Lies, damned lies, and pelvic floor illustration: Confused about pelvic floor anatomy? You are not alone
Lies, damned lies, and pelvic floor illustration: Confused about pelvic floor anatomy? You are not alone
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DOI：
10.1007/s00192-022-05087-8
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发表时间：
2022-02-03
影响因子：
1.8
通讯作者：
DeLancey, John O. L.
中科院分区：
文献类型：
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作者：
DeLancey, John O. L.
解剖显示骨盆底结构优雅简洁。那么，为什么我们中的许多人对骨盆底感到困惑呢？骨盆底位于我们从上面和下面看到的之间的一个看不见的区域，所以我们的经验没有帮助。这是令人困惑的，因为现有的插图之间存在冲突，所以我们不知道哪些是假的，哪些是真的。要解决骨盆解剖学中的冲突，我们必须：认识到维萨里原则，即真理存在于身体中，不一定在书中;致力于关注结构而不是文字;克服“理论诱导的失明”，这是一种心理学原则，当它与我们所相信的理论相矛盾时，它会低估所看到的东西。我们应该恢复一个世纪以来的标准，即要求解剖图的准确性，类似于统计学中的p值。致力于解剖准确性将确保我们不再使用有缺陷的地图在手术和研究中导航。
Dissection reveals elegant simplicity in pelvic floor structure. So, why are so many of us confused about the pelvic floor? The pelvic floor is in an invisible region between what we see from above and below, so our experience does not help. It is confusing because there is conflict between existing illustrations, so we do not know which are false and which are true. To resolve conflicts in pelvic anatomy we must: recognize the Vesalian principle that truth lies in the body, not necessarily in books; commit to focusing on structures rather than words; and overcome "theory-induced blindness," the psychological principle that discounts what is seen when it contradicts a theory we believe. We should revive century-old standards that require accuracy in anatomical illustration analogous to the p value in statistics. Committing to anatomical accuracy will ensure that we no longer navigate in surgery and research using a flawed map.