拉萨藏族正常女性数字化骨盆径线测量

钟铧; 王颖; 范应磊; 任海龙; 白玛多吉; 童庆华

doi:10.16098/j.issn.0529-1356.2023.04.012

PDF(5562 KB)

解剖学报 ›› 2023, Vol. 54 ›› Issue (4) : 460-464. DOI: 10.16098/j.issn.0529-1356.2023.04.012

解剖学

拉萨藏族正常女性数字化骨盆径线测量

钟铧^1,2王颖²范应磊³ 任海龙² 白玛多吉² 童庆华^4*

作者信息 +

Linear measurement of digital pelvic of normal Tibetan nationality female in Lhasa

ZHONG Hua^1,2WANG Ying² FAN Ying-lei³ REN Hai-long² PEMA Dor-ji² TONG Qing-hua^4*

Author information +

文章历史 +

摘要

目的探讨拉萨藏族女性骨盆径线正常值。方法选取中国人民解放军西藏军区总医院2016年1月~2019年12月于放射科行盆腔CT检查的藏族妇女为研究对象，排除不符合要求者，有效样本96例，年龄介于22~65岁，平均年龄（46.06±11.42）岁。应用Mimics19.0软件构建出骨盆的数字化三维模型，并测量入口横径、入口前后径、中骨盆横径、中骨盆前后径、出口横径、出口前后径、骶耻内径、骶骨长度和耻骨联合高度。不同年龄段间比较选用方差分析，年龄与骨盆各径线值之间进行 Pearson 相关性分析。结果拉萨藏族正常女性骨盆入口横径为（132.08±6.15）mm，入口前后径（112.44±9.43）mm，中骨盆横径（107.30±8.70）mm，中骨盆前后径（129.06±7.73）mm，出口横径（123.02±12.08）mm，出口前后径（118.80±8.87）mm，骶耻内径（127.49±9.80）mm，骶骨长度（102.56±10.88）mm，耻骨联合高度（36.57±4.57）mm。聚类分析显示，拉萨藏族与维吾尔族最接近。结论拉萨藏族与维吾尔族之间较近的聚类关系，提示藏族与和田地区维吾尔族在古代存在基因交流的可能。拉萨藏族女性骨盆的径线发生了明显改变，更窄的入口前后径、骶骨长度和耻骨联合高度使骨盆越趋变的扁平，越来越不利于自然分娩。

Abstract

Objective To explore the range of normal female pelvic diameter lines in Tibetan nationality. Methods The subjects were Tibetan nationality female who underwent pelvic CT examination in the Radiology Department from January 2016 to December 2019 at the General Hospital of the Tibet Military Region of PLA. Ninty-six samples between the ages of 22 and 65 years, with an average age (46.06±11.42)years were recruited. Mimics 19.0 software was used to construct the digital three-dimensional model of pelvis, and to measure transverse diameter(TD), obstetric conjugate(OC), interspinous distance(ISD), sagittal midpelvic diameter(SMD), intertuberous distance(ITD), sagittal outlet diameter(SOD),diagonal conjugate diameter(DCD),sacrum length(SL), penal height(PH).Analysis of variance was used to compare different age groups, and Pearson correlation analysis was used to analyze the relationship between age and pelvic diameter. Results The linear measurement of TD was (132.08±6.15) mm, OC was (112.44±9.43) mm, ISD was (107.30±8.70), SMD was (129.06±7.73) mm, ITD was (123.02±12.08) mm, SOD was (118.80±8.87) mm, DCD was (127.49±9.80) mm, SL was (102.56±10.88) mm and PH was (36.57±4.57) mm.Cluster analysis showed that Lhasa Tibetans were closest to Uygurs. Conclusion The close clustering relationship between Tibetans and Uygurs in Lhasa suggests that there is a possibility of gene exchange between Tibetans and Uygurs in Hotan area in ancient times. The pelvic diameter of Tibetan women in Lhasa has changed significantly. Narrower OC, SL and PH make the pelvis flat, which is more and more detrimental to natural childbirth.

导出引用

钟铧王颖范应磊任海龙白玛多吉童庆华. 拉萨藏族正常女性数字化骨盆径线测量[J]. 解剖学报. 2023, 54(4): 460-464 https://doi.org/10.16098/j.issn.0529-1356.2023.04.012

ZHONG Hua WANG Ying FAN Ying-lei REN Hai-long PEMA Dor-ji TONG Qing-hua. Linear measurement of digital pelvic of normal Tibetan nationality female in Lhasa [J]. Acta Anatomica Sinica. 2023, 54(4): 460-464 https://doi.org/10.16098/j.issn.0529-1356.2023.04.012

中图分类号： R322 R816 R714

参考文献

［1］You T, Yang B, Zhang X, et al. A possible prediction of dystocia at the time of cesarean delivery: gluteal muscle contracture, a single center experience from China［J］. Medicine, 2020, 99(7): e19138.
［2］Lee CM, Liu RW. Comparison of pelvic incidence measurement using lateral x-ray, standard CT versus CT with 3d reconstruction［J］. Eur Spine J, 2021，31(2): 241-247.
［3］Capelle C, Devos P, Caudrelier C, et al. How reproducible are classical and new CT-pelvimetry measurements ［J］? Diag Interv Imaging, 2020, 101(2): 79-89.
［4］Ye H, You D, Li L, et al. Pelvic dimension as a predictor of ureteral injury in gynecological cancer surgeries［J］. Surg Endosc, 2020, 34(9): 3920-3926.
［5］Lorenzon L, Bini F, Landolfi F, et al. 3D pelvimetry and biometric measurements: a surgical perspective for colorectal resections［J］. Int J Colorectal Dis, 2021, 36(5): 977-986.
［6］Hevia MF, Alonso LG, Batanero EA, et al. Surgical difficulty and pelvimetry in rectal cancer.Is it useful ［J］ ? Br J Surg, 2021, 108(Suppl 3): znab160. 060.
［7］Wang D, Jiang H, Pan B, et al. Standardized measurement of auricle:a method of high precision and reliability based on 3D scanning and Mimics software［J］. Exp Ther Med, 2019, 18(6):4575-4582.
［8］Zhang H, Zhan WH, Li JT. A survey of physiologic constants of pelves of women of the Tibetan nationality in Tibet Autonomous Region［J］. Journal of Shanxi Medical College for Continuing Educatlon, 1996,(1):5-7. (in Chinese)
张慧, 战文慧, 李俊泰. 西藏地区藏族女性骨盆生理常数的调查与分析［J］. 山西职工医学院学报, 1996, (1):5-7.
［9］Ke Y, Chen ChL, Yu YH, et al. The measurement and clinical significance of the Han and Uigur female pelvis in the region of Xinjiang［J］. Chinese Journal of Practical Gynecology and Obstetrics, 2013, 29(4): 265-269. (in Chinese)
柯妍, 陈春林, 余艳红, 等. 新疆地区维吾尔族与汉族女性骨盆产科生理常数测量及其临床意义［J］. 中国实用妇科与产科杂志, 2013, 29(4): 265-269.
［10］Shen BY, Gong XQ, Lin RK, et al. Study on physiological indexes of normal female pelvis in rural Guizhou province［J］. Journal of Guizhou Medical College, 2007, 32(6): 625-628. (in Chinese)
沈碧莹, 龚肖清, 林瑞宽, 等. 贵州省农村正常女性骨盆部分生理指标研究［J］. 贵阳医学院学报, 2007, 32(6): 625-628.
［11］Liu P, Yu YH, Chen ChL, et al. Analysis of normal pelvis morphometry of modern Chinese southern Han female and its correlation with age［J］. Chinese Journal of Obstetrics and Gynecology, 2013, 48(7):481-485. (in Chinese)
刘萍, 余艳红, 陈春林, 等. 中国南方汉族妇女正常骨盆形态变化特点及其与年龄的相关性［J］. 中华妇产科杂志, 2013, 48(7):481-485.
［12］Zhang Y, Zhang YR, Yang YF, et al. Study on the accuracy of three dimensional reconstruction and three dimensional printing technique in the measurement of pelvic three dimensional features［J］. Chinese Journal of Clinical Anatomy, 2020, 38(6): 697-708. (in Chinese)
张勇, 张雁儒, 杨云峰,等. 三维重建及3D打印技术在骨盆三维特征测量准确性研究［J］. 中国临床解剖学杂志, 2020, 38(6):697-708.
［13］Ichikawa N, Homma S, Yoshida T, et al. Interischial spine distance is a simple index of narrow pelvis that may predict difficulty during laparoscopic low anterior resection: a retrospective study［J］. Surg Laparosc Endosc Percutan Tech, 2022,32(6):666-672.
［14］Zhang K, Zhan M, Deng L, et al. Estimation of stature and sex from pelvic measurements in a Chinese population［J］. Aust J Forensic Sci, 2020, 52(4): 406-416.
［15］Yildirim E, ?zkocak V. Relationship of three-dimensional tomographic pelvimetry with the type of delivery in patients from different nations［J］. J Clin Obstet Gynecol, 2018, 28(4): 157-162.
［16］Abitbol MM. The shapes of the female pelvis. Contributing factors［J］. J Reprod Med, 1996, 41(4):242-250.
［17］Lu Sh. Why Xinjiang Hetian Uygur looks similar to Tibetans ［EB/OL］ ? https://xw.qq.com/amphtml/20200628A0BS2B00, 2020-06-28. (in Chinese)
陆生.新疆和田的维吾尔族为啥长得像西藏人［EB/OL］ ? https://xw.qq.com/amphtml/20200628A0BS2B00, 2020-06-28.
［18］Wang BJ, Ding M. Genetic polymorphism and population difference of locus DYF155S1 on human Y chromosome in Zang and Uygur nationality in China［J］. Journal of China Medical University, 2002, 31(6): 439-441. (in Chinese)
王保捷, 丁梅. 中国藏族与维吾尔族 Y 染色体DYF155S1基因座的遗传多态性与民族差别［J］. 中国医科大学学报, 2002, 31(6): 439-441.
［19］Zhou CL, Ma Q, Yao H, et al. Genetic characteristics of Uyghur from different sample locations in Xinjiang［J］. Science and Technology Review, 2016, 34(2): 226-230.(in Chinese)
周璨林, 马琦, 姚华, 等. 新疆各地维吾尔族遗传特征分析［J］. 科技导报, 2016, 34(2): 226-230.
［20］Zou F. The influence of Gandhāra culture on the western region of China［D］. Lanzhou:Lanzhou University, 2019.(in Chinese)
邹飞. 论犍陀罗文化对中国西域的影响［D］. 兰州: 兰州大学, 2019.
［21］Zheng PK. Western Regions: the Transfer Station of Sino-foreign Civilization Exchange［M］. Hefei: Huangshan Publishing House, 2017: 2-8 (in Chinese)
郑培凯. 西域:中外文明交流的中转站［M］. 合肥:黄山书社, 2017: 2-8.