一个统一的盆底概念模型,用于研究形态变化与,年龄和平价
John O DeLancey1, Sara Mastrovito2, Mariana Masteling3
1Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI.
American journal of obstetrics and gynecology
|November 30, 2023
概括
这项研究引入了一种统一的骨盆底模型,以了解肌肉和形变化如何影响骨盆器官支,落和衰老. 它整合了解剖结构和生物力学相互作用,以便更好地进行临床评估.
科学领域:
- 解剖学和生理学的解剖学和生理学
- 生物力学 生物力学
- 盆地底疾病 盆地底疾病
背景情况:
- 现有的二维和三维测量评估孤立的骨盆底变化.
- 阴道分娩,衰老和解剖学变化会影响盆底结构.
- 缺乏统一的概念模型来关联这些措施并了解整体功能.
研究的目的:
- 描述一个统一的盆底概念模型.
- 了解解剖学变化如何影响骨盆器官支,落和衰老.
- 整合现有的观察结果,并识别知识缺口.
主要方法:
- 将盆底定义为5个关键的解剖结构: pubovisceral, puborectal, iliococcygeal肌肉,周围膜/身体和关节综合体.
- 描述了从骨盆侧壁结构和中间连接的图形起源.
- 整合了现有的测量,如间隙尺寸,升降器损伤等级,碗体积和板形状.
主要成果:
- 该模型将 pubovisceral, puborectal 和 iliococcygeal 肌肉与它们的带结合在一起.
- 关键的连接点包括关节综合体,周围体和尾关节.
- 该模型强调了连接点的脱落或肌肉衰竭如何影响盆地功能.
结论:
- 统一模型为评估骨盆地结构和功能提供了一个框架.
- 它有助于理解分娩,受伤,疾病和衰老的生物力学后果.
- 识别了解剖变化与骨盆底功能障碍之间的关系中的知识差距.
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