盆底疾病超声疑难病例解析

本书全面展现盆底科超声各个领域的图像，包括盆底基本解剖、常用检查方法、超声检查方法及规范、前中后腔室常见异常的超声表现及治疗后疗效评估、超声报告书写等内容，书中超声图像为编者日常工作中积累所得，尤其是第五章中关于肛提肌精细解剖超声图谱中的图像，均为本科室超声检查的资料图像。为了保证超声图像对应正确的解剖结构，编者结合实际工作中的体会并查阅大量盆底局部解剖书籍，对照盆底CT和磁共振断层扫描图像，

耿　京　首都医科大学临床医学专业学士，北京大学医学部妇产科专业硕士，主任医师。任职北京大学人民医院妇产科。中国超声医学工程学会妇产科超声专业委员会常务委 员；中国超声医学工程学会生殖健康与优生优育委员会常务 委员；中华医学会计划生育学分会生育风险防控学组委员；北京超声医学专家委员会委员；北京女医师协会妇产科分会委员；装备协会远程医疗与信息分会委员；《中国妇产科临床杂志》审稿人；《中国超声医学杂志》审稿人；《国际妇产科学杂志》审稿人。 有多年妇产科临床工作经验。2007年率先在北京开展盆底超声工作，10余年来，在盆底疾病的超声诊断及研究领域处于全国领先地位。在妇科肿瘤、妇科肿瘤超声造影以及高强度聚焦超声治疗子宫疾病等方面也取得了最前沿的知识和宝贵的经验。发表SCI及核心期刊论文20余篇，参与编写及翻译超声医学专著5部。

第1章　正常盆底及盆底肌损伤 ····················································································1 病例1　正常女性盆底 ·································································································1 病例2　肛提肌共激活 ·································································································8 病例3　肛提肌损伤 ···································································································11 病例4　肛门括约肌损伤 ·····························································································22 第2章　盆腔器官脱垂及术后 ·······················································································28 病例5　膀胱膨出 ······································································································28 病例6　子宫脱垂 ······································································································34 病例7　直肠膨出 ······································································································38 病例8　肠疝 ············································································································43 病例9　膀胱切除术后前盆腔肠疝 ················································································47 病例10　直肠脱垂 ····································································································52 病例11　会阴过度运动 ······························································································56 病例12　盆腔器官脱垂前盆腔重建术 ············································································58 病例13　盆腔器官脱垂全盆重建术 ···············································································66 病例14　盆腔器官脱垂骶前固定术 ···············································································74 病例15　盆腔器官脱垂前盆重建术后血肿及网片暴露 ·······················································83 病例16　盆腔器官脱垂前盆重建术后网片侵蚀 ································································91 病例17　盆腔器官脱垂全盆腔重建术后网片脱落 ·····························································94 病例18　盆腔器官脱垂前盆重建术后压力性尿失禁 ························································101 病例19　盆腔器官脱垂前盆重建术后肠疝 ····································································108 第3章　压力性尿失禁及术后 ······················································································114 病例20　压力性尿失禁 ·····························································································114 病例21　压力性尿失禁TVT术 ··················································································119 病例22　压力性尿失禁TVT-O术 ··············································································125 病例23　压力性尿失禁TVT术后吊带过紧 ···································································132 病例24　压力性尿失禁吊带术后吊带松弛 ····································································136 病例25　压力性尿失禁TVT术后吊带折叠伴侵蚀 ··························································141 第4章　尿道及尿道周围病变 ·····················································································148 病例26　耻骨联合病变压迫尿道 ················································································148 病例27　尿道周围血肿 ····························································································151 病例28　尿道结石 ··································································································154 病例29　尿道黏膜下结晶 ·························································································158 病例30　尿道狭窄 ··································································································160 病例31　女性尿道憩室 ····························································································163 病例32　尿道旁腺囊肿 ····························································································167 病例33　尿道平滑肌瘤 ···························································································171 病例34　尿道透明细胞癌 ·························································································177 病例35　继发性尿道癌 ····························································································181 病例36　尿道阴道膈梭形细胞瘤 ················································································184 第5章　会阴病变 ······································································································188 病例37　产后会阴血肿 ····························································································188 病例38　陈旧性会阴裂伤 ·························································································193 病例39　会阴平滑肌肉瘤 ·························································································196 病例40　会阴侵袭性血管黏液瘤 ················································································204 病例41　外阴黑色素瘤 ····························································································212 第6章　阴道病变 ······································································································215 病例42　尿道阴道瘘 ·······························································································215 病例43　膀胱阴道瘘 ·······························································································218 病例44　女性直肠阴道瘘 ·························································································222 病例45　阴道壁囊肿 ·······························································································225 病例46　阴道前壁平滑肌瘤 ······················································································228 病例47　阴道前壁肌纤维母细胞瘤 ·············································································233 病例48　阴道闭锁伴盆腔子宫内膜异位症 ····································································237 病例49　阴道闭锁合并肛周脓肿 ················································································241 第7章　直肠及肛周病变 ····························································································245 病例50　直肠黏液囊肿 ····························································································245 病例51　直肠息肉 ··································································································248 病例52　直肠异物合并骨盆直肠间隙脓肿 ····································································253 病例53　直肠癌 ·····································································································256 病例54　直肠间质瘤 ·······························································································261 病例55　直肠神经内分泌肿瘤 ···················································································267 病例56　直肠肛管黑色素瘤 ······················································································270 病例57　肛周脓肿 ··································································································275 病例58　肛周坏死性筋膜炎 ······················································································279 病例59　肛瘘 ········································································································283 第8章　其他 ·············································································································287 病例60　两性畸形 ··································································································287 病例61　性器官再造术后 ·························································································291 病例62　骶前表皮样囊肿 ·························································································295 病例63　尾肠囊肿癌变 ·······················································································