先天性生殖道畸形定性和分型超声漏诊与误诊分析  

Analysis of Misdiagnosis and Missed Diagnosis of Congenital Genital Malformation by Ultrasound

作　　者：陈秋香[1] 白新华[1] CHEN Qiu-xiang;BAI Xin-hua(The First Affiliated Hospital of Shenzhen University,the Second People’s Hospital of Shenzhen,Guangdong Shenzhen,518035)

机构地区：[1]深圳大学第一附属医院深圳市第二人民医院,广东深圳518035

出　　处：《深圳中西医结合杂志》2020年第19期11-13,F0003,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：深圳市卫生和计划生育委员会卫生计生系统科研项目资助课题(SZFZ2017091)。

摘　　要：目的:分析二维、三维超声对先天性生殖道畸形分型评估的价值及漏诊与误诊的原因。方法:选取2018年2月至2020年9月在深圳大学第一附属医院经宫(腹)腔镜、宫腔探查证实的先天性生殖道畸形的48例患者的超声检查资料,采用节段分析方法(包括宫体宫腔形态、宫颈数目、阴道)进行回顾性分析,分析漏诊与误诊原因。结果:超声检查共诊断48例子宫畸形,宫腔镜、腹腔镜和宫腔探查证实47例子宫畸形,1例正常子宫误诊为不全纵膈子宫;超声检查共诊断8例宫颈(管)数目异常,漏诊1例,误诊4例;超声检查共诊断1例阴道畸形(双阴道),漏诊4例阴道斜隔。结论:采用节段分析法对先天性生殖道畸形进行整体化分型评估,有助于更准确进行定性和分型。Objective To analyze the value and the reason of misdiagnosis and missed diagnosis of congenital genital malformation by two-dimension and three-dimension ultrasound.Methods The ultrasound features of 48 patients who were diagnosed with congenital genital malformation by hysteroscope,laparoscope and uterine probe in the first affiliated hospital of Shenzhen university from?February 2018 to September 2020 were selected.The segmental analysis method(including the uterine and the uterine cavity shape,the number of cervix and vagina)was used for retrospective analysis to analyze the reason of misdiagnosis and missed diagnosis.Results 48 cases were diagnosed with uterine malformation by ultrasound.47 of them were correctly diagnosed by hysteroscope,laparoscope and uterine probe and 1 of them which was normal uterus was misdiagnosed incomplete mediastinal uterus.8 cases were diagnosed with abnormal number of cervix(cervical canals),1 case was missed,and 4 cases were misdiagnosed by ultrasound.1 case was diagnosed with vaginal malformation(double vagina)and 4 cases with oblique vaginal septum were missed diagnosed by ultrasound.Conclusions The quality and classification of congenital genital malformation might be improved by using segmental analysis method to integral assessment.

关 键 词：先天性生殖道畸形 二维超声 三维超声 

分 类 号：R445.1[医药卫生—影像医学与核医学]