中国实用妇科与产科杂志

中国实用妇科与产科杂志

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新疆维吾尔族女性骨盆形态及产科径线变化分析

柯妍1，宋小磊1，刘萍2，陈春林2，边雪峰3，范霞3，夏迎洪4   

  1. 作者单位：1.新疆乌鲁木齐市妇幼保健院妇产科，新疆 乌鲁木齐830001；2.南方医科大学南方医院妇产科，广东 广州510515；3.新疆和田地区人民医院影像科，新疆 和田848000；4.新疆维吾尔自治区人民医院影像科，新疆 乌鲁木齐830001
  • 出版日期:2014-06-02 发布日期:2014-05-22
  • 通讯作者: 刘萍 
  • 基金资助:

    新疆维吾尔自治区自然科学基金资助项目（201318101-7）

The analysis of the changes in Xinjiang Uigur female obstetric diameters and the morphology.

KE Yan*, SONG Xiao-lei*,LIU Ping, CHEN Chun-Lin,BIAN Xue-feng,FAN Xia, XIA Ying-hong.   

  1. *Department of Obstetric and Gynaecology, Maternal and Child Health Hospital,Urumqi 830001,China
  • Online:2014-06-02 Published:2014-05-22

摘要：

目的 研究近年新疆地区育龄期维吾尔族女性骨盆产科径线及形态学数据与20年前的X线测得数据差异。方法 选取新疆地区(乌鲁木齐市妇幼保健院、新疆自治区人民医院、和田地区人民医院、伊犁州新华医院)育龄期维吾尔族女性400例，利用CT二维重建测量方法获得其骨盆的主要产科径线及形态学数据，同20年前传统X线测量的数据进行对比分析。结果 与20年前相比，维吾尔族女性女型和扁型骨盆比例均有增加，其中扁型比例增加较明显(P<0.05)。各产科径线的差别主要在入口平面和骨盆深度，而在中骨盆平面和出口平面差异无统计学意义(P>0.05)。在入口平面，入口横径较20年前明显增大(P<0.05)，但入口前后径和骶耻内径较20年前明显减小(P<0.05)。在骨盆深度上，耻骨联合高度和骶骨长度较20年前明显减小(P<0.05)，但骶骨弯度差异无统计学意义(P>0.05)。结论 近年新疆维吾尔族女性扁型骨盆比例增加，入口平面趋向更扁的椭圆形；中骨盆平面和骨盆出口平面变化不大；骨盆深度变浅。

关键词: 维吾尔族, 育龄女性, 骨盆测量, 二维重建

Abstract:

Abstract:Objective To analyze the changes in Xinjiang Uigur female obstetric diameters and the morphology.Methods 400 cases of the Uigur childbearing-age women in Xinjiang with pelvic CT were performed, and the pelvimetric data which were measured by means of digital pelvic measurement technology and two-dimensional reconstruction of CT measurement method and compared with 20 years ago, conventional X-ray measurement data were analyzed.Results The pelvis of the gynecoid type and flat type are significantly increased compared with that of the 20 years ago group (P<0.05), the percentage of flat type increased significantly.The obstetric diameters are visibly different only in the pelvic inlet and the pelvic depth, but there was no significant difference in the mid pelvis and the pelvic outlet (P>0.05).Transverse diameter of pelvic inlet was significantly increased (P<0.05), but conjugate of the inlet and sacropubic diameter was significantly reduced (P<0.05).Synchondroses pubis height and sacrum length was significantly reduced (P<0.05), but sacral curvature had no significant difference(P>0.05).Conclusion The percentage of flat type pelvis increased significantly in Xinjiang Uigur female.The pelvic inlet are changing into the elliptical form.The obstetric diameters of the mid pelvis and the pelvic outlet changed little.The Pelvic depth are lowered.

Key words: Uigur nationality, childbearing-age women, pelvic measurement, two-dimensional reconstruction

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