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The Female Genital Organs 女 性 生 殖 器 The Female Genital Organs Composion: Internal genital organs 内生殖器 Ovaries 卵巢 Conveying ducts Uterine tubes 输卵管 Uterus 子宫 Vagina 阴道 External genital organs 外生殖器 Ⅰ.internal genital organs内生殖器 Ovary 卵巢 Position-lies in the ovarian fossa in the angle between the internal and external iliac vessels on the lateral pelvic wall. Shape-an ovoid organ Superior pole Inferior pole Anterior border Mesovarian border 系膜缘 Hilum of ovary 卵巢门 internal genital organs Posterior border-free border Two surfaces-medial and lateral Supporting structures Suspensory ligament of ovary 卵巢悬韧带 Proper ligament of ovary 卵巢固有韧带 Function: Produce ova卵子 secrete estrogens 雌激素 internal genital organs Female Reproductive Cycle internal genital organs Uterine tube 输卵管 General features About 10cm long Located in the upper edge of broad ligament of uterus internal genital organs Four parts Infundibulum of uterine tube 输卵管漏斗 Fimbriae of uterine tube 输卵管伞 ovarian fimbria 卵巢伞 Ampulla of uterine tube 输卵管壶腹-relatively wide, tortuous, longst part, where the fertilization of the ovum takes place internal genital organs Isthmus of uterine tube 输卵管峡 -straight and narrow portion, is the place where the tubal ligation is performed Uterine part 子宫部 -, pierces uterine wall and opens into cavity of uterus by uterine orifice of uterine tube 输卵管子 宫口 internal genital organs Uterus 子宫 General features- muscular pear-shaped organ Three parts Fundus of uterus 子宫底 Body of uterus 子宫体 Neck of uterus 子宫颈 Vaginal parts of cervix 子宫颈阴道部 Supravaginal parts of cervix 子宫颈阴道上部 internal genital organs Uterus 子宫 Isthmus of uterus 子 宫峡 -short constricted part, between the body and the neck of uterus, internal genital organs Uterus 子宫 Interior cavity of uterus 子宫腔- the cavity of body of uterus, is triangular in coronal section Canal of cervix of uterus 子宫颈管 -the cavity of the neck, opens into the vagina at the orifice of uterus 子宫口 Cavity internal genital organs Uterus 子宫 Position Lies in the center of the pelvic catity, between bladder and rectum; usually it is anteversion 前倾 anteflexion 前屈 internal genital organs Uterus 子宫 Position Anteversion 前倾 -axis of uterus meet with that of vagina at about 90o ; 前屈 -axis of body of uterus is bent forward to form an angle of about 170o with that of the cervix . Anteflexion internal genital organs Supports of uterus Pelvic diaphragm Ligaments Broad ligament of uterus 子宫阔韧带 Round ligament of uterus 子宫圆韧带 Cardinal ligament of uterus 子宫主韧带 Uterosacral ligament of uterus 骶子宫韧带 internal genital organs Broad ligament of uterus 子宫阔韧带 Mesosalpinx for the uterine tubes 输卵管系膜 Mesometrium for the ovary 卵巢系膜 Mesovarium 子宫系膜 internal genital organs Round ligament of uterus 子宫圆韧带 maintain in anteversion position of uterus Cardinal ligament of uterus 子宫主韧带 support the position of uterus to prevent from dropping. Uterosacral ligament of uterus 骶子宫韧带 maintain in anteverted position of uterus internal genital organs Vagina 阴道 Flattened fibromuscular tube, about 8~9cm long Extends upward and backward from vestibule to uterus Fornix of vagina 阴 道穹 Formed between cervix and walls of vagina Posterior fornix Lateral parts deepest and larger Anterior part part and related to the rectouterine pouch closely. internal genital organs Accessory gland 附属腺体 Great vestibular gland 前庭大腺 On either side of vaginal orifice Open on both sides of orifice of vagina Ⅱ.External genital organs外生殖器 Mons pubis 阴阜 Greater lips of pudendum 大阴唇 Lesser lips of pudendum 小阴唇 Vaginal vestibule 阴道前庭 Clitoris 阴蒂 Bulb of vestibule 前庭球 Ⅲ. The mammae 乳房 Position • Lie in superficial fascia over the pectorals major and pectoral fascia • Extend from 3rd to 7th ribs vertically, and from parasternal line to midaxillary line transversally Ⅲ. The mammae 乳房 Shape: in the young adult female (nullipara) the mamma forms a round eminence. The mammary niple 乳头 is on the center of the mamma, and commonly lies at the level of the fouth intercostal space . areola乳晕:pigmented area surrounded the niple Ⅲ. The mammae 乳房 Structures- The mamma consists of skin 皮肤, mammary glands乳腺 and adipose tissue脂肪; Each brest has about 15~20 lobes of mammary gland 乳腺 叶。 Each lobe has has a lactiferous duct 输乳管 which opens separately on the summit of the nipple and possesses a dilated lactiferous sinuses输乳管窦 just prior to its termination Ⅲ. The mammae 乳房 • Suspensory ligaments of breast 乳房悬韧带 (cooper’s ligaments )- strands of connective tissue runs between skin and deep fascia and serve to support the mammary glands Ⅲ. The mammae 乳房 乳腺脓肿切开引流时,应做放射状切口。乳房基底部与胸 肌筋膜间有乳房后间隙。脓肿时,脓汁可向下扩散,宜做低位 弧形切口引流。