【摘要】 目的 探讨超声检查对阴道斜隔综合征的诊断价值，分析超声图像特点，提高诊断率，为临床选用最佳的手术方式提供依据。 方法 回顾性分析2008年1月-2010年6月经手术确诊为阴道斜隔综合征的15例患者的临床资料及超声检查结果，总结阴道斜隔综合征的声像图特点。 结果 15例经临床确诊为阴道斜隔综合征的患者，超声诊断14例，均表现为双子宫、双宫颈、阴道或宫颈积液/血，9例左肾缺如，5例右肾缺如。误诊1例，为单子宫伴一侧附件巨大囊肿。 结论 超声具有诊断准确、简便、无创、重复性好、价格实惠等优点，对于临床诊断生殖系统畸形具有十分重要的意义，应列为首选检查方式。
【Abstract】 Objective To investigate the diagnostic value of ultrasonography in examining oblique vaginal septum syndrome, analyze the characteristics of ultrasound image to improve the ultrasound diagnosis rate, in order to provide guidance for clinical surgeries. Methods We retrospectively analyzed the clinical data and ultrasound examination results of 15 patients diagnosed to have oblique vaginal septum syndrome in our hospital, and summarized their ultrasonographic characteristics. Results Among the 15 patients, 14 were diagnosed to have the disease by ultrasound examination. The ultrasound image showed a double uterus, double cervix, and vaginal or cervical fluid or blood for all the patients among whom 9 had absent left kidney, and 5 had absent right kidney. One patient was misdiagnosed to have single uterus with giant cysts on one side. Conclusions Ultrasound diagnosis is simple, noninvasive, reproducible, affordable and accurate in diagnosing. It is very useful in clinical diagnosis of reproductive system abnormalities and should be listed as the preferred way of examinations.
Citation：
CHEN Xin,ZHANG Bo,YANG Taizhu,LUO Hong. Research on the Diagnostic Value of Ultrasonography in Examining Oblique Vaginal Septum Syndrome. West China Medical Journal, 2011, 26(11): 1684-1686. doi:
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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- 1. 朱全道, 马静, 王斌, 等. 女性生殖系统畸形学[M]. 郑州: 河南医科大学出版社, 1996: 227-232.
- 2. 乐杰, 妇产科学[M]. 5版. 北京: 人民卫生出版社, 2001: 399-400.
- 3. Magee Me, Lucey DT, Fried FA. A new embryologic classification for urogynecologic malformation,The syndromes of mesonephric duct induced Mullerian deformities[J]. J Urd, 1979(121): 265.
- 4. Robert N. Troiano, Shirley M. McCarthy. Müllerian Duct Anomalies: Imaging and Clinical Issues[J]. Radiology, 2004(233): 19-34.
- 5. Li S, Qayyum A, Coakley FV, et al. Association of renal agenesis and müllerian duct anomalies[J]. J Comput AssistTomogr, 2000, 24(6): 829-834.
- 6. Phupong V, Pruksananonda K, Taneepanichskuls, et al. Double uterus with unilaterally obstructed hemivagina and ipsilateral repal agenesis: a variety presentation and a10-year review of the literature[J]. JMed Assoc Thai, 2000, 83(5): 569-574.
- 7. 杨琳, 刘亚绵, 李程, 等. 先天性阴道斜隔的超声诊断与鉴别诊断[J]. 中国超声医学杂志, 2005, 21(2): 149-151.
- 8. 马小卿, 谢玉娴, 秦平. 先天性阴道斜隔综合征的超声诊断(附9例分析)[J]. 中国临床医学影像学杂志, 2005, 16(2): 112-113.
- 9. 沈澄洁, 黄冰清, 李怀芳. 阴道斜隔综合征临床分析[J]. 同济大学学报(医学版), 2008, 29(1): 90-92.
- 10. 张力, 刘兴会, 罗国林. 6例阴道斜隔的诊断和治疗[J]. 华西医学, 2004, 19(2): 253-254.
- 11. 关晶, 张国民, 冯发文, 等. 阴道斜隔综合征的影像学诊断价值[J]. 临床放射学杂志, 2010(29): 69-72.
