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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=1738916287-qAozvWGQWNB6n7TO7rrcbLrsHeZX5M2p-0-e8ca3a1f376a4a900c4f6ecdc3c7ad15)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P27_0168_772.jpg?sign=1738916287-EDLZNMT5RkQghhRcjiqGXTdAA5d9u3Cq-0-85b27533a93dd13c1c544421282d3e50)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P27_0170_773.jpg?sign=1738916287-Pe1p8BsV3rrRaQ2DjKA2Tm3LQ4MbOxoE-0-756831e716cae59305932f374cee41a7)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P27_0172_774.jpg?sign=1738916287-wNqfX959UNAdPLH7zh5klOVDfIlI5Zx4-0-e9018e168e8e40d2170089a3adfc35ab)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P1-5-1_775.jpg?sign=1738916287-stzQIMwycntH8nT5TZz6lBlTmM0JiDqV-0-45f1d60171db2187c55eab97b0160580)
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=1738916287-Xj6e7Q2k7y9wLHPUQH3fqupP6eYhxaE7-0-a19a6f1944d2c41770ade833758cef79)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0180_792.jpg?sign=1738916287-I6QSVNed5O2BbVOxkJ9YBK6UH27ICsZz-0-7b072caf444db3b8fe10c66ccdfe1c70)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0182_793.jpg?sign=1738916287-GOJGgdtL5SzIHFJmKj78G0YaexI6wEN1-0-90f2ee2042a24c96ba77b156055640b3)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0184_794.jpg?sign=1738916287-NJloVzZPiHhuFGIcXp8nvJ4S5qRBfbyY-0-0aa4e8cdd83d43399b33b6bba7d86fad)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0186_795.jpg?sign=1738916287-PPm5Oa69SVimUro2PC23q95j8WjAOSmo-0-f5b8a2ba54c2be375a1942e5b7865463)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P29_0190_812.jpg?sign=1738916287-zNNUSoGEV0Jhc51uPHW2zVxmllffTE4j-0-84350e4f271933acd0b4e58ddd280d69)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P1-5-2_813.jpg?sign=1738916287-cZFYybLpf3456V1FaItzrNUfLCMBP7LQ-0-d80c4b4467e4113d6dc29e95d020c69e)
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