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目的探讨新疆地区生育活跃期维吾尔族及汉族女性骨盆生理常数及其临床意义。方法自2012年1月至12月总结新疆地区生育活跃期汉族及维吾尔族女性各90例,南方汉族女性109例,利用数字化三维重建技术及骨盆数字化测量技术测量其骨盆的主要产科径线及角度,得出新疆汉族及维吾尔族育龄女性骨盆的生理常数值,并对各组数值进行比较。结果 90例维吾尔族女性中有18例存在尾骨上翘,而汉族女性中未见(P<0.05);新疆地区汉族与维吾尔族女性在骨盆入口平面各条径线的差异均有统计学意义(P<0.05),其余各径线差异无统计学意义(P>0.05)。新疆地区汉族女性入口后矢状径(52.79±7.64)mm较南方汉族女性后矢状径(47.70±8.43)mm明显增大(P<0.05),但入口前后径(115.26±8.34)mm又较南方汉族女性入口前后径(122.40±8.27)mm明显减少(P<0.05)。结论新疆地区女性骨盆的生理常数值具有自己的特点,地区内不同种族间也有一定差异。在制定产科径线标准上,要考虑到不同民族、不同地域间的差异性。
Objective To investigate the pelvic physiological parameters of Uighur and Han women in the active period of reproductive development in Xinjiang and its clinical significance. Methods From January to December 2012, 90 active Han and Uyghur women in Xinjiang and 109 female Han women in southern China were enrolled in this study. The major obstetrical diameters and angles of the pelvis were measured by digital three-dimensional reconstruction and pelvic digital measurement , The physiological constants of the pelvis in Han nationality and Uygur women of childbearing age in Xinjiang were obtained, and the values in each group were compared. Results Eighteen cases of Uygur women had upturned coccyx but no significant difference in Han women (P <0.05). There were significant differences in the diameters of the pelvic entrance planes between Han and Uighur women in Xinjiang (P < P <0.05). There was no significant difference in other diameters (P> 0.05). The mean sagittal diameter of Han nationality women in Xinjiang (52.79 ± 7.64) mm was significantly higher than that of the south Han nationality (47.70 ± 8.43) mm (P <0.05), but the anteroposterior diameter was 115.26 ± 8.34 mm The anteroposterior diameter of Han females in south China was significantly lower (122.40 ± 8.27) mm (P <0.05). Conclusion Physiological constants of female pelvis in Xinjiang have their own characteristics, and there are also some differences among different ethnic groups in the region. In the development of obstetric standard diameter line, we must take into account the differences between different ethnic groups, different regions.