MRI在阴道斜隔综合征诊断中的临床应用  

Clinical application of MRI in the diagnosis of oblique vaginal septum syndrome

作　　者：顾海磊 唐文伟[1] 郑金霞[1] 王莉莉 程晖 田忠甫 

机构地区：[1]南京医科大学附属妇产医院放射科,江苏南京210004 [2]南京医科大学附属儿童医院放射科,江苏南京210004

出　　处：《实用放射学杂志》2018年第2期238-240,244,共4页Journal of Practical Radiology

摘　　要：目的 探讨MRI检查在阴道斜隔综合征（OVSS）诊断中的临床应用，并通过MRI及相关文献强化对OVSS的认识，提高诊疗水平。方法 回顾性分析8例OVSS患者（7例青春期女性，1例生育期女性），均先行超声检查后，进一步行MRI常规检查，其中1例行增强扫描。结果 8例OVSS患者MRI主要表现如下：子宫发育畸形（双子宫4例、纵隔子宫3例和双角子宫并子宫纵隔1例），阴道斜隔（右斜隔7例和左斜隔1例），8例均合并隔后腔同侧的肾缺如，其中1例伴输尿管扭曲扩张及异位开口，4例伴子宫内膜异位症，1例合并双下腔静脉；斜隔隔后腔积血6例、积脓2例；对侧阴道内少许积血3例、无明显异常5例。结论 MRI优越的解剖结构显示在OVSS的诊断中有重要的临床应用价值，能很好地指导临床制订最佳的治疗方案。Objective To investigate the clinical value of MRI in the diagnosis of oblique vaginal septum syndrome（OVSS） ,and to improve the diagnostic level for this disease.Methods Clinical and imaging data of 8 patients （7 adolescent females and 1 female in fertility period） with vaginal septum syndrome were analyzed retrospectively. All participants were evaluated by ultrasound examination before MRI scanning, and 1 of them underwent enhanced MRI scan.Results Among the 8 patients with OVSS, the main findings of MRI includes uterine deformity （4 double uterus, 3 mediastinal uterus, 1 double angle uterus with uterine septum） ,oblique vaginal septum （7 right oblique septum and 1 left oblique septum）.All subjects presented with ipsilateral renal agenesis,and 4 patients with endometriosis, 1 patient with ureteral distortion and ectopic opening and 1 patient with double inferior vena cava.6 patients suffered with hemorrhage in the posterior chamber of oblique septum and 2 patients with empyema. Hemorrhage in the contralateral vagina were observed in 3 cases,while no significant abnormality was found in other 5 cases.Conclusion MRI scan has an important clinical value on the diagnosis of OVSS and can provide crucial information for the optimal individual treatment.

关 键 词：阴道斜隔综合征 磁共振成像 

分 类 号：R711.73[医药卫生—妇产科学] R445.2[医药卫生—临床医学]