【摘要】 目的 探討超聲檢查對陰道斜隔綜合征的診斷價值，分析超聲圖像特點，提高診斷率，為臨床選用最佳的手術方式提供依據。 方法 回顧性分析2008年1月-2010年6月經手術確診為陰道斜隔綜合征的15例患者的臨床資料及超聲檢查結果，總結陰道斜隔綜合征的聲像圖特點。 結果 15例經臨床確診為陰道斜隔綜合征的患者，超聲診斷14例，均表現為雙子宮、雙宮頸、陰道或宮頸積液/血，9例左腎缺如，5例右腎缺如。誤診1例，為單子宮伴一側附件巨大囊腫。 結論 超聲具有診斷準確、簡便、無創、重復性好、價格實惠等優點，對于臨床診斷生殖系統畸形具有十分重要的意義，應列為首選檢查方式。
【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.
引用本文：
陳欣,張波,楊太珠,羅紅. 陰道斜隔綜合征的超聲診斷價值. 華西醫學, 2011, 26(11): 1684-1686. doi:
復制
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張力, 劉興會, 羅國林. 6例陰道斜隔的診斷和治療[J]. 華西醫學, 2004, 19(2): 253-254.
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關晶, 張國民, 馮發文, 等. 陰道斜隔綜合征的影像學診斷價值[J]. 臨床放射學雜志, 2010(29): 69-72.
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- 1. 朱全道, 馬靜, 王斌, 等. 女性生殖系統畸形學[M]. 鄭州: 河南醫科大學出版社, 1996: 227-232.
- 2. 樂杰, 婦產科學[M]. 5版. 北京: 人民衛生出版社, 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. 楊琳, 劉亞綿, 李程, 等. 先天性陰道斜隔的超聲診斷與鑒別診斷[J]. 中國超聲醫學雜志, 2005, 21(2): 149-151.
- 8. 馬小卿, 謝玉嫻, 秦平. 先天性陰道斜隔綜合征的超聲診斷(附9例分析)[J]. 中國臨床醫學影像學雜志, 2005, 16(2): 112-113.
- 9. 沈澄潔, 黃冰清, 李懷芳. 陰道斜隔綜合征臨床分析[J]. 同濟大學學報(醫學版), 2008, 29(1): 90-92.
- 10. 張力, 劉興會, 羅國林. 6例陰道斜隔的診斷和治療[J]. 華西醫學, 2004, 19(2): 253-254.
- 11. 關晶, 張國民, 馮發文, 等. 陰道斜隔綜合征的影像學診斷價值[J]. 臨床放射學雜志, 2010(29): 69-72.
