先天性阴道斜隔综合征的超声图像特征  

Ultrasonic image features of congenital vaginal inclined septum syndrome

作　　者：程东红 程昱 胡卫平[2] 湛秀兰 

机构地区：[1]安徽医科大学附属省立医院超声诊断科,合肥230001 [2]安徽医科大学附属省立医院妇产科,合肥230001

出　　处：《安徽医科大学学报》2011年第2期167-169,共3页Acta Universitatis Medicinalis Anhui

摘　　要：目的验证阴道斜隔综合征是否均伴有闭锁阴道侧的肾脏缺如。方法对妇产科17年间所有经超声检查诊断为阴道斜隔综合征的病例进行分析。2001年前以回顾性方式收集病例,2001年后以前瞻性方式收集病例。结果共诊断该综合征41例,其中38例为双子宫、双宫颈、双阴道,一侧阴道完全或不完全闭锁;2例为残角子宫;1例为双角子宫、一侧阴道不完全闭锁。41例均伴有一侧肾脏缺如,对侧肾脏不同程度地代偿性增大。结论先天性阴道斜隔综合征畸形并不少见,均伴有闭锁阴道侧的肾脏缺如和对侧肾脏的代偿性增大,超声检查应列为该病的首选方法。Objective To confirm if all the patients with the congenital vaginal reclined septum syndrome（CVRS） have no kidney on the side of the vaginal atresia.Methods All cases of the CVRS diagnosed by ultrasonic examination in our department from 1994 to 2010 were analyzed.The cases were collected retrospectively before 2001 and perspectively after 2001.Results 41 patients with the syndrome were found in the last 17 years.38 cases had uterus duplex,cervix duplex,vagina duplex and perfect or imperfect vaginal atresia on one side of the vagina.2 cases had rudimentary horn uterus.1 case had the uterus bicornate and imperfect imperforation on one side of the vagina.All of 41 patients had no kidney on the side of the reclined septum,and a compensatory enlarged kidney on the opposite side.Conclusion The CVRS is not rare.All the patients with the syndrome have no kidney on the side of the vaginal atresia and a compensatory hypertrophic kidney on the other side.The identification of the syndrome is the prerequisite for the diagnosis and avoiding missed diagnosis of the disease.Ultrasonic examination should be the first choice for the diagnosis of the syndrome.

关 键 词：阴道/畸形 子宫/畸形 宫颈/畸形 肾/畸形 

分 类 号：R714.422[医药卫生—妇产科学] R692.1[医药卫生—临床医学]