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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=1738935813-J0Vf2beCFgH35H4Bx0ZX7QEhYyVySBFA-0-2f77e563aa9b90e2893930e9850bb994)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P27_0168_772.jpg?sign=1738935813-wOY1Zgu4yubZAZXxzJHsOxeSS2oNDDm2-0-6de1e95584d9f2abd86a6a1bbb880ddd)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P27_0170_773.jpg?sign=1738935813-QIqDvrKHbecb3OdRgwqTpaoXfNNvacvf-0-1a3f82f0b10d8674bd5f86affa59c290)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P27_0172_774.jpg?sign=1738935813-fIM4k9x2gArHSiyOCw42bfHSIZ6jpZy7-0-2c521482a588fecf75c63e4491740474)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P1-5-1_775.jpg?sign=1738935813-mmOX7Kg9cKvzlcKCBZMrv9uxgImA9UxY-0-15ae53dd7cd4649f89e4506e537acdff)
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=1738935813-OB6u6evyRLH1Qp9nAXuYsVhGryXtke0B-0-5c0be7456c2b27ba3cc5e0f9193febd6)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0180_792.jpg?sign=1738935813-GHmaLX8UwwQAqPn6rlw7fIpzgxq4HR06-0-7c19609a09ae4dd6054847ff81c4c259)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0182_793.jpg?sign=1738935813-9krbZ20VLFJVwraDZWcQHrexSsTRn11J-0-449cb36020a4c2eb49e6942dd5d91b43)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0184_794.jpg?sign=1738935813-KQkGoo1K797jsAXgPZmqnnaJy6Ezoxii-0-633dac565065e445a2312ecd6860f255)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0186_795.jpg?sign=1738935813-9uUyFy3Vua0Wo7d8LxfWJDSuTmsTt3Yl-0-9a8d5ed8834a3211e38e3e69d0650111)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P29_0190_812.jpg?sign=1738935813-99vKyDKIXKnn4a37IYygFZMt0Jye35Ma-0-454ae854a02631f47564a72574b22585)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P1-5-2_813.jpg?sign=1738935813-w0eBp6Cuh3T2e3y7q038FptKYfcEeKjr-0-759471651839fc6f148ceba2ca7209aa)
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