Hernia:AnatomySignificantEvents疝:解剖和重大事件Hernia:AnatomySignificantEv1SessionOutline課程概述疝診斷的歷史解剖標(biāo)志解剖學(xué)組織分層和結(jié)構(gòu)腹股溝區(qū)解剖腹股溝斜疝的發(fā)病機(jī)理及臨床癥狀SessionOutline2Whereitallbegan疝醫(yī)學(xué)診斷的開端HammurabiofBabylon(1700BC)-Describedherniareductionandapplicationofbandagestoprevent巴比倫的汗莫拉比(1700BC)一描述了疝氣的回納和使用繃帶防治突出的適應(yīng)癥Hippocrates(400BO)-Describedherniaasatearintheabdomen希波克拉底(400BC)-把疝氣描述成腹壁的眼淚Celsus(100AD)-Introducedtranslumination;describedclinicalsignsthatdifferentiateaherniafromahydrocele希爾鑾司(100AD)一使用透光來作為慚床鑒別疝和陰囊積水的標(biāo)志W(wǎng)hereitallbegan3TheModernAnatomists:Historicfirsts現(xiàn)代解剖學(xué)家:歷史上的第Poupart(france)-Describedtheinguinalligament.波龐特(法國)一第一個描述腹股溝韌帶Heister-Firsttodescribeindirectdirecthernias.(1724)海斯特一第一個描述直疝和斜元(1724年)Camper(Holland)-Describedthesuperficialsubcutaneous炊博斯(荷蘭)一第一個描述淺筋膜Scarpa(italy)-Describeddeepsubcutaneousfascia;anatomicandsurgicalimportanceofslidinghernias(1814)思卡帕『意大利)一第一個描述深筋膜并解釋了滑疝對解剖和手術(shù)重要性(1814年TheModernAnatomists:Histori4Themodernanatomists:Historicfirsts現(xiàn)代解剖學(xué)家:歷史上的第SirAshleyCooper(England)-Describedanatomyandsurgicaltreatmentofcruralandumbilicalhernias;anatomyofthegroinincludingthesuperiorpubic(Cooper)ligament阿仕利庫珀爵士(英國)一描述了裂孔疝和臍疝的解剖和手術(shù)治療并描述了腹股溝區(qū)解剖包括了恥骨梳韌帶Morton-Describedtheconjoinedtendon莫頓一描述了聯(lián)合韌帶Richter(germany)-Describedpartialobstructionandincarcerationofthebowelinaherniadefect李克特(德國)一描述了腸管部分和究全嵌頓在疝缺損部位Themodernanatomists:Histori5Hesselbach(Germany)-Definediliopubictract;describedimportanceofthemedialtriangleofthegroin(includedthefemoralcanal)海思勒(德國)一詳細(xì)說明了髂恥束并描述了腹股溝區(qū)海思勒三角(甸括股FinotO餓股溝韌亭0MedialTrianglehttp:/mwrwmedscapecomHesselbach(Germany)-Definedil6AFewTermstoRemember解剖名詞Aponeurosis:joinsmuscletomuscle;theconvergenceoftheanteriorandposteriorsheaths;fascia腱膜:連接肌肉和肌肉Tendonjoinsmuscletobone肌腱:連接肌肉和骨頭Ligament:joinsbonetobone韌帶:連接骨頭和骨頭AFewTermstoRemember7“LayersoftheCakeN蛋糕的分層”Skin皮膚“LayersoftheCake8Subcutaneousfat皮下脂肪DescribedbyCamper(holland)AlsoreferedtoasCampersfascia最初由炊博斯(荷蘭)發(fā)現(xiàn)描述故又被稱作坎博斯筋膜Subcutaneousfat9Scarpa'sFascia思卡帕筋膜Scarpa(Italy)思卡帕(意大利Sometimesreferedtoassubcutaneousmuscle有時被當(dāng)作皮下的肌肉(膜性組織i.ehorseshakingfliesoffScarpa'sFascia10腹股溝管解剖課件整理_00211腹股溝管解剖課件整理_00212腹股溝管解剖課件整理_00213腹股溝管解剖課件整理_00214腹股溝管解剖課件整理_00215腹股溝管解剖課件整理_00216腹股溝管解剖課件整理_00217腹股溝管解剖課件整理_00218腹股溝管解剖課件整理_00219腹股溝管解剖課件整理_00220腹股溝管解剖課件整理_00221腹股溝管解剖課件整理_00222腹股溝管解剖課件整理_00223腹股溝管解剖課件整理_00224腹股溝管解剖課件整理_00225腹股溝管解剖課件整理_00226腹股溝管解剖課件整理_00227腹股溝管解剖課件整理_00228腹股溝管解剖課件整理_00229腹股溝管解剖課件整理_00230腹股溝管解剖課件整理_00231腹