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髂内动脉的解剖结构及其在围产期和盆腔出血中的教学解剖

Anatomic structure of the internal iliac artery and its educative dissection for peripartum and pelvic hemorrhage.

作者信息

Selçuk İlker, Yassa Murat, Tatar İlkan, Huri Emre

机构信息

University of Health Sciences, Zekai Tahir Burak Woman's Health Health Practice and Research Center, Clinic of Gynecologic Oncology, Ankara, Turkey.

İstanbul Fatih Sultan Mehmet Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey.

出版信息

Turk J Obstet Gynecol. 2018 Jun;15(2):126-129. doi: 10.4274/tjod.23245. Epub 2018 Jun 21.

Abstract

The abdominal aorta is divided into two parts (right and left) at the level of the fourth-fifth lumbar vertebra and called the common iliac artery. Anterior to the sacroiliac joint, common iliac arteries are divided into external and internal iliac arteries. The external iliac artery supplies the lower limb, and the internal iliac artery is the major vascular supply of the pelvis. Internal iliac artery is divided into anterior and posterior trunk. The anterior trunk supplies the pelvis, visceral organs, and the posterior trunk supplies pelvic parietal structures. The broad ligament envelopes the uterus anteriorly and posteriorly with its sheets and continues as the pelvic peritoneum at the lateral side of the pelvic wall. After cutting the pelvic peritoneum, the retroperitoneal area is visualized and the internal iliac artery with other great vessels of the abdomen can be noted.

摘要

腹主动脉在第四、五腰椎水平分为左右两部分,称为髂总动脉。在骶髂关节前方,髂总动脉分为髂外动脉和髂内动脉。髂外动脉供应下肢,髂内动脉是盆腔的主要血管供应。髂内动脉分为前干和后干。前干供应盆腔、内脏器官,后干供应盆腔壁层结构。阔韧带以其叶状结构在子宫前后包裹子宫,并在盆腔壁外侧延续为盆腔腹膜。切开盆腔腹膜后,可观察到腹膜后区域,并可看到髂内动脉及腹部的其他大血管。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27e6/6022419/c2a42fb0a1a9/TJOD-15-126-g1.jpg

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