TY - JOUR
T1 - Obstetric pelvimetry by three-dimensional computed tomography in non-pregnant Japanese women
T2 - a retrospective single-center study
AU - Nishikawa, Shoko
AU - Miki, Masayo
AU - Chigusa, Yoshitsugu
AU - Furuta, Marie
AU - Kido, Aki
AU - Kawamura, Yosuke
AU - Ueda, Yusuke
AU - Mandai, Masaki
AU - Mogami, Haruta
N1 - Publisher Copyright:
© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2023
Y1 - 2023
N2 - Objective: While a basic understanding of pelvic size and typology is still important for obstetricians, pelvic measurement data for Japanese women are very scarce. To our best knowledge, no large-scale pelvimetry studies of Japanese women have been made for the past 50 years. This study aimed to investigate the accurate size, particularly the obstetric conjugate (OC) and transverse diameter of the pelvic inlet (TD), of modern Japanese women, using three-dimensional (3D) computed tomography (CT), and to obtain their reference values. Methods: This retrospective, single-center observational study enrolled Japanese non-pregnant women aged between 20 and 40 years, who underwent pelvic CT examination from 2016 to 2021. CT was performed for various reasons, including acute abdomen, search for cancer metastases, and follow-up of existing disease. However, no cases were taken for pelvic measurements. Pelvimetry was performed retrospectively using a 3D workstation. The OC was measured on a strict lateral view and the TD was measured on an axial-oblique view. Other clinical data, such as age, height, and weight, were also extracted from the medical charts and analyzed. Results: A total of 1,263 patients were enrolled, with the mean age of 32.7 years (standard deviation [SD] 6.2). The mean height, weight, and body mass index were 158.8 cm (SD 5.8), 54.8 kg (SD 11.7), and 21.7 kg/m2 (SD 4.4), respectively. The mean OC length was 127.0 mm (SD 9.5, 95% confidence interval [CI] 126.5–127.5), while the mean TD length was 126.8 mm (SD 7.5, 95% CI 126.4–127.2). Both values were normally distributed. Height was significantly associated with OC (regression coefficient = 0.75 [95% CI 0.66–0.84], p <.001) and TD (regression coefficient = 0.63 [95% CI 0.56–0.70], p <.001). Age showed a weak but statistically significant positive association with TD (regression coefficient = 0.14 [95% CI 0.07–0.20], p <.001) and OC (regression coefficient = −0.10 [95% CI −0.18 to −0.01], p =.026). Conclusion: The 3D CT pelvimetry in 1,263 non-pregnant Japanese women of childbearing age revealed the mean OC and TD of 127.0 mm, and 126.8 mm, which were 11.8 mm and 4.3 mm larger, respectively, than those in the survey in 1972. Our data will be referred to in clinical practice as the standard pelvic measurement values for the Japanese population.
AB - Objective: While a basic understanding of pelvic size and typology is still important for obstetricians, pelvic measurement data for Japanese women are very scarce. To our best knowledge, no large-scale pelvimetry studies of Japanese women have been made for the past 50 years. This study aimed to investigate the accurate size, particularly the obstetric conjugate (OC) and transverse diameter of the pelvic inlet (TD), of modern Japanese women, using three-dimensional (3D) computed tomography (CT), and to obtain their reference values. Methods: This retrospective, single-center observational study enrolled Japanese non-pregnant women aged between 20 and 40 years, who underwent pelvic CT examination from 2016 to 2021. CT was performed for various reasons, including acute abdomen, search for cancer metastases, and follow-up of existing disease. However, no cases were taken for pelvic measurements. Pelvimetry was performed retrospectively using a 3D workstation. The OC was measured on a strict lateral view and the TD was measured on an axial-oblique view. Other clinical data, such as age, height, and weight, were also extracted from the medical charts and analyzed. Results: A total of 1,263 patients were enrolled, with the mean age of 32.7 years (standard deviation [SD] 6.2). The mean height, weight, and body mass index were 158.8 cm (SD 5.8), 54.8 kg (SD 11.7), and 21.7 kg/m2 (SD 4.4), respectively. The mean OC length was 127.0 mm (SD 9.5, 95% confidence interval [CI] 126.5–127.5), while the mean TD length was 126.8 mm (SD 7.5, 95% CI 126.4–127.2). Both values were normally distributed. Height was significantly associated with OC (regression coefficient = 0.75 [95% CI 0.66–0.84], p <.001) and TD (regression coefficient = 0.63 [95% CI 0.56–0.70], p <.001). Age showed a weak but statistically significant positive association with TD (regression coefficient = 0.14 [95% CI 0.07–0.20], p <.001) and OC (regression coefficient = −0.10 [95% CI −0.18 to −0.01], p =.026). Conclusion: The 3D CT pelvimetry in 1,263 non-pregnant Japanese women of childbearing age revealed the mean OC and TD of 127.0 mm, and 126.8 mm, which were 11.8 mm and 4.3 mm larger, respectively, than those in the survey in 1972. Our data will be referred to in clinical practice as the standard pelvic measurement values for the Japanese population.
KW - Cephalopelvic disproportion
KW - contracted pelvis
KW - obstetric conjugate
KW - pelvimetry
KW - three-dimensional computed tomography
KW - transverse diameter of the pelvic inlet
UR - http://www.scopus.com/inward/record.url?scp=85150315851&partnerID=8YFLogxK
U2 - 10.1080/14767058.2023.2190444
DO - 10.1080/14767058.2023.2190444
M3 - 学術論文
C2 - 36927362
AN - SCOPUS:85150315851
SN - 1476-7058
VL - 36
JO - Journal of Maternal-Fetal and Neonatal Medicine
JF - Journal of Maternal-Fetal and Neonatal Medicine
IS - 1
M1 - 2190444
ER -