مطالعه رادیولوژیک انواع لگن در خانم های مراجعه کننده به بیمارستان های دانشگاه آزاد اسلامی واحد مشهد

Subject Areas : علوم پزشکی

Mahmoudr Erfanian Ahmadpu ¹ , Mahnaz Namazi ² , Fatemeh Riyasi ³

1 - متخصص تشریح، دانشکده پزشکی دانشگاه آزاد اسلامی مشهد، مشهد، ایران
2 - متخصص تشریح، دانشکده پزشکی دانشگاه آزاد اسلامی مشهد، مشهد، ایران
3 - پزشک عمومی، دانشکده پزشکی دانشگاه آزاد اسلامی مشهد، مشهد، ایران

Received: 2017-03-06 Accepted : 2017-03-06 Published : 2016-05-21

Keywords: pelvic variations/ pelvic dimensions/ pelvic tightness,

Abstract :

Pelvis is divided to gynecoid, android, anthropoid and platypelloid, anatomically. Prevalence of pelvic variations has some difference in different Races. Pelvic variations in addition to theoric importance for anatomists, are important from the clinical point in pregnancy and labor. So the best type of the pelvis in pregnancy and labor is gynecoid one. There is not any published statistics on this line in Iran. In this study is tried to extract statistics from the studied society. According to this, pelvic types and dimensions were studied with X-Ray pelvimetry in 185 reffered women to Islamic Azad university of Mashhad hospitals, whom was performed supine abdominal x-ray. Results were 85% gynecoid, 9/3% platypelloid,4/1% android and 1/6% anthropoid pelvis. There was not meaned difference in the age, BMI and the type of the first labor with pelvic variations. Inlet and midpelvis dimensions in less than 35 aged compared with more than one, were lesser. Also cesarian section (CS) incidence was higher in less than 35 aged compared with more than 35. The most cause of CS was fetal noncephalic presentation. Because of the relationship between fetal noncephalic presentation and tightness of pelvic inlet in less than 35 aged group, it is due to increase of noncephalic presentation and CS incidence. Totally, in our study pelvic variation incidence according to the Caldwell and Moloy classification, has significant differences with previous statistics from the other geographic parts. So for confirmation of the above case, multicenteric studies can be more exact, from the all part of Iran and with high sample volume.