患有疹疾病的妇女的盆地图像:一个解剖学可行性研究
Eyüp Kebapçı1, İbrahim Karaca2, Ayşe Rabia Şenkaya2
1Izmir Bakircay University, School of Medicine, Department of General Surgery, Izmir, Turkey.
概括
患有出血疾病 (HD) 的女性在盆地结构上表现出差异,包括levator ani肌肉缺陷和较小的阻塞器内部肌肉区域. 这些发现表明出血疾病和骨盆底功能障碍之间存在联系.
科学领域:
- 盆地图像成像 盆地图像成像
- 直肠疾病 直肠疾病
- 妇女健康 妇女健康
背景情况:
- 病 (HD) 是一种常见的疾病,影响着外皮和门通道.
- 盆地功能障碍可以以各种方式表现出来,影响生活质量.
- 了解HD和盆地解剖之间的关系对于全面的患者护理至关重要.
研究的目的:
- 为了研究和比较盆地肌肉和器官结构在女性和没有出血疾病 (HD).
- 使用磁共振成像 (MRI) 进行详细的结构分析.
- 为了确定盆底内HD的潜在解剖相关物.
主要方法:
- 分析了患有和没有HD的女性 (2018年1月至2021年3月期间诊断的) 的盆腔MRI扫描和医疗记录.
- 评估的关键参数包括阴茎骨距离,阴茎直肠距离,后直肠角,内闭肌区域,上升器和肌肉缺陷,生殖器间隙长度,阴道长度以及与子宫和子宫有关的各种角度.
- 为了进行比较,研究人员使用了一组不患HD的女性对照组,年龄和BMI相匹配.
主要成果:
- 患有HD的女性表现出明显更高的 puborectal 间隙距离 (59.2 mm vs 55.5 mm,p=0.03) 和更大的M线距离 (18.3 mm vs 16 mm,p=0.04).
- 阻塞器内部肌肉区域在HD组显著较小 (1721mm2对比1897.5mm2,p=0.02).
- 单侧起器和肌肉缺陷在患有HD的女性中更为普遍 (p=0.03),出生体重与闭塞器内部肌肉区域负相关,与M线距离正相关.
结论:
- 在患有病的患者中,左侧肌肉缺陷和缩小的阻塞器内部肌肉区域更为常见.
- 这些发现表明,在患有HD的女性中,骨盆底功能障碍的患病率更高.
- 这项研究强调了在治疗病时考虑盆底完整性的重要性.
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