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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=1739314234-gPjzREz0JssTSufWy7lvAIjPKaLBBCEO-0-0b8b6c00bd528657a5a6704a8b864926)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P27_0168_772.jpg?sign=1739314234-vrHhVpnr7XOJwyjhJ4Xhie4VEKxFG6bm-0-f8d8f51cf7b0a25b3b26916b44efcd0d)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P27_0170_773.jpg?sign=1739314234-Ce3aWBuxnel3RBQERfzWeTl7jzPYHTi3-0-2a357fb5f59ee28adccb513e5e191ce1)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P27_0172_774.jpg?sign=1739314234-gXuHrrOr2ZHjZXmvoHlBbdFS7a71dEiy-0-48614c3f366da2fab31b62b7d995be28)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P1-5-1_775.jpg?sign=1739314234-emZPxVy5ApVMg91Ue1Vwbptc3lDwQEJe-0-e6c1db5ff12fa576ada4607ef6ad1c14)
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=1739314234-VmfbzxUbSbQZ1vtex21Y4vc7lM3R5wBq-0-09c3a5f00b9a73afcbe1591cbb2842b4)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0180_792.jpg?sign=1739314234-expbcliUr06cUZvNIj2HEWswtBj2flnn-0-4ca1260e4902b10ffd9121b97d80f7a0)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0182_793.jpg?sign=1739314234-S5MzxZ0YqK9ODFGXb8SedrPlNvZvVjf1-0-06a15625e4d07307e7f27eae648ffcfd)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0184_794.jpg?sign=1739314234-tZdGmgSCb5hsYbYD8APlrh2n9zmlur9g-0-9df4ad1d1b8e5e1cf1804280c1664a38)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P28_0186_795.jpg?sign=1739314234-L8k0K5o8smArgMGohA2dEXVBOIQMbeFa-0-86eec415419587c3f765987c9acefb95)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P29_0190_812.jpg?sign=1739314234-9tc4d3ZBIPpn8SD4wGNOhLjBwRCVOGVY-0-8060cc7e7263a39b3b797f38c3bd0712)
![](https://epubservercos.yuewen.com/57D964/15670772405350406/epubprivate/OEBPS/Images/P1-5-2_813.jpg?sign=1739314234-3mzPRHoUnB3ZfqBe3DV0tjeA4V5SGX7E-0-9e95b2f099222e243b3275a9d6dc86d7)
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