Clinical significance of tomographic ultrasound and MRI imaging observation on pelvic floor anatomy of nulliparous women

JIA Xun, GUO Fei-Yan, DUAN Gang, LI Ding-Fu

Chinese Journal of Clinical Anatomy ›› 2013, Vol. 31 ›› Issue (4) : 422-425.

Chinese Journal of Clinical Anatomy ›› 2013, Vol. 31 ›› Issue (4) : 422-425.

Clinical significance of tomographic ultrasound and MRI imaging observation on pelvic floor anatomy of nulliparous women

  • XIA Xun1, GUO Fei-yan2, DUAN Gang2, LI Ding-fu3
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Abstract

Objective To evaluate tomographic imaging in pelvic floor anatomy of nulliparous woman both at rest and during pelvic strain and discuss the clinical significance. Methods Thirty asymptomatic nulliparous volunteers were enrolled for 3D  sonography and dynamic MRI; all tomographic imagings were used to observe position and movement of pelvic organs and the shape of pelvic floors, and to measure the thickness of muscle 1ayers and the dimensions of the levator hiatus.Results A normal pelvic floor could be demonstrated by tomographic image in the axial , coronary  and sagittal planes. Measurements of levator ani and the hiatal area was (8.2±1.8) mm and (11.82±2.25) cm2 at rest, respectively.Compared with the rest state, the bladder neck, cervix and the anorectus were lower during maximaI pelvic strain (the difference is 6.1±2.0、8.9±4.2and 14.9±6.1mm, respectively ).   Conclusions    Tomographic imaging can show the morphological characters of the pelvic floor both at rest and during pelvic strain and may be useful in the diagnosis of female pelvic floor disorders.

Key words

Pelvic floor / Anatomy / Ultrasound / Magnetic resonance imaging / Tomographic

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JIA Xun, GUO Fei-Yan, DUAN Gang, LI Ding-Fu. Clinical significance of tomographic ultrasound and MRI imaging observation on pelvic floor anatomy of nulliparous women[J]. Chinese Journal of Clinical Anatomy. 2013, 31(4): 422-425

References


[1]  朱兰. 女性盆底支持组织解剖及其功能障碍性疾病的基础研究
[J]. 中国实用妇科与产科杂志,2005,21(4):207-208.

[2]  DeLancey J,Morgan D,Fenner D,et al.Comparison of levator ani muscle defects and function in women with and without pelvic organ prolapse
[J].Obstet Gynecol 2007,109(2):295-302.

[3]  Dietz HP, Shek C, Clarke B. Biometry of the pubovisceral muscle and levator hiatus by three -dimensional pelvic floor ultrasound
[J]. Ultrasound Obstet Gynecol, 2005, 25(6):580-585.

[4]  Yiou R, Cosla P, Haab F, et al. Functional anatomy of the pelvic floor
[J]. Prog Urol, 2009,19(13):916-925.

[5]  徐达传.局部解剖学
[M]. 第2版.北京: 高等教育出版社,2009:235-238.

[6] Fielding JR, Dumanli H, Schreyer AG, et al. MR-based three-dimensional modeling of the normal pelvic floor in women: quantification of muscle mass
[J]. Am J Roentgenol, 2000,174(3):657–660.

[7]  夏珣, 陈翠华, 郭飞燕,等. 妊娠早期胎儿鼻后三角超声成像解剖基础及其临床意义
[J]. 中国临床解剖学杂志,2012, 30(5):529-532.

[8]  应涛,胡兵,李勤.未产妇耻骨直肠肌的三维超声影像学观察
[J].中华超声影像学杂志,2008, 17(2): 140-143.

[9]  Delancey JO. Anatomy and biomechanics of genital prolapse
[J]. Clin Obstet Gynecol,1993,36 (4): 897-909.

[10] 曹晓兰,徐惠成,梁志清,等.盆底功能障碍性疾病盆底解剖学静动态磁共振成像研究
[J].实用妇产科杂志, 2011, 27(3): 228-230.

[11] Handa VL,Lockhart ME,Kenton KS,et a1.Magnetic resonance assessment of pelvic anatomy and pelvic floor disorders after childbirth
[J].Int Urogynecol J Pelvic Floor Dysfunct, 2009, 20(2):133-139.

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