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Atlas of Human Body Ultrasound Scanning_ Methods and Diagnostic Applications ( PDFDrive ).pdf
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420

Q.-Y. Li and L.-X. Wang

 

 

1\ Transabdominal Scanning

of the Uterus

1.1\ Longitudinal Section

of the Childhood Uterus

Fig. 12.1  Longitudinal section of the childhood uterus

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12  Gynecologic Ultrasound Scanning

421

 

 

1.1.1\ Method

The proper preparation for a pelvic ultrasonogram begins with the patient having a full urinary bladder. Probe vertically is placed in lower abdominal anterior to the urinary bladder through middle longitudinal line of the uterus.

1.1.2\ Section Structure

Longitudinal section of the uterus and distended bladder. The anechoic area posterior to the uterus is uterus rectal sinuses (Douglas).

1.1.3\ Measuring Method and Normal

Measuring length diameter and anteroposterior diameter of the uterus. The measurement of length diameter should be performed from the surface of

the uterus base to the endostoma of the cervix, and its normal value is about 2.0–3.3 cm. The measurement of anteroposterior is taken at the maximum distance which is perpendicular to length diameter. The normal value is 0.5–1.0 cm.

1.1.4\ The Clinical Application Value

The longitudinal section is the most important section to understand whether the size and shape of the uterus are normal. The uterus rectal sinuses behind the uterus is Douglas, and its another name is cul-de-sac. Douglas is the lowest point of the body’s abdominal cavity. When there is effusion, bleeding, or infection in abdominal cavity, various kinds of fluid always gather here.

422

Q.-Y. Li and L.-X. Wang

 

 

1.2\ Transverse Scanning

of the Childhood Uterus

Fig. 12.2  Transverse section of the childhood uterus

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1.2.1\ Method

The proper preparation for a pelvic ultrasonogram begins with the patient having a full urinary bladder. Probe is transversely placed in the lower abdominal anterior to the urinary bladder with the direction of sound beam through the maximum transaction of the uterus.

1.2.2\ Section Structure

1.2.3\ Measuring Method and Normal

Measuring the left-right diameter which is the width of the uterus

1.2.4\ The Clinical Application Value

It is another most important plane to understand whether the size and shape of the uterus is normal.

Transaction of the uterus and distended bladder