中国南方地区女性骨盆分型及临床意义

doi:10.13418/j.issn.1001-165x.2016.06.008

Abstract

Abstract:

Objective　To analyze the current situation of the shape and size of female pelvic inlet in South China and to explore its trends.　Methods　844 images and clinical data of female patients with gynecological diseases who underwent CT scan in Nanfang Hospital were collected and 3D model of pelvis was reconstructed for measurement ofthe transverse and anteroposterior diameter, and then judgement of the shape of their inlet. Those patient were divided into 3 groups according to the age. Patients was an ageunder 40 years was assigned into the first group, between 41 to 50 years assigned into the second group, over 50 years assigned into the third groups. The shape and size of pelvic inlet in the three groups were explored, and the relationship between age and the shape and size of pelvic inlet was also explored.　Result　(1)The morphologic classification of 844 female pelvic inlets among 3 groups was significantly different(P<0.001) . (2)Transverse diameter of pelvic inlet and anteroposterior diameter of pelvic inlet differences among the 3 groups had statistical significance（P＜0.001）. (3)Age was negatively correlated with the anteroposterior diameter of the pelvic inlet（r=-0.292，P＜0.001）. (4)Pelvic inlet area for each groups was also significantly different（P＜0.001）.　Conclusion　The shape of the female pelvic inlet in south China has changed in the last 30 years, with being transversely oval more common than being verticallyoval. This trend is beneficial to engagement of vaginal delivery.

Key words: Pelvimetry, Types of pelvic inlet, Female, 3D CT reconstruction

LIU Ping, WANG Yue-zhi, CHEN Chun-lin, CHEN Lan, ZHOU Jian-wei, WANG Jian-ping, LIAO Ke-dan, TANG Lian, TANG Lei. Clinic value of female pelvic shape in South of China[J]. Chinese Journal Of Clinical Anatomy, 2016, 34(6): 635-638.

References

[1] Abitbol MM. The shapes of the female pelvis. Contributing factors [J]. J Reprod Med,1996,41(4):242-250.
[2] Huerta-Enochian GS, Katz VL, Fox LK, et al. Magnetic resonance-based serial pelvimetry: Do maternal pelvic dimensions change during pregnancy[J]? Am J Obstet Gynecol, 2006,194(6):1689-1694.
[3] 刘萍，余艳红，陈春林，等. 中国南方汉族妇女正常骨盆形态变化特点及其与年龄的相关性[J]. 中华妇产科杂志,2013,48(7):481-485.
[4] 刘萍，余艳红，陈春林，等. CT扫描计算机三维重建女性骨盆的研究方法和应用[J]. 中国实用妇科与产科杂志,2010, 26(1):35-38.
[5] 王淑雯，岳琏，中国女性骨盆图集[M].天津：天津科技翻译出版公司，2003，22-41
[6] Lehmann KJ, Wischnik A, Zahn K, et al. Do the obstetrically relevant bony pelvic measurements change? A retrospective analysis of computed tomographic pelvic x-rays[J]. Rofo, 1992,156(5):425-428.
[7] Narumoto K, Sugimura M, Saga K, et al. Changes in pelvic shape among Japanese pregnant women over the last 5 decades[J]. J Obstet Gynaecol Res. 2015,41(11):1687-1692.
[8] 沈碧莹，龚肖清，林瑞宽，等.贵州省农村正常女性骨盆部分生理指标研究[J].贵阳医学院学报，2007, 32（6）: 625-628.
[9] 贺小以.268例16-22岁妇女骨盆外测量分析[J].卫生职业教育，2005（22）:83.
[10]Anderson AE, Peters CL, Tuttle BD, et al. Subject-specific finite element model of the pelvis: development, validation and sensitivity studies[J]. J Biomech Eng, 2005, 127(3):364-373.
[11] Brown KM, Handa VL, Macura KJ, et al. Three-dimensional shape differences in the bony pelvis of women with pelvic floor disorders[J].Int Urogynecol J, 2013, 24(3):431-439.
[12] 任炜,张彤迪, 何向群.超声测量胎儿生物学径线与母体骨盆入口前后径的方法及临床应用[D].河北医科大学,2004.
[13] Sze EH, Kohli N, Miklos JR, et al. Computed tomography comparison of bony pelvis dimensions between women with and without genital prolapse[J]. Obstet Gynecol, 1999, 93(2):229-232.
[14] Handa VL, Pannu HK, Siddique S, et al. Architectural differences in the bony pelvis of women with and without pelvic floor disorders[J]. Obstet Gynecol, 2003,102(6):1283-1290.

Clinic value of female pelvic shape in South of China

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