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Jingdong book

盆底疾病:影像学及多学科临床实践(翻译版)

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《盆底疾病:影像学及多学科临床实践(翻译版)》的编辑和作者是一组知名专家,来自于不同医学领域,选择此最佳时机,规范当前有关盆底疾病大部分诊断和治疗方面的内容。所要讨论的内容结构复杂,不仅涉及传统的影像学图像,同时还讨论了许多临床问题,成果显著;因此,本书的内容不仅涵盖了临床疾病的影像资料而且包含了这些疾患的临床处理,除此之外,《盆底疾病:影像学及多学科临床实践(翻译版)》还用一种“多区域”整合的形式呈现出主题。在传统的“背景基础”章节(盆底解剖学、超声检查以及磁共振解剖成像)之后,不仅描述了多模型的成像(特别强调的是多维显影),还介绍了病理症状影响一个或多个盆底结构的多学科间的处理(如分娩损伤、尿失禁和排尿异常、排便失禁、骨盆器官脱垂、盆腔疼痛、瘘管和外科并发症的诊断和处理等)。
因此本书的目标对象是对此感兴趣的放射科医师,但《盆底疾病:影像学及多学科临床实践(翻译版)》又不仅限于这一专业群体,临床医师在书中也能在理解这些报告的同时,更好地理解盆底结构的超声和(或)磁共振成像的影像,这对于疾病的诊断(当然还有局限性)十分必要。虽然这些检查现在在许多放射科医师和临床医师眼里还不切实际、难以掌握,但是通过适当训练、普及规范化的成像和评估技术、推广金标准般的诊断及治疗方案等方法,就能将少数有才华专家才掌握的“艺术”,转变成更多腹部和泌尿生殖影像专家都能掌握的常规诊疗程序。
Catalogue

第一章 盆底解剖学
1 奇妙的盆底解剖学
John O.L.DeLancey and S.Abbas Shobeiri
2 整体理论:盆底功能和功能障碍的肌.弹性理论
Peter PaPa Petros and Michashel Swash
3 盆底病理生理学:基础生理学,老龄化作用,更年期改变
Dee E.Fenner and Yvonne Hsu
4 盆底:功能学概念和神经控制
Michael Swash
5 临床盆底神经生理学
W. Thomas Gregory and Kimberly Kenton
第二章 盆底影像学
Giovanni Morana and Luca Cancian
6 经阴道超声:方法学及正常盆底解剖
Giulio Aniello Santoro,Andrzej PawelWieczorek,S.Abbas Shobeiri and
Aleksandra Stankiewicz
7 经会阴超声:方法学及正常盆低解剖
Hans Peter Dietz
8 肛管直肠腔内超声:方法学及正常盆底解剖
Giulio Aniello Santoro and Giuseppe Di Falco
9 盆底超声的技术创新.
Giulio Aniello Santoro,Aleksandra Stankiewicz,Jakob Scholbach
Michal Chlebiej and Andrzej Pawel Wieczorek
特约评论
Clivel.Bartram
lO 磁共振成像:方法学及正常盆底解剖
Jaap Stoker
1 1 盆底磁共振成像的技术创新.
Dominik Weishaupt and Caecilia S.Reiner
特约评论
Stuart Taylor and Steve Halligan
第三章 分娩与盆底损伤
简介
G.Willy Davila
12 阴道分娩所致盆底损伤的机制
Gianfranco Minini,Silvia Zanelli,Patrizia Inselvini,Marcello Caria
Sara Grosso and Davide Quaresmin
13 后盆功能异常及肛门括约肌急性损伤的处理.
Abdul H.Sultan and Ranee Thakar
14 会阴损伤的预防
Ranee Thakar and Abdul H.Sultan
特约评论()
John O.L DeLancey
特约评论(二)
Rebecca G.Rogers
第四章 尿失禁和排尿困难
简介
Dmitry Pushkar
15 超声检查
Andrzej Pawel Wieczorek,Magdalena Maria W02niak and
Aleksandra Stankiewicz
特约评论
Wieslaw Jakubowski
16尿动力学
Edoardo Ostardo,GiuSeppeTUCCctto,Francesco Beniamin and
Luigi Maccatrozzo
特约评论
Paul Abrams
17 吊带位置
Michal Bogusiewicz and Tomasz Rechberger
18 如何选择中段尿道Sling手术治疗女性压力性尿失禁
Joseph K.-S.Lee and Peter L Dwyer
19 可注射的生物材料
Pierpaolo Curti
……
特约评论(二)
Gian Gaetano Delaini
第八章 瘘
简介
Tomasz Rechberger
57 泌尿生殖瘘
Dmitry Pushkar,Gevory Kasyan and Natalia Sumerova
58 生殖道瘘.
A.Muti Abulafi and Abdul H.Sultan
59 肛门直肠瘘.
Giulio Aniello Santoro,Giuseppe Gizzi,Andrea Rusconi
Claudio Pastore and Luciano Pellegrini
特约评论(一)
Mauro Cervigni
特约评论(二)
Thang Nguyen and Frank A.Frizelle
第九章 手术治疗失败或复发
简介
Tomasz Rechberger and Andrzej Pawel Wieczorek
60 妇科泌尿手术并发症的影像学检查及其处理方法
S.Abbas Shobeir
特约评论
G.Willy Davila
61 结直肠术后并发症的诊治
Tim w Eglington and Frank A.Frizelle
特约评论(一)
Filippo La Torre
特约评论(二)
1wona Sudoi一Szopir~ska and Mafgorzata Kolodziejczak

Book Abstract

1.2.7
盆腔内筋膜和肛提肌的相互作用
肛提肌和盆腔内筋膜的相互作用是盆腔器官支持的最重要生物力学特征之一。只要肌肉维持其关闭盆底的正常张力,盆腔内筋膜的韧带只有非常小的压力,甚至在增加腹腔压力的情况下也是如此。如果肌肉受损,那么盆底将下降,器官被推着经过泌尿生殖裂隙。
一旦它们降到处女膜环水平以下,将得不到肛提肌的支持,韧带必须承受全部负荷。尽管盆腔内筋膜可以在短期内承受这些负荷,但是如果盆腔肌肉不能关闭泌尿生殖裂隙,结缔组织最终会损伤、缺损,造成脱垂。阴道的支持作用好比是一艘停泊着的船,在水面漂浮,但在各方向上由绳索固定于礁石(24)。船类同于阴道,绳索好比是韧带,而水是盆底肌肉形成的支持层。绳索的功能是当船(盆腔器官)停泊在水面(盆腔肌肉)上时,将其固定于泊位的中央。但是,如果水位下降到足够低,以至于绳索的长度不足以在没有水的支持时固定船只,绳索将会全部断裂。一旦盆腔的肌肉组织被破坏,不再能够将器官固定于原位,韧带就将受到过大的张力。这些张力一段时间后将造成韧带的损伤。如果一位女性在年轻时盆底肌肉受到损伤,那么在她一生随后的时间里,韧带必须提供更大的力量来支撑盆腔器官。肌肉损伤的个体,如果代偿性地拥有强壮的结缔组织,可能就不会发展为脱垂,而如果某位妇女生来结缔组织较弱,即使损伤程度相同,她在年老后仍可能发生脱垂。
此外,盆底肌肉和盆腔内筋膜的相互作用对于维持在盆底的“阀”结构起作用,而由于肛提肌板的支持本质,“阀”可以减少韧带张力(图1.2e)。阀需要子宮骶骨韧带以及一定程度上主韧带的背侧牵引,使宫颈向后靠近骶骨前的凹陷。它还需要肛提肌的耻骨内脏部分向腹侧牵拉,使得肛提肌板更加水平,以关闭泌尿生殖裂隙。因此对于维持正常的结构关系,以减少韧带和肌肉张力,这两个力不同方向的相互作用是非常重要的。
……

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