Amias A G
Department of Obstetrics and Gynaecology, St George's Hospital, London.
Br J Obstet Gynaecol. 1987 Oct;94(10):975-8. doi: 10.1111/j.1471-0528.1987.tb02272.x.
Of 850 consultant gynaecologists in Great Britain who were asked about their preferred method of pelvic examination, 777 (91%) replied including 87 women. Of these, 574 (74%) regularly choose the dorsal position both for bimanual and speculum examination although 227 of this group use the lateral position in some circumstances. The other 203 (26%) preferred the left lateral for routine speculum examination and 100 of them also regularly used that position for bimanual palpation. There were marked regional variations in clinical practice, the lateral position being broadly more favoured in the South than in the North. The age of the gynaecologist was an important factor but practical clinical considerations appeared to be less important than habit and upbringing in determining choice of method.
在被问及盆腔检查首选方法的850名英国妇科顾问医生中，777人（91%）作了答复，其中包括87名女性。在这些人中，574人（74%）在双合诊和窥器检查时都经常选择背卧位，不过该组中有227人在某些情况下会使用侧卧位。另外203人（26%）在常规窥器检查时更喜欢左侧卧位，其中100人在双合诊触诊时也经常使用该体位。临床实践存在明显的地区差异，南方普遍比北方更倾向于侧卧位。妇科医生的年龄是一个重要因素，但在决定检查方法的选择上，实际临床考虑似乎不如习惯和成长经历重要。
