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Transcript
Urinary System
SHANDONG UNIVERSITY
Liu Zhiyu
Kidney Ureter
Bladder Urethra
Kidney
一、the shape of the kidney
Superior and inferior end
Medial and lateral border Anterior and
posterior surface
Renal hilum 、 Renal Sinus 、 Renal Pedicle
Renal hilum:
Renal Sinus:
Renal hilum 、 Renal Sinus 、 Renal Pedicle
Renal Pedicle :
from anterior to posterior:
renal vein
renal artery renal pelvis
from superior to inferior :
renal artery
renal vein renalpelvis
三、position and capsule of kidney
(一) position
The kidneys lie on
posterior abdominal wall on
either side of the vertebral
column, behind the
peritoneum ,they are
retroperitoneal organ.
The hilum of kidney is at
the level of first lumber
vertebra.
:
Left kidney:
superior end:
;
inferior end:
the 12th rib crosses
obliquely the upper third
of the posterior surface
of the right kidney,and
the middle part of the left
one.
三、 covering of kidney
1) renal fascia :
renal fascia
2) adipose capsule:
3) fibrous capsule:
四、structure of kidney:
Renal Cortex 、Renal Medulla
Renal Cortex
Lesser renal
calices (7-8)
Renal Pyramid
major renal
calices(2-3)
Renal Column
renal papillae
Renal Pelvis
Foramina of
papillae
Renal segments
• The kidney is divided into
five segments and each is
supplied by a branch of the
renal artery;
Superior segment
Superior anterior segment
Inferior anterior segment
Inferior segment
Posterior segment
Renal anomalies
Horseshoe kidney
Pelvic position of kidney
Ureters
Muscular tube, about 25cm long
Three parts
Abdominal part
- descend on the psoas major
behind the peritoneum
Pelvic part
- in female, passes 2cm lateral
to the neck of uterus and lies
below the uterine artery
Intramural part
- passes obliquely through
the urinary bladder wall
Ureters
二、Strictures of ureter
Superior stricture
腹部
Middle stricture
Inferior stricture
盆部
壁内部
Urinary Bladder
Apex of bladder
Body of bladder
Fundus of bladder
Neck of bladder
Trigone of bladder :
Formed by right and left
orifice of ureter and the
internal urethral orifice
Interureteric fold
Vesical plica
position
Relation
Anterior:
pubical symphysis
Posterior:
Male:
seminal vesicle
ampulla ductus deferentis
rectum.
Female:
Inferior:
male: prostate
female: urogenital diaphragm
3、position and relation
female urethre
characteristics:
wide,short and straight
Renal
transplant