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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=1739233057-HxzrlIxmMmYhTcpfMgMuKsuJP3E52xG5-0-ecfc8bb204a1cf0e578930c22c085db7)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P27_0168_772.jpg?sign=1739233057-82BJiNgbEWCOL8JaJHyf2YyNc3hjdI0I-0-bad3703fc400e83c9cff0635492556cc)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P27_0170_773.jpg?sign=1739233057-JC9TqqFf9lgSFOBJ9uApPZre3OeFUpvT-0-7d7045c2dc823c4b1b1886a30b247313)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P27_0172_774.jpg?sign=1739233057-efL6Y8PLAw9ndC4mTkD5dEIjHLSqts9g-0-aa2b20301c5641659d2f061dd8257b89)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P1-5-1_775.jpg?sign=1739233057-QfB1YujvlkTfUjhaDFPszsO9r8UvmDGZ-0-887b99bb7756ea87664f40bad73150d7)
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=1739233057-NzlQrWN9STAvjt88zZMXQ9bad4hEZvTi-0-c4a69bbda116f89cd60f7d4da8ad6f2f)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0180_792.jpg?sign=1739233057-eJDB2EloOFCeKqkzbyKCiu14hfwluon1-0-ddbcd7fd438c6fb578a371caa3cdd9c0)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0182_793.jpg?sign=1739233057-alPO7ix9p6B8qmB7DFHVNsYZ0omNdLOL-0-c18ecf8b3f72b4319cfceb76566f89e7)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0184_794.jpg?sign=1739233057-TdC4o8XcjdL6hh8bK5LPtCUcAOqqUQrg-0-716407710d4feaebf147ff5dfdf40d69)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0186_795.jpg?sign=1739233057-QLAzoUB9j3sTmte0fQs4Y9qRx87fXPRU-0-2cffaf4e9d3b797693e587832051a8c0)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P29_0190_812.jpg?sign=1739233057-nYpCCoElNX7XuH7Oa6RYMXBW4MrKAOHA-0-d7ba98d4afccee9eb74a710b87a32307)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P1-5-2_813.jpg?sign=1739233057-wUMfAUhTiOxpK2z60zCifZFkhrs775hF-0-f3ee529bb31d0d85b44e09b34a97347c)
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