女性盆腔变化资料.pptVIP

Imaging of the Female Pelvis through theLife Cycle女性盆腔随生命周期变化的正常表现 Chenyu Yan 2013.07 Introduction imaging appearance of the normal reproductive tract changes over the female patients life span女性生殖系统表现会随着年龄的变化而变化 largely as a result of the influence of hormones on these organs, especially the uterus and the ovaries 主要由于激素水平的影响，对子宫和卵巢尤为明显 In sexually mature adolescents and women of reproductive age, notable changes in the appearance of the endometrium and ovaries occur on a daily basis在性成熟后的青少年和育龄女性中，子宫内膜和卵巢几乎每天都会发生变化 Whether the female pelvis is imaged because of a suspicion of underlying gynecologic disease or as a screening examination in the asymptomatic patient, those who interpret the images should be familiar with the range of normal appearances in these organs to avoid misinterpreting expected physiologic changes as pathologic conditions and to spare the patient unnecessary additional imaging and surgical or other invasive procedures. 无论是检查病变还是正常体检，影像工作者都有必要掌握女性生殖器官的正常表现以便于和病变鉴别，并减少不必要的有创性检查 Neonatal and Pediatric Life Stages新生儿和儿童期 Reproductive Years 育龄期 Postpartum Life Stage 分娩后时期 Postmenopausal Life Stage 绝经后时期 Neonatal and Pediatric Life Stages新生儿和儿童期 In infancy, childhood, and adolescence, US is considered the primary imaging technique for evaluation of the reproductive organs and is performed transabdominally, when the urinary bladder is as full as possible.无论是哪个时期，经腹超声都被作为检查方法的首选，检查时需要保持膀胱尽量充盈 The neonatal uterus is relatively prominent as a result of exposure to maternal hormones and is well depicted with US.新生儿的子宫由于受母体激素的影响而体积较大，用超声可以清楚显示 Uterine length in a neonate is approximately 3.5 cm and myometrial thickness is about 1.4 cm 子宫长度大于3.5cm，肌层厚度约1.4cm The cervix is disproportionately large and bulbous in appearance宫颈占比例偏大，外形成球状 The endometrium appears echogenic, and endometrial fluid is often noted子宫内膜表现回声均匀，常见到子宫内膜积液 As hormone levels decrease over the ensuing months, the uterus becomes narrower and shorter, with a mean length of 3.0 cm or less