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Date Published: 31/12/2023
Online Published: 31/12/2023
Abstract Views: 7
Views pdf: 3
Issue
No. 53 (2023)
Section
Scientific research
How to Cite
Huỳnh, P. H., Pham, T. H., & Huynh, T. A. T. (2023). PELVIMETRY BY COMPUTED TOMOGRAPHY IN ALDULT VIETNAMESE WOMEN. Vietnamese Journal of Radiology and Nuclear Medicine, 53, 39-47. https://vjrnm.edu.vn/index.php/vjrnm/article/view/914

PELVIMETRY BY COMPUTED TOMOGRAPHY IN ALDULT VIETNAMESE WOMEN

Phượng Hải Huỳnh1,, Thai Hung Pham, Thi Anh Thoa Huynh
1 Khoa y, Đại học Y Dược TPHCM

Main Article Content

Abstract

Background: In obstetric practice, determining the parameters of the normal female pelvis in the population is important; support more accurate diagnosis of cephalo-pelvic disproportion, reduce the rate of indications for unnecessary cesarean section. Abdominopelvic computed tomography can be used to measure pelvic parameters.


Objectives: The objective of this study was to estimate the diameters and factors affecting pelvic parameters in adult Vietnamese women.


Methods: Abdominopelvic MDCT (Multidetector computer tomography) were performed on a group of 257 females ≥ 18 years old. The obstetric parameters were collected and analyzed. Also, investigate the relationship between thèm and the age groups, parity, height.


Results: The mean and standard deviation of the measured diameters were: obstetric conjugate diameter 11.8 ± 0.9 cm , transverse median diameter 12.2 ± 0.9 cm, anteroposterior diameter of the mid-pelvis 11.2 ± 0.8 cm, interspinous diameter 10.6 ± 0.8. The obstetric conjugate diameter, interspinous diameter, intertuberous diameter of the outlet, circumference of the inlet pelvis, circumference of the mid-pelvis were showed narrower with increasing age; women in the group ≥40 years, presented significantly smaller diameters than the 18–29 group, as well as between the ≥40 group against the 30–39 group, for this all diameters. The mid-pelvis diameters and sagittal outlet diameter in women who have not experience delivery showed significantly smaller than delivery group. All diameter of women pelvis with short stature (height  ≤ 145 cm) were lower compared to women with normal stature.


Conclusions: The findings of the current study present the reference values for the obstetric diameters of the normal female pelvis in the population.


Keywords: normal female pelvis diameters, computed tomography

Article Details

Keywords

normal female pelvis diameters, computed tomography

References

1. Campero L, Hernández B, Leyva A, Estrada F, Osborne J, Morales S. [Trends in caesarean sections associated with non-clinical factors in a Birthing Educational Center in Mexico City]. Salud Publica Mex. 2007;49(2):118-125. doi:10.1590/s0036-36342007000200007
2. Villar J, Carroli G, Zavaleta N, et al. Maternal and neonatal individual risks and benefits associated with caesarean delivery: multicentre prospective study. BMJ. 2007;335(7628):1025. doi:10.1136/bmj.39363.706956.55
3. Salk I, Cetin A, Salk S, Cetin M. Pelvimetry by Three-Dimensional Computed Tomography in Non-Pregnant Multiparous Women Who Delivered Vaginally. Pol J Radiol. 2016;81:219-227. doi:10.12659/PJR.896380
4. Capelle C, Devos P, Caudrelier C, et al. How reproducible are classical and new CT-pelvimetry measurements? Diagn Interv Imaging. 2020;101(2):79-89. doi:10.1016/j.diii.2019.07.011
5. Lenhard M, Johnson T, Weckbach S, Nikolaou K, Friese K, Hasbargen U. Three-dimensional pelvimetry by computed tomography. Radiol Med. 2009;114(5):827-834. doi:10.1007/s11547-009-0390-x
6. Kim S, Kim jang heub, Lee D, Kang S, Lee H, Kim MJ. Compare the architectural differences in the bony pelvis of Korean women and their association with the mode of delivery by computed tomography. Korean Journal of Obstetrics. 2011;54. doi:10.5468/KJOG.2011.54.4.171
7. Sigmann MH, Delabrousse E, Riethmuller D, Runge M, Peyron C, Aubry S. An evaluation of the EOS X-ray imaging system in pelvimetry. Diagn Interv Imaging. 2014;95(9):833-838. doi:10.1016/j.diii.2014.01.021
8. Vázquez Barragán MÁ, Garza Báez A, Morales Avalos R, et al. Pelvimetry by reformatted computed tomography in 290 female pelvis: Morphometric variations regarding age. International Journal of Morphology. 2016;34(1):298-304.
9. Liu P, Yu YH, Chen CL, et al. [Analysis of normal pelvis morphometry of modern Chinese southern Han female and its correlation with age]. Zhonghua Fu Chan Ke Za Zhi. 2013;48(7):481-485.
10. Kolesova O, Kolesovs A, Vetra J. Age-related trends of lesser pelvic architecture in females and males: a computed tomography pelvimetry study. Anat Cell Biol. 2017;50(4):265-274. doi:10.5115/acb.2017.50.4.265
11. Shah. A study of lesser pelvic parameters and their correlation with age by reformatted computed tomography in western Indian Gujarati female population. Accessed August 29, 2022. https://www.njca.info/article.asp?issn=2277-4025;year=2018;volume=7;issue=3;spage=146;epage=152;aulast=Shah
12. Amonoo-Kuofi HS. Changes in the lumbosacral angle, sacral inclination and the curvature of the lumbar spine during aging. Acta Anat (Basel). 1992;145(4):373-377. doi:10.1159/000147392
13. Peleg S, Dar G, Medlej B, et al. Orientation of the human sacrum: anthropological perspectives and methodological approaches. Am J Phys Anthropol. 2007;133(3):967-977. doi:10.1002/ajpa.20599
14. Dar G, Peleg S, Masharawi Y, et al. Sacroiliac joint bridging: demographical and anatomical aspects. Spine (Phila Pa 1976). 2005;30(15):E429-432. doi:10.1097/01.brs.0000172232.32082.e0 15. Moes NCCM. Variation in sitting pressure distribution and location of the points of maximum pressure with rotation of the pelvis, gender and body characteristics. Ergonomics. 2007;50(4):536-561. doi:10.1080/00140130601138585