Атлас анатомии человека в трех томах. Том II. (Билич, Крыжановский)

Рис. 821.

Нижняя брыжеечная артерия и ее ветви (схема):

1 - Superior rectal artery; 2 - Appendix; Vermiform appendix; 3 - Jejunal arteries; Ileal arteries; 4 - Ascending colon; 5 - Ileocolic artery; 6 - Right colic artery; 7 - Duodenum; 8 - Middle colic artery; 9 - Marginal artery; Juxtacolic artery; Marginal arcade; 10 - Vasa recta; Straight arterioles; 11 - Transverse colon; 12 - Abdominal aorta; 13 - Superior mesenteric artery; 14 - Left colic artery; 15 - Descending colon; 16 - Inferior mesenteric artery; 17 - Sigmoid colon; 18 - Sigmoid arteries; 19 - Rectum

Рис. 822.

Варианты нижней брыжеечной артерии (Б, В - схемы):

1 - Inferior mesenteric artery; 2 - Middle colic artery; 3 - Superior mesenteric artery; 4 - Marginal artery; Juxtacolic artery; Marginal arcade; 5 - Left colic artery; 6 - Sigmoid arteries; 7 - Superior rectal artery

А - нижняя брыжеечная артерия разделяется на три артерии, кровоснабжающие нисходящую и сигмовидную ободочные кишки, а также прямую кишку.

Б - дополнительная средняя ободочная артерия ответвляется от нижней брыжеечной артерии.

В - дополнительная средняя ободочная артерия ответвляется от левой ободочной артерии.

Рис. 823.

Аневризма в области бифуркации аорты (А - схема, Б - фотография):

1 - Common iliac artery; 2 - Aortic bifurcation; 3 - Inferior mesenteric artery; 4 - Inferior vena cava; 5 - Renal artery; 6 - Aorta

Рис. 824.

Ангиограмма брыжеечных артерий

Рис. 825.

Артериальное кровоснабжение органов брюшной полости (схема):

1 - Jejunal arteries; 2 - Ileal arteries; 3 - Appendicular artery; 4 - Ileocolic artery; 5 - Right colic artery; 6 - Middle colic artery; 7 - Inferior mesenteric artery; 8 - Inferior pancreaticoduodenal artery; 9 - Posterior superior pancreaticoduodenal artery; 10 - Supraduodenal artery; 11 - Gastroduodenal artery; 12 - Cystic artery; 13 - Hepatic artery proper; 14 - Right gastric artery; 15 - Common hepatic artery; 16 - Coeliac trunk; 17 - Abdominal aorta; 18 - Oesophageal branches; 19 - Splenic artery; 20 - Left gastric artery; 21 - Short gastric arteries; 22 - Left gastro-omental artery; Left gastro-epiploic artery; 23 - Greater pancreatic artery; 24 - Artery to tail of pancreas; 25 - Right gastro-omental artery; Right gastro-epiploic artery; 26 - Dorsal pancreatic artery; 27 - Prepancreatic artery; 28 - Superior mesenteric artery; 29 - Marginal artery;Juxtacolic artery; Marginal arcade; 30 - Left colic artery; 31 - Sigmoid arteries;

32 - Superior rectal artery; 33 - Inferior rectal artery

Рис. 826.

Общая подвздошная артерия и ее ветви, вид спереди:

1 - Internal pudendal artery; 2 - Inferior gluteal artery; 3 - Appendicular artery; 4 - Superior gluteal artery; 5 - Posterior caecal artery; 6 - Anterior caecal artery; 7 - Ascending branch; 8 - Ileocolic artery; 9 - Superior mesenteric artery; 10 - Aortic bifurcation; 11 - Inferior mesenteric artery; 12 - Left colic artery; 13 - Arteriae lumbales imae; 14 - Median sacral artery; 15 - Common iliac artery; 16 - Sigmoid arteries; 17 - Superior rectal artery; 18 - External iliac artery; 19 - Internal iliac artery; 20 - Obturator artery; 21 - Femoral artery;

22 - Common iliac artery; External iliac artery; Internal iliac artery

Таблица 37. Общая подвздошная артерия и ее ветви

Рис. 827.

Общая подвздошная артерия и ее ветви, вид сзади:

1 - Obturator artery; 2 - Inferior gluteal artery; 3 - Superior gluteal artery; 4 - Internal iliac artery; 5 - Sigmoid arteries; 6 - Common iliac artery; 7 - Superior rectal artery; Inferior mesenteric artery; 8 - Inferior mesenteric artery; 9 - Abdominal aorta; 10 - Inferior vena cava;

11 - Median sacral artery; 12 - Median sacral vein; 13 - Levator ani; 14 - Inferior rectal artery; 15 - Internal pudendal artery; 16 - Middle

rectal artery; Internal iliac artery

Рис. 828.

Артериальное кровоснабжение стенок таза (А - общий вид, Б - направление тока крови, вид сбоку, изнутри) (схема):

1 - Inferior rectal artery; 2 - Obturator branch (Anastomosis between Inferior epigastric artery and Obturator artery); 3 - Obturator artery; 4 - Inferior epigastric artery; 5 - Umbilical artery, occlused part; 6 - Superior vesical artery; 7 - Umbilical artery; 8 - Right external iliac artery; 9 - Right internal iliac artery; 10 - Right common iliac artery; 11 - Abdominal aorta; 12 - Median sacral artery; 13 - Vertebra [LV]; 14 - Iliolumbar artery; 15 - Superior gluteal artery; 16 - Lateral sacral artery; 17 - Piriformis; 18 - Inferior gluteal artery; 19 - Inferior vesical artery; 20 - Middle rectal artery; 21 - Artery to ductus deferens; Artery to vas deferens; 22 - Internal pudendal artery; 23 - Obturator membrane; 24 - Obturator canal; 25 - Iliopectineal arch; 26 - Vascular space; 27 - Inguinal ligament; 28 - Muscular space; 29 - Greater sciatic foramen, suprapiriform part; 30 - Greater sciatic foramen, infrapiriform part; 31 - Sacrospinous ligament; 32 - Sacrotuberous ligament; 33 - Pudendal canal

Видны отверстия, через которые проходят артерии и вены. Существуют шесть путей, границами которых служат грушевидная мышца, крестцово-остистая связка, крестцово-бугорная связка, паховая связка и запирательная мембрана.

Рис. 829.

Внутренняя подвздошная артерия мужчины и ее ветви, вид сбоку, изнутри:

1 - Corpus cavernosum penis; 2 - Deep artery of penis; 3 - Spermatic cord; 4 - Dorsal artery of penis; 5 - Deep dorsal vein of penis; 6 - Vesical venous plexus; 7 - Superior vesical arteries; 8 - Ureter; 9 - Urinary bladder; 10 - Medial umbilical fold; 11 - Lateral umbilical fold; Epigastric fold; Inferior epigastric artery; Inferior epigastric vein; 12 - Deep circumflex iliac artery; Deep circumflex iliac vein; 13 - Ductus deferens; Vas deferens; 14 - External iliac artery; 15 - External iliac vein; 16 - Obturator artery; Obturator veins; 17 - Inferior mesenteric artery; 18 - Common iliac artery; 19 - Abdominal aorta; 20 - Internal iliac artery; 21 - Common iliac vein; 22 - Median sacral artery; 23 - Umbilical artery, patent part; 24 - Promontory; 25 - Internal iliac vein; 26 - Superior rectal artery; Superior rectal vein; 27 - Sacral canal; 28 - Inferior vesical artery; 29 - Artery to ductus deferens; Artery to vas deferens; 30 - Piriformis; 31 - Ischiococcygeus; Coccygeus; 32 - Middle rectal artery; Middle rectal veins; 33 - Seminal gland; Seminal vesicle; 34 - Levator ani; 35 - Inferior rectal artery; Inferior rectal veins; 36 - Internal pudendal artery; Internal pudendal vein; 37 - Prostate; 38 - Posterior scrotal branches

Рис. 830.

Внутренние подвздошные артериии женщины и их ветви, вид спереди:

1 - Urinary bladder; 2 - Clitoris; 3 - Right ovary; 4 - Inferior vesical artery; 5 - Artery of round ligament of uterus; 6 - Round ligament of uterus; 7 - Superior vesical arteries; 8 - Obturator artery; 9 - Deep circumflex iliac vein; 10 - Deep circumflex iliac artery; 11 - Right uterine tube; 12 - Uterine artery; 13 - Inferior gluteal artery; 14 - External iliac vein; 15 - External iliac artery; 16 - Umbilical artery; 17 - Internal iliac artery; 18 - Superior gluteal artery; 19 - Common iliac vein; 20 - Inferior vena cava; 21 - Inferior mesenteric artery; 22 - Abdominal aorta; 23 - Common iliac artery; 24 - Median sacral artery; 25 - Ovarian artery; 26 - Ureter; 27 - Superior rectal artery; 28 - Uterine artery, tubal branch; 29 - Uterine artery, ovarian branch; 30 - Uterus; 31 - Vaginal artery; 32 - Rectum; 33 - Internal pudendal artery; 34 - Vagina; 35 - External anal sphincter; 36 - Levator ani; 37 - Posterior labial branches; 38 - Dorsal artery of clitoris; 39 - Bulbospongiosus