè ñôîðìèðîâàâøåãîñÿ ãðûæåâîãî ìåøêà. Newly formed peritoneal hernial sac. S. 060-063 Bd.2.FH11 Mon Apr 18 12:37:34 2011 Page 3 C 062 M Y CM MY CY CMY K Ñòåíêè ãðóäíîé è áðþøíîé ïîëîñòåé Thoracic and abdominal wall Ïîâåðõíîñòü òåëà Surface Ñêåëåò Skeleton Äèàôðàãìà è çàäíÿÿ áðþøíàÿ ñòåíêà Diaphragm and posterior abdominal wall Pars sternalis diaphragmatis Ãðóäèííàÿ ÷àñòü äèàôðàãìû Sternal part (of diaphragm) Foramen venae cavae Îòâåðñòèå íèæíåé ïîëîé âåíû Caval opening Pars costalis diaphragmatis Ðåáåðíàÿ ÷àñòü äèàôðàãìû Costal part (of diaphragm) Oesophagus, Pars abdominalis Ïèùåâîä, áðþøíàÿ ÷àñòü Oesophagus, abdominal part M. transversus abdominis Ïîïåðå÷íàÿ ìûøöà æèâîòà Transversus abdominis Hiatus oesophageus Ïèùåâîäíîå îòâåðñòèå Oesophageal hiatus Centrum tendineum Ñóõîæèëüíûé öåíòð Ñentral tendon Hiatus aorticus Àîðòàëüíîå îòâåðñòèå Aortic hiatus Pars costalis diaphragmatis Ðåáåðíàÿ ÷àñòü äèàôðàãìû Costal part (of diaphragm) Truncus coeliacus ×ðåâíûé ñòâîë Coeliac trunk Pars lumbalis diaphragmatis, Crus dextrum Ïîÿñíè÷íàÿ ÷àñòü äèàôðàãìû, ïðàâàÿ íîæêà Lumbar part (of diaphragm), right crus Pars abdominalis aortae Áðþøíàÿ ÷àñòü àîðòû Abdominal aorta Lig. arcuatum mediale Ìåäèàëüíàÿ äóãîîáðàçíàÿ ñâÿçêà Medial arcuate ligament Lig. arcuatum laterale Ëàòåðàëüíàÿ äóãîîáðàçíàÿ ñâÿçêà Lateral arcuate ligament Vertebrae lumbales III; IV Ïîÿñíè÷íûå ïîçâîíêè III; IV Lumbar vertebrae III; IV (M. psoas minor) (Ìàëàÿ ïîÿñíè÷íàÿ ìûøöà) (Psoas minor) Crista iliaca Ïîäâçäîøíûé ãðåáåíü Iliac crest M. quadratus lumborum Êâàäðàòíàÿ ìûøöà ïîÿñíèöû Quadratus lumborum (M. psoas minor), Tendo (Ìàëàÿ ïîÿñíè÷íàÿ ìûøöà), ñóõîæèëèå (Psoas minor), tendon M. transversus abdominis Ïîïåðå÷íàÿ ìûøöà æèâîòà Transversus abdominis M. psoas major Áîëüøàÿ ïîÿñíè÷íàÿ ìûøöà Psoas major M. psoas major Áîëüøàÿ ïîÿñíè÷íàÿ ìûøöà Psoas major M. iliacus Ïîäâçäîøíàÿ ìûøöà Iliacus M. iliacus Ïîäâçäîøíàÿ ìûøöà Iliacus Promontorium Ìûñ Promontory Lacuna vasorum Ñîñóäèñòàÿ ëàêóíà Vascular space Peritoneum parietale Ïàðèåòàëüíàÿ áðþøèíà Parietal peritoneum A. femoralis Áåäðåííàÿ àðòåðèÿ Femoral artery V. femoralis Áåäðåííàÿ âåíà Femoral vein Pecten ossis pubis Ãðåáåíü ëîáêîâîé êîñòè Pecten pubis Lig. inguinale Ïàõîâàÿ ñâÿçêà Inguinal ligament Rectum Ïðÿìàÿ êèøêà Rectum T 15, T 16, T 21, T 42 Vesica urinaria Ìî÷åâîé ïóçûðü Urinary bladder M. rectus abdominis Ïðÿìàÿ ìûøöà æèâîòà Rectus abdominis Ðèñ. 851 Äèàôðàãìà è ìûøöû æèâîòà Diaphragma et Mm. abdominis Diaphragm and muscles of the abdominal wall Ìûøöû Muscles S. 060-063 Bd.2.FH11 Mon Apr 18 12:37:34 2011 Page 4 C Îðãàíû Organs Òîïîãðàôèÿ Topography M Y CM MY CY CMY K 063 Ñðåçû Sections Äèàôðàãìà Diaphragm Pars sternalis diaphragmatis Ãðóäèííàÿ ÷àñòü äèàôðàãìû Sternal part (of diaphragm) Vv. phrenicae inferiores Íèæíèå äèàôðàãìàëüíûå âåíû Inferior phrenic veins Centrum tendineum Ñóõîæèëüíûé öåíòð Central tendon Proc. xiphoideus Ìå÷åâèäíûé îòðîñòîê Xiphoid process Trigonum sternocostale *: A.; V. thoracica interna; N. phrenicus sinister, R. phrenicoabdominalis Ãðóäèíî-ðåáåðíûé òðåóãîëüíèê *: Âíóòðåííèå ãðóäíûå àðòåðèÿ è âåíà; Ëåâûé äèàôðàãìàëüíûé íåðâ, äèàôðàãìàëüíî-áðþøíàÿ âåòâü Sternocostal tringle *: Internal thoracic artery and vein; Left phrenic nerve, phrenico-abdominal branch Hiatus oesophageus: Oesophagus; Trunci vagales anterior et posterior Ïèùåâîäíîå îòâåðñòèå: Ïèùåâîä; Ïåðåäíèé è çàäíèé áëóæäàþùèå ñòâîëû Orsophageal hiatus: Oesophagus; Anterior and posterior vagal trunks N. phrenicus sinister, R. phrenicoabdominalis Ëåâûé äèàôðàãìàëüíûé íåðâ, äèàôðàãìàëüíî-áðþøíàÿ âåòâü Left phrenic nerve, phrenico-abdominal branch Foramen venae cavae: V. cava inferior Îòâåðñòèå íèæíåé ïîëîé âåíû: Íèæíÿÿ ïîëàÿ âåíà Caval opening: Inferior vena cava A. phrenica inferior Íèæíÿÿ äèàôðàãìàëüíàÿ àðòåðèÿ Inferior phrenic artery N. phrenicus dexter, R. phrenicoabdominalis Ïðàâûé äèàôðàãìàëüíûé íåðâ, äèàôðàãìàëüíî-áðþøíàÿ âåòâü Right phrenic nerve, phrenico-abdominal branch N. splanchnicus major (Truncus sympathicus) Áîëüøîé âíóòðåííîñòíûé íåðâ (Ñèìïàòè÷åñêèé ñòâîë) Greater splanchnic nerve (Sympathetic trunk) Pars costalis diaphragmatis Ðåáåðíàÿ ÷àñòü äèàôðàãìû Costal part (of diaphragm) V. lumbalis ascendens sinistra Ëåâàÿ âîñõîäÿùàÿ ïîÿñíè÷íàÿ âåíà Left ascending lumbar vein Lig. arcuatum medianum Ñðåäèííàÿ äóãîîáðàçíàÿ ñâÿçêà Median arcuate ligament Pars lumbalis diaphragmatis, Crus dextrum (Pars lateralis) Ïîÿñíè÷íàÿ ÷àñòü äèàôðàãìû, ïðàâàÿ íîæêà (ëàòåðàëüíàÿ ÷àñòü) Lumbar part (of diaphragm), right crus (lateral part) Trigonum lumbocostale Ïîÿñíè÷íî-ðåáåðíûé òðåóãîëüíèê Lumbocostal triangle Lig. arcuatum laterale Ëàòåðàëüíàÿ äóãîîáðàçíàÿ ñâÿçêà Lateral arcuate ligament N. splanchnicus minor (Truncus sympathicus) Ìàëûé âíóòðåííîñòíûé íåðâ (Ñèìïàòè÷åñêèé ñòâîë) Lesser splanchnic nerve (Sympathetic trunk) Costa XII Ðåáðî XII Rib XII M. quadratus lumborum Êâàäðàòíàÿ ìûøöà ïîÿñíèöû Quadratus lumborum Proc. costiformis [costalis] vertebrae lumbalis I Ðåáåðíûé îòðîñòîê ïîÿñíè÷íîãî ïîçâîíêà I Costal process of lumbar vertebra I Lig. arcuatum mediale Ìåäèàëüíàÿ äóãîîáðàçíàÿ ñâÿçêà Medial arcuate ligament Hiatus aorticus: Pars abdominalis aortae; Ductus thoracicus Àîðòàëüíîå îòâåðñòèå: Áðþøíàÿ ÷àñòü àîðòû; Ãðóäíîé ïðîòîê Aortic hiatus: Abdominal aorta; Thoracic duct V. lumbalis ascendens dextra Ïðàâàÿ âîñõîäÿùàÿ ïîÿñíè÷íàÿ âåíà Right ascending lumbar vein M. psoas major Truncus sympathicus Áîëüøàÿ ïîÿñíè÷íàÿ ìûøöà Ñèìïàòè÷åñêèé ñòâîë Psoas major Sympathetic trunk Pars lumbalis diaphragmatis, Crus dextrum (Pars medialis) Ïîÿñíè÷íàÿ ÷àñòü äèàôðàãìû, ïðàâàÿ íîæêà (ìåäèàëüíàÿ ÷àñòü) Lumbar part (of diaphragm), right crus (medial part) Ðèñ. 852 Äèàôðàãìà Diaphragma Diaphragm V. cava inferior; Vv. hepaticae Íèæíÿÿ ïîëàÿ âåíà; Ïå÷åíî÷íûå âåíû Inferior vena cava; Hepatic veins Pleura parietalis, Pars diaphragmatica Pars sternalis diaphragmatis Ïàðèåòàëüíàÿ ïëåâðà, äèàôðàãìàëüíàÿ ÷àñòü Ãðóäèííàÿ ÷àñòü äèàôðàãìû Parietal pleura, diaphragmatic part Sternal part (of diaphragm) M. latissimus dorsi Øèðî÷àéøàÿ ìûøöà ñïèíû Latissimus dorsi Costa VIII Ðåáðî VIII Rib VIII Costa VII Ðåáðî VII Rib VII Oesophagus, Pars abdominalis Ïèùåâîä, áðþøíàÿ ÷àñòü Oesophagus, abdominal part Pars thoracica aortae Ãðóäíàÿ ÷àñòü àîðòû Thoracic aorta T 21 Oesophagus, Pars thoracica Ïèùåâîä, ãðóäíàÿ ÷àñòü Oesophagus, thoracic part Pericardium, Lamina parietalis; Centrum tendineum Ïåðèêàðä, ïàðèåòàëüíàÿ ïëàñòèíêà; Ñóõîæèëüíûé öåíòð (äèàôðàãìû) Pericardium, parietal layer; Ñentral tendon (of diaphragm) Gaster, Cardia [Pars cardiaca] Æåëóäîê, êàðäèà [Êàðäèàëüíàÿ ÷àñòü] Stomack, cardia [Cardial part] Pars lumbalis diaphragmatis, Crus sinistrum (Pars lateralis) Ïîÿñíè÷íàÿ ÷àñòü äèàôðàãìû, ëåâàÿ íîæêà (ëàòåðàëüíàÿ ÷àñòü) Lumbar part (of diaphragm), left crus (lateral part) M. serratus anterior Ïåðåäíÿÿ çóá÷àòàÿ ìûøöà Serratus anterior Costa VI Ðåáðî VI Rib VI Pericardium Ïåðèêàðä Pericardium Hiatus aorticus Àîðòàëüíîå îòâåðñòèå Aortic hiatus V VI Trigonum lumbocostale * Ïîÿñíè÷íî-ðåáåðíûé òðåóãîëüíèê * Lumbocostal triangle * VII Costa VIII Ðåáðî VIII Rib VIII Lig. arcuatum laterale Ëàòåðàëüíàÿ äóãîîáðàçíàÿ ñâÿçêà Lateral arcuate ligament M. rectus abdominis Ïðÿìàÿ ìûøöà æèâîòà Rectus abdominis M. obliquus externus abdominis Íàðóæíàÿ êîñàÿ ìûøöà æèâîòà External oblique M. transversus abdominis Ïîïåðå÷íàÿ ìûøöà æèâîòà Transversus abdominis Costa XII Ðåáðî XII Rib XII Pars lumbalis diaphragmatis, Crus sinistrum (Pars medialis) Ïîÿñíè÷íàÿ ÷àñòü äèàôðàãìû, ëåâàÿ íîæêà (ìåäèàëüíàÿ ÷àñòü) Lumbar part (of diaphragm), left crus (medial part) Lig. arcuatum mediale Ìåäèàëüíàÿ äóãîîáðàçíàÿ ñâÿçêà Medial arcuate ligament M. psoas major Áîëüøàÿ ïîÿñíè÷íàÿ ìûøöà Psoas major (M. psoas minor) (Ìàëàÿ ïîÿñíè÷íàÿ ìûøöà) (Psoas minor) Vertebra lumbalis III, Proc. costalis Ïîÿñíè÷íûé ïîçâîíîê III, ðåáåðíûé îòðîñòîê Lumbar vertebra III, costal process M. quadratus lumborum Êâàäðàòíàÿ ìûøöà ïîÿñíèöû Quadratus lumborum M. iliacus Ïîäâçäîøíàÿ ìûøöà Iliacus Ðèñ. 853 Äèàôðàãìà, Diaphragma, ñ åå îòâåðñòèÿìè è ìûøöàìè çàäíåé áðþøíîé ñòåíêè. V, VI, VII ðåáðà V, VI, VII Diaphragm, Diaphragma, with apertures and muscles of the posterior abdominal wall. V, VI, VII ribs V, VI, VII * Êëèíè÷åñêèé òåðìèí: òðåóãîëüíèê Áîõäàëåêà. Clinical term: BOCHDALEKs triangle. T 21