Engin ÇİFTÇİOĞLU, Nihal İÇTEN, Ali YANIK, Cem KOPUZ, Mennan Ece PİRZİRENLİ

Kadın Pelvis Tipleri ve Çapları; Radyolojik Bir Çalışma

Karadeniz bölgesinde yaşayan kadınların pelvis morfolojisi hakkında veriler toplandı ve bunlar analiz edildi. Bu amaçla 15-49 yaş arası toplam 284 kadın üzerinde radyopelvimetrik cetvel yöntemi ile ön-arka ve yan olmak üzere ikişer adet grafi çekildi. Bu grafiler üzerinde ölçümler yapıldı ve bundan yola çıkarak pelvis tipleri belirlendi. Bunu yapmaktaki amacımız, ülkemizde benzer çalışmalara rastlanmamış olması, dolayısıyla klasik kitaplarda yazan pelvik değerlerin kadınlarımızın pelvik değerlerini yansıtıp yansıtmadığını öğrenmek isteği idi. Vakalar, kadın doğum polikliniğine çeşitli nedenlerden dolayı başvuran, gebe olmayan ve metabolik bir rahatsızlığı bulunmayan, 15-49 yaş grubu kadınlar arasından seçildi. Sonuçta gynecoid tipe %64,1, platypelloid tipe %16,5, anthropoid tipe %11,3 ve android tipe %8,1 oranında rastlandı. 284 vakaya ait ortalama pelvis çapları da diameter transversa 12,66 ± 0,75 cm, diameter mediana 11,34 ± 0,88 cm, diameter obliqua I 11,48 ± 0,72 cm, diameter obliqua II 11,78 ± 0,68 cm, conjugata vera 10,77 ± 0,83 cm, anterosagittal çap 5,93 ± 0,61 cm ve posterosagittal çap 5,37 ± 0,7 cm şeklinde bulundu. Bulgularımız klasik kitaplar ve literatürdeki değerlerin Türk Kadını için tam olarak geçerli olmadığını ve pelvis morfolojisinde bölgesel farklılıkların olabileceğini göstermektedir. Bölgesel farklılıkların bilinmesinin klinik uygulamalarda hekimlere yardımcı olacağı kanısındayız.

Anahtar Kelimeler:

Pelvimetri, Radyoloji, Pelvis tipleri, Pelvis çapları

Female Pelvis Types and Diameters; A Radiological Study

Aim of this study was to collect quantitative information of Turkish women’s pelvis morphology who lived in the Blacksea region, and to analyze how these data correlate with those reported in the literature. A radiopelvimetric ruler and two radiographs, one anteroposterior and one lateral, were used to measure the radiological dimensions and to determine the pelvis types on 284 subjects of 15-49 years of age. Subjects were selected among non-pregnant women who referred to obstetrics and gynecology clinic of our university hospital for different reasons. Subjects with any metabolic disorder were discarded from the measurements. The results showed that most of the subjects were of the gynecoid type (64.1%). The remaining were of the anthropoid (11.3%), android (8.1%) and platypelloid (16.5%) types. The mean pelvis diameters were as follows: diameter transversa 12.66 ± 0.75 cm, diameter mediana 11.34 ± 0.88 cm, diameter obliqua I 11.48 ± 0.72 cm, diameter obliqua II 11.78 ± 0.68 cm, conjugata vera 10.77 ± 0.83 cm, anterosagittal diameter 5.93 ± 0.61 cm and posterosagittal diameter 5.37 ± 0.7 cm. These findings of Turkish women do not show exact correlation with those reported in literature and indicates regional differences in the pelvis morphology. Knowledge of such regional differences might be helpful to the practicing consultant.

Keywords:

Pelvimetry, Radiology, Pelvic type, Pelvic diameter, Pelvimetri, Pelvimetri Pelvis tipleri, Pelvis tipleri, Pelvis çapları, Pelvis çapları,

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