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CHAPTER 1 The anatomy of the female reproductive system. Section 1 Pelvis Section 2 External genital organs Section 3 Internal genital organs Section 4 Neighbouring organs Section 5 Vascular ,lymphatic and nervous system Section 6 Pelvic floor. Section 1 Pelvis. (一) composition
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CHAPTER 1 The anatomy of the female reproductive system Section 1 Pelvis Section 2 External genital organs Section 3 Internal genital organs Section 4 Neighbouring organs Section 5 Vascular ,lymphatic and nervous system Section 6 Pelvic floor
Section 1 Pelvis • (一)composition • 1.bone:sacrum,coccyx,2 coxae(ilium,ischium,pubis) • 2.joints:pubic symphysis,sacro-iliac j.sacro-coccygeal j. • 3.ligaments:sacro-tuberous lig. • Sacro-spinous lig. • (二)Boundary of pelvis • the linea terminalis differentiating the true from the false pelvis
(三)plane • 1. inlet plane 2. largest plane • 3. mid-plane 4. outlet-plane • (四)inclination • Def:the angle which the plane of the superior strait forms with the horizon. • (五)axis • Def:the line through the center of the four imaginary planes. • (六)classification
Sec tion 2 External genital organs • mons veneris • labium majus • labium minus • clitoris • vaginal vestibule • vestibular bulb,Bartholin's gland • urethral orifice,vaginal orifice and hymen
Vestibular bulb Urethral orifice Vestibular gland Vaginal orifice hymen vestibule
Section 3 Internal genital organs • (一) vagina • (二) uterus • 1. Anatomic structure • fundus,corpus,cervix • 2.Histologic structure • ① endometrium:functional/basal layer • ② myometrium • ③ serosal layer
3. ligaments • ① round lig. • ② broad lig. • ③ cardinal lig. • ④ uterosacral lig. • (三)fallopian tube • 1. interstitial portion • 2. isthmic portion • 3. ampulla • 4. infundibulum • (四)ovary
Section4 neighbouring organs • urethra • urinary bladder • ureter • rectum • appendix vermiformis
Section 6 pelvic floor • (一)external layer • 1,bulbocavernosus m. • 2,ischiocavernosus m. • 3,superficial transverse perineal m. • 4,external sphincter m.of anus • (二)urogenital diaphragm • 1.superior/inferior facia • 2. deep transverse perineal m. • 3.Compressor of urethra
(三) pelvic diaphragm pubococcygeal m. levator ani m. →iliococcygeal m. ischiococcygeal m. In addition:
ilium sacrum coccyx Normal pelvis
Sacro-spinous lig. Sacro-tuberale lig. Pelvic ligament
platypelloid gynecoid android anthropoid classification
fundus cavity isthmus corpus Anatomical os. cervix Histologic os. fornix Supra-vaginal Vaginal part vagina sagittal coronary uterus
ampulla isthmus interstitial infundibulum Fallopian tubes
cortex Germinal layer follicle Corpus albican medulla Corpus luteum Tunica albuginea ovary