骨盆测量在直肠癌手术中的应用进展

Recent Advances of Pelvimetry in Rectal Cancer Surgery

回顾当前各种骨盆测量手段,分析骨盆径线与直肠癌手术难度的关系。CT和MRI是目前直肠癌骨盆测量的较好选择,坐骨棘间径、坐骨结节间径、上耻骶尾骨最短径、骶尾骨长度和骶尾骨弯曲度等径线对直肠癌手术难度的影响已经得到了证实。未来的研究需要建立骨盆测量评价标准以指导临床医师制定手术方案。

The current pelvimetry approaches were reviewed to analyze the relationship between pelvic dimension and technical difficulty in rectal surgeries. CT and MRI were considered to be better methods to pelvimetry currently. It was confirmed that some pelvic dimension, including bispinous diameter, intertuberal diameter, the shortest diameter from superior pubic symphysis to sacrococcyx, length and degree of sacrococcygeal curve, could influence the technical difficulty of rectal cancer surgery. Further researches would be warranted to construct the assessment criteria of pelvimetry in order to guide development of surgery strategy.