University of New Mexico, Albuquerque, NM.
University of Texas Southwestern Medical Center, Dallas, TX.
Am J Obstet Gynecol. 2018 Jul;219(1):26-39. doi: 10.1016/j.ajog.2018.04.006. Epub 2018 Apr 7.
The use of imprecise and inaccurate terms leads to confusion amongst anatomists and medical professionals.
We sought to create recommended standardized terminology to describe anatomic structures of the anterior female pelvis based on a structured review of published literature and selected text books.
We searched MEDLINE from its inception until May 2, 2016, using 11 medical subject heading terms to identify studies reporting on anterior female pelvic anatomy; any study type published in English was accepted. Nine textbooks were also included. We screened 12,264 abstracts, identifying 200 eligible studies along with 13 textbook chapters from which we extracted all pertinent anatomic terms.
In all, 67 unique structures in the anterior female pelvis were identified. A total of 59 of these have been previously recognized with accepted terms in Terminologia Anatomica, the international standard on anatomical terminology. We also identified and propose the adoption of 4 anatomic regional terms (lateral vaginal wall, pelvic sidewall, pelvic bones, and anterior compartment), and 2 structural terms not included in Terminologia Anatomica (vaginal sulcus and levator hiatus). In addition, we identified 2 controversial terms (pubourethral ligament and Grafenberg spot) that require additional research and consensus from the greater medical and scientific community prior to adoption or rejection of these terms.
We propose standardized terminology that should be used when discussing anatomic structures in the anterior female pelvis to help improve communication among researchers, clinicians, and surgeons.
不精确和不准确术语的使用会导致解剖学家和医学专业人员之间的混淆。
我们旨在根据对已发表文献和选定教科书的系统回顾，创建推荐的标准化术语来描述女性前骨盆的解剖结构。
我们从 MEDLINE 建立之初开始搜索，直到 2016 年 5 月 2 日，使用 11 个医学主题词来识别报告女性前骨盆解剖结构的研究；接受任何以英语发表的研究类型。还纳入了 9 本教科书。我们筛选了 12264 篇摘要，确定了 200 项符合条件的研究，以及 13 本教科书章节，从中提取了所有相关的解剖术语。
总共在女性前骨盆中确定了 67 个独特的结构。其中 59 个结构已经被先前认可的术语所认可，这些术语在国际解剖术语标准 Terminologia Anatomica 中有规定。我们还确定并建议采用 4 个解剖区域术语（阴道侧壁、骨盆侧壁、骨盆骨和前隔室）和 2 个不在 Terminologia Anatomica 中规定的结构术语（阴道沟和提肛裂）。此外，我们确定了 2 个有争议的术语（耻骨尿道韧带和格拉芬伯格点），在这些术语被采纳或拒绝之前，需要得到更大的医学和科学界的进一步研究和共识。
我们提出了标准化术语，在讨论女性前骨盆的解剖结构时应使用这些术语，以帮助提高研究人员、临床医生和外科医生之间的沟通。
