正常成人男性会阴部肌肉骨骼系统高频超声检查

发布时间：2018-09-03 14:49

【摘要】：目的:明确正常成人男性会阴部肌肉骨骼系统的超声声像图特征,阐明正常成人男性会阴部肌肉骨骼系统的高频超声扫查方法。方法:使用Toshiba Aplio500型高频超声诊断仪检查30例正常成人男性会阴部,通过横切、纵切及斜切等扫查方法,记录并描述正常成人男性会阴部肌肉、骨骼、韧带、血管、神经的超声声像图;测量尿道球的最大横截面积各3次,取其平均值,分别按照年龄5岁间距、身高5cm间距、体重5kg间距进行分组,采用方差分析进行统计学分析,分析年龄5岁间距组、身高5cm间距组及体重5kg间距组受检者尿道球横截面积有无统计学差异。结果:本研究以耻骨联合、坐骨结节、尾骨尖、肛门及肛尾韧带等为解剖标志,获取正常成人男性会阴部各个切面的高频超声声像图。具体描述了会阴深隙、会阴浅隙、坐骨直肠窝、阴部管、阴股沟内容物及肛门外括约肌、肛提肌、会阴中心腱、肛提肌腱弓、坐骨海绵体肌、球海绵体肌、会阴浅横肌、会阴深横肌的相互毗邻关系和超声声像图特点;阐明了阴部内动脉、肛动脉、阴茎球动脉、阴茎深动脉及阴部神经的超声定位及超声声像图特征;明确了肛尾韧带、耻骨弓状韧带的起止及其超声声像图特点。统计学分析结果表明:年龄5岁间距组、身高5cm间距组及体重5kg间距组的受检者尿道球横截面积差异无统计学意义(P≥0.05)。结论:高频超声可作为正常成人男性会阴部肌肉骨骼系统首选的无创性影像学检查方法,值得在临床大力推广。
[Abstract]:Objective:To clarify the ultrasonographic features of the perineal musculoskeletal system in normal adult males and to clarify the high-frequency ultrasonographic scanning methods of the musculoskeletal system in normal adult males.Methods:30 normal adult males were examined by Toshiba Aplio 500 high-frequency ultrasonography. Ultrasound images of perineal muscles, bones, ligaments, blood vessels and nerves were recorded and described in normal adults. The maximum cross-sectional area of the urethral bulb was measured three times each, and the mean value was taken. The patients were divided into 5-year-old interval, 5-cm height interval and 5-kg weight interval, respectively. Results: In this study, the pubic symphysis, ischial tubercle, coccygeal tip, anal and anal-caudal ligament were used as anatomical markers to obtain high-frequency ultrasound images of normal adult male perineum. The deep perineal space, superficial perineal space, and sitting were described in detail. Bone rectal fossa, pudendal canal, pudendal and thigh contents and anal external sphincter, levator ani muscle, perineal central tendon, levator ani tendon arch, ischiocavernosus muscle, bulbocavernosus muscle, superficial transverse perineal muscle, deep transverse perineal muscle adjacent relationship and ultrasonic imaging characteristics; clarified the internal pudendal artery, anal artery, penile bulbar artery, deep penile artery and pudendal nerve Statistical analysis showed that there was no significant difference in the transverse urethral area between the age 5-year-old group, the height 5 cm group and the weight 5 kg group (P < 0.05). For normal adult male perineal musculoskeletal system of the first choice of non-invasive imaging methods, it is worth promoting in clinical practice.
【学位授予单位】：遵义医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R445.1

【相似文献】