056 Ñòåíêè ãðóäíîé è áðþøíîé ïîëîñòåé Thoracic and abdominal wall Ìûøöû æèâîòà

advertisement
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 13–T 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: POUPART’s ligament.
T 13–T 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 13–T 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: BOCHDALEK’s triangle.
T 21
Download