MRI在阴道斜隔综合征中的临床诊断价值  

Value of MRI in diagnosis of oblique vaginal septum syndrome

作　　者：谢洁林[1] 张国福[1] 韩志刚[1] 田晓梅[1] 钟婷[1] 

机构地区：[1]复旦大学附属妇产科医院放射科,上海200011

出　　处：《中华全科医师杂志》2017年第8期606-609,共4页Chinese Journal of General Practitioners

摘　　要：目的 探讨MRI对阴道斜隔综合征的诊断价值.方法 回顾性分析2011年3月至2016年11月本院41例经手术证实的阴道斜隔综合征患者临床资料,了解其临床及MRI图像特点.结果 本组41例阴道斜隔综合征中,平均年龄20.5岁,分型为Ⅰ型12例,Ⅱ型23例,Ⅲ型5例,Ⅳ型1例;首发症状主要为经期腹痛（16例）及月经淋漓不净（13例）,多数（35例）行阴道斜隔切除术治疗.阴道斜隔综合征的MRI诊断准确率为97.6％ （41/42）,均表现为双子宫、双宫颈畸形,多数伴有隔后腔不同程度积液或积血,合并斜隔侧肾缺如41例.结论 MRI能对阴道斜隔综合征做出正确诊断,且无创,可为临床治疗方案的制定提供参考信息.Objective To assess the application of MRI in diagnosis of oblique vaginal septum syndrome （OVSS）.Methods Clinical and imaging data of 41 patients with OVSS confirmed by surgery from March 2011 to November 2016 were retrospectively analyzed.Results The average age of patients was 20.5 year （10-46 years）.The primary clinical symptoms were menorrhalgia （16 cases） and menorrhagia （13 cases）.There were 12 cases of type Ⅰ,23 cases of type Ⅱ,5 cases of type Ⅲ and 1 case of type Ⅳamong 41 cases of OVSS.The resections for OVSS were performed in 35 cases.Forty two cases were diagnosed as OVSS by MRI scan,and 41 were confirmed by surgery,the accuracy of MRI diagnosis was 97.6% （41/42）.MRI showed uterus didelphys,hydrocolpos or hematocolpos with varying degrees,and revealed ipsilateral renal agenesis in all 41 cases.Conclusion MRI scan can accurately diagnose oblique vaginal septum syndrome and provide comprehensive information for clinical treatment.

关 键 词：阴道斜隔综合征 阴道疾病 磁共振成像 泌尿生殖系统畸形 

分 类 号：R445.2[医药卫生—影像医学与核医学] R711.1[医药卫生—诊断学]