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第五节 盆腔扫查
关键标志:
膀胱、精囊腺、前列腺和子宫
基本方法:
男性:
直肠中段开始EUS扫查可发现膀胱与两侧对称的精囊腺,逐渐退镜可以观察到卵圆形的前列腺,继续退镜可以观察到男性尿道。
女性:
直肠中段开始EUS扫查可以发现膀胱,稍退镜可发现膀胱与直肠间的子宫,继续退镜可以观察到宫颈和阴道。
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P27_0166_771.jpg?sign=1739256185-pY34LFPD6AbTGNn2o77kkOlc4uSUfaXj-0-680c1caa8bc4c62f92344dff9c12228a)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P27_0168_772.jpg?sign=1739256185-NeOivfNJD62BPhEd1Rcxdru9zqEFr3I6-0-f774d79e79c99a6cbb1ac077806c410d)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P27_0170_773.jpg?sign=1739256185-OTp90M4SSGjAof1Jp9i4HEx8ZI9owdYh-0-726b73a86d6bee40ee4307746acd69c7)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P27_0172_774.jpg?sign=1739256185-DL2hY6Vrcjlm18v2LPng6lTMVzaWvlFf-0-33c7252da3cbc121cb73667c7c8466c2)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P1-5-1_775.jpg?sign=1739256185-C7criM4qF97yWJEu6gz55vklmwAGfCC3-0-1081dfe8101deddb9c4b1712bdaf7332)
图1-5-1 女性盆腔扫查
a:女性盆腔示意图;b、c:膀胱切面,EUS显示无回声膀胱以及位于直肠和膀胱间的低回声子宫;d、e:继续退镜,可见膀胱逐渐移行为尿道,子宫逐渐移行为宫颈和阴道
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0178_791.jpg?sign=1739256185-aSXqFN4eTLP6a5kumOlUd3URBvAzYret-0-59f343f10f4a510991d71a47a0337d30)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0180_792.jpg?sign=1739256185-HtP6lBg9Ux32OHEbvPbLIdjQnvIkUZJH-0-c6c96ef9f74061d2d3fba187c2702b6b)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0182_793.jpg?sign=1739256185-v8MPEyhHhk9m7yaBsVdNgCb0LEZHvH3M-0-03d3e9670019a34f013fe4551980d6c1)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0184_794.jpg?sign=1739256185-lvwp18UyRmpAVVJL0FClfI3eJtMQkaBu-0-6b3ef635d076ad4ffe7c122120cf39bc)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0186_795.jpg?sign=1739256185-xyu1GnkFN2OoM7niNoeQuqFDTXuKwmdP-0-11bb3a5161abad6a6a8bbcafa962806f)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P29_0190_812.jpg?sign=1739256185-nK5yVR5gVrkx6rxTDjHveTSHRawdnZOa-0-45828d45076770b3ecb7a481ac7964c2)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P1-5-2_813.jpg?sign=1739256185-fHNRhlRPwWBO2zkMT6NsKH6zhasCWwg9-0-73f5c6f27c70cbbfe621671a379fa0e9)
图1-5-2 男性盆腔扫查
a:男性盆腔示意图;b、c:膀胱切面,EUS显示无回声膀胱以及位于直肠和膀胱间的精囊腺;d、e:继续退镜,可见精囊腺下方的前列腺;f、g:前列腺下方可见圆形低回声尿道