在怀孕期间和分娩后的圣骨和骨形状的变化
Liam C Martin1, Megan R Routzong1, Pamela A Moalli2,3
1Translational Biomechanics Laboratory, Department of Bioengineering, Swanson School of Engineering, University of Pittsburgh, Benedum Hall, Office 406, 3700 O'Hara Street, Pittsburgh, PA, 15260, USA.
Annals of biomedical engineering
|October 12, 2023
概括
怀孕显著地使圣骨和尾 (尾骨) 伸直,以帮助分娩. 虽然这些骨头在分娩后回归到它们的原始曲线,但这种变化并没有完全逆转,这表明骨的持续适应.
科学领域:
- 人体解剖学 解剖学 解剖学
- 生物力学 生物力学
- 产科 产科 产科 产科 产科
背景情况:
- 怀孕和分娩期间女性骨盆的骨变化对于适应胎儿通过至关重要.
- 虽然骨盆骨的重塑是已知的,但在怀孕期间对骨和骨的具体定量数据有限.
研究的目的:
- 量化评估怀孕和产后期间的十字骨和骨的重塑.
- 为了比较阴道和尾骨的形状,长度和曲率在无阴道,孕妇和阴道妇女.
主要方法:
- 追溯收集和细分90个盆腔MRI扫描.
- 使用二维和三维成像测量圣骨和骨的长度,角度和曲率.
- 统计形状分析和MANCOVA来比较尺寸和形状变化.
主要成果:
- 怀孕妇女表现出明显更直的骨和骨-骨复合体,而不是 nulliparous 和 parous 妇女.
- 两种2D和3D分析都证实,怀孕导致一个更直的圣骨和骨.
- 产后,分叉骨和骨表现出倾向于恢复到一个更曲的形状,但不是完全.
结论:
- 怀孕会引发骨和骨的显著直,这可能是为分娩而进行的适应.
- 观测到的骨和骨形状的变化表明骨在一定程度上具有可塑性,以应对生殖需求.
- 骨和骨曲线的产后恢复不完全,这表明潜在的长期结构变化.
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