總髂動脈(Common iliac artery)


Ascending aorta(升主動脈)

 Aortic arch(主動脈弓)
  Brachiocephalic trunk(頭臂動脈幹)
  common carotid artery(總頸動脈)
  subclavian artery (鎖骨下動脈)
   Axillary artery(腋動脈)
 Thoracic aorta (胸主動脈)
 abdominal aorta(腹主動脈)
 Common iliac artery(總髂動脈)(包含internal iliac artery(內髂動脈))
  external iliac artery(外髂動脈)
  Femoral artery(股動脈)
 Pulmonary artery(肺動脈)




紅色:左右對稱(特別提及者)
綠色:兩方動脈相互供應
紫色:同向多條吻合
:接續下一血管,但名稱改變
X:此血管名稱為最後命名

五、Common iliac artery(總髂動脈)external iliac artery(外髂動脈)為主幹,分開探討[分左右兩支][1]
分支(1)
分支(2)
分支(3)
支配器官
Ureteric branch from common iliac artery (來自總髂動脈的輸尿管支)


Ureter(輸尿管)
Internal iliac artery(內髂動脈)
superior gluteal artery(上臀動脈)[2]
支配gluteus maximus muscle(臀大肌)Gluteus medius muscle(臀中肌)Gluteus minimus muscle(臀小肌)hip joint(髖關節)
iliolumbar artery(髂腰動脈)[3]
後腹壁、iliacus muscle(髂肌)psoas major muscle(腰大肌)quadratus lumborum muscle(腰方肌)
lateral sacral artery(外側薦動脈)[4]
sacrum(薦骨)與鄰近組織
umbilical artery(臍動脈)[5]

placenta(胎盤)
Superior vesical artery(上膀胱動脈)[6]
bladder(膀胱)上部
Ureteric branch(輸尿管支)
ureter(輸尿管)近端
obturator artery(閉孔動脈)[7]

thigh(大腿)內側和臀部的內收肌群(adductor longus muscle(內收長肌)adductor brevis muscle(內收短肌)adductor magnus muscle(內收大肌))、髖關節之股骨頭
Uterine artery(子宮動脈)[8]
X↓
vaginal artery (陰道動脈)[9]
bladder(膀胱)vagina(陰道)rectum(直腸)
Round ligament(圓韌帶支)
round ligament of the uterus(子宮圓韌帶)
Tubal branch(輸卵管支)
uterine tube(輸卵管)
Ovarian branch(卵巢支)
ovary(卵巢)
arcuate arterIies(弓狀動脈[10]
uterus(子宮) myometrium(子宮肌層)
spiral aretries(螺旋動脈[11]
uterus(子宮) endometrium(子宮內膜)
inferior vesical artery(下膀胱動脈)[12]
X↓
Ureteric branch(輸尿管支)[13]
bladder(膀胱)ureter(輸尿管)seminal vesicle(精囊)prostate(前列腺)
Artery to ductus deferens(到輸精管的動脈)[14]
bladder(膀胱)ureter(輸尿管)seminal vesicle(精囊)prostate gland(前列腺)
Urethral branch(尿道支)
Ureter(尿道)
Capsular branch(被囊支)

Inferior gluteal artery(下臀動脈)[15]

gluteus maximus muscle(臀大肌)piriformis muscle(梨狀肌)quadratus femoris muscle(股方肌) hip joint
Middle rectal artery(中直腸動脈)[16]

rectum(直腸)中部
Internal pudendal artery(內陰部動脈)[17]
inferior rectal artery(下直腸動脈)[18]

rectum(直腸)anus(肛門)ischioanal fossa(坐骨肛門窩)
perineal artery(會陰動脈)

anus(肛門)urethral bulb(尿道球)間的組織結構
Posterior scrotal artery(後陰囊動脈)(male)=Posterior labial artery(後陰唇動脈)(female)

Scrotum(陰囊)/Labia(陰唇)
Internal pudendal artery in pudnedal canal (Alcock’s)((Alock’s)陰部管中的內陰部動脈)


??
Internal pudental artery(內陰部動脈)
X↓
artery of bulb of penis (陰莖球動脈)(male)= artery of bulb of vestibule(前庭球動脈)(female)

urethral bulb(尿道球)cavernosum(海綿體)
dorsal artery of penis(陰莖背動脈)(male)= dorsal artery of clitoris (陰蒂背動脈)(female)

penis(陰莖)/clitoris(陰蒂)
deep artery of penis(陰莖深動脈)(male)=deep artery of clitoris (陰蒂深動脈)(female)

penis(陰莖)/clitoral crura(陰蒂腳)Clitoral corpus cavernosum(陰蒂海綿體)
??
urethral artery(尿道動脈)[19]

陰莖段尿道與周圍的勃起組織




[1] abdominal aorta(腹主動脈)→左右兩側的common iliac(總髂動脈)→ external iliac artery(外髂動脈)internal iliac artery(內髂動脈)external iliac artery(外髂動脈)供應下肢血液 ;abdominal aorta(腹主動脈)L4形成左、右common iliac(總髂動脈)
[2] superior gluteal artery(上臀動脈)源自骨盆腔的Internal iliac artery(內髂動脈)的後動脈幹,它與臀上神經從Piriformis muscle(梨狀肌)以上的部位穿出greater sciatic foramen(坐骨大孔)進入臀部。在此它分成淺層枝和深層枝:
A.前層枝行進於gluteus maximus muscle(臀大肌)深部表面。
B.深層枝行進於Gluteus medius muscle(臀中肌)Gluteus minimus muscle(臀小肌)之間。
除了供應上述肌肉外,它也供應髖關節。位於大腿的股深動脈的分支—Medial circumflex femoral artery(內側旋股動脈)Lateral circumflex femoral artery(外側旋股動脈)以及Inferior gluteal artery(下臀動脈)都會與superior gluteal artery(上臀動脈)形成吻合
[3] 分出lumbar branch(腰枝)iliac branch(髂枝)spinal branch(脊枝)iliolumbar artery(髂腰動脈)另外發出脊髓枝進入L5S1之間的intervertebral foramen(椎間孔)
[4] 通常有兩個分枝,分枝穿入anterior sacral foramina(薦前孔)
[5] 胎兒時期母體供應養分的路徑,出生後閉鎖形成纖維索
[6] umbilicalartery(臍動脈)的分支,男性另有分支artery to ductus deferens(到輸精管的動脈)
[7] obturator artery(閉孔動脈)源自骨盆腔Internal iliac artery(內髂動脈)的其中一個分支,它從閉孔管進入大腿的內側區間。就在穿越閉孔管的過程中,它二分叉形成前支和後支,它們共同形成一條位於閉孔外肌內部且環繞著閉孔膜的管道。從前後支在發出的血管不僅供應鄰近的肌肉還與Medial circumflex femoral artery(內側旋股動脈)以及Inferior gluteal artery(下臀動脈)吻合。此外,從後枝還又分出至髖臼的分支,此小分支從髖臼切跡進入髖關節以滋養股骨頭;與Accessory obturator artery(副閉孔動脈)吻合
[8] vaginal branch(陰道分支)ovarian branch(卵巢分支)tubal branch(輸卵管支)等分支,並且有arcuate arterIies(弓狀動脈) spiral aretries(螺旋動脈)供應子宮內壁,只出現在女性
[9] Female(女性)才有
[10] 又稱為helicine arteries(床螺旋動脈)
[11] luteal phase(黃體期)供應endometrium(子宮內膜)
[12] Male(男性)才有
[13] Male(男性)才有
[14] Male(男性)才有
[15] 經由greater sciatic foramen(坐骨大孔)離開骨盆腔供應臀部肌肉,並與髖關節血管網吻合
[16] superior rectal artery(上直腸動脈)以及inferior rectal artery(下直腸動脈)吻合
[17] 經由greater sciatic foramen(坐骨大孔)與陰部神經伴行離開骨盆腔,再經由lesser sciatic foramen(坐骨小孔)進入會陰部
[18] superior rectal artery(上直腸動脈)middle rectal artery(中直腸動脈)吻合
[19] Male(男性)才有
▼血管(blood vessel) 顯示/隱藏(show/hide)

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