妇产科疾病的超声诊断2011ENGLISH

《妇产科疾病的超声诊断2011ENGLISH》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、UltrasonographyonGynecologyandObstetricsLiuLipingSangreal--------uterusTHEDAWINCICODEPelvicCavityPosterior:Occupiedbyrectum,colon,andileumAnterior:bladder,ureters,ovaries,fallopiantubes,uterus,andvaginaNORMALANATOMYPre-inspection:ModeratebladderfillingUterusHollow,pear-shapedorganDividedi

2、ntofundus,body,andcervixUsuallyanteflexedandantevertedCoveredwithperitoneumexceptanteriorlybelowtheoswhereperitoneumisreflectedontobladderSupportedbylevatoranimusclesandpelvicfasciaRoundligamentkeepsuterusinpositionUterinesizePrepubertal:3cmlongby0.5to1.0cmwideMenarcheal:8cmlongby4cmwideP

3、ostmenopausal:3.5to5.5cmlongby1to2cmwideNormalsize:2~3(thick)×4~5(width)×7~8cm(length)UterinelongitudinaldiameterUterinewidediameterUterusbeforeandaftertheTraillength7~8cmbeforeandaftertheTrail2~3cmwidth4~5cmUterinePositionMidlineanteversion:mostcommon;degreeofanteversionisbladderdistenti

4、ondependentRightorleft:normalvariantinabsenceofpelvicmassesRetroverted:entireorgandisplacedposteriorlyRetroflexed:bodydisplacedwithrespecttocervixUltrasonographyofnormaluterusUterineserosalayer:Linearhigh-echo;clear,smooth;Myometrium:Homogeneousmiddle-echo;Endometria:Themiddlelineofhighec

5、ho,aroundtheweakecho.Itiswellknownthattheendometriumchangesdynamicallyinresponsetocyclichormonalflux.UterineserosalayerMyometriumEndometriaNormaluterustransabdominalultrasonographyTransvaginalsagittalviewoftheuterus.Theroundedfundusisshowntowardtheleftoftheimagewiththeendometrialstriperum

6、mingthroughthemiddleoftheuterinecavity.MyometriumEndometriaUterineserosalayerFallopianTube（输卵管）Infundibulum:funnel-shapedlateraltubethatprojectsbeyondthebroadligamenttooverlietheovariesAmpulla:sidestpartofthetubewherefertilizationoccursIsthmus:hardestpart;liesjustlateraltotheuterusLength:

7、12cm;suppliedbyovarionarteriesandveinsOvary（卵巢）AlmondshapedAttachedtobackofthebroadligamentbymesovarium;sometimescalledsuspensoryligamentoftheovaryLiesinovarianfossaFossaisboundedbyexternaliliacvessels,ureter,andobturatornerveReceivesbloodfromovarianarteryBlooddrain