阴道斜隔综合征5例影像诊断分析及文献复习  

Imaging diagnosis of oblique vaginal septum syndrome:5 cases report and literature review

作　　者：韩月明 李光民[1] 齐福新[1] HAN Yue-ming;LI Guang-min;QI Fu-xin(Department of Radiology,Maternal and Child Health Hospital of Tangshan,Tangshan,Hebei 063000,China)

机构地区：[1]唐山市妇幼保健院放射科,河北唐山063000

出　　处：《中国临床研究》2022年第1期79-82,共4页Chinese Journal of Clinical Research

摘　　要：目的探讨CT、MRI在阴道斜隔综合征(HWWS)中的诊断价值,并进行文献复习,旨在提高对本病的认识。方法回顾性分析2018年10月至2020年8月唐山市妇幼保健院进行CT、MRI检查并经手术证实为HWWS 5例患者的临床影像资料。结果5例患者经手术证实均为HWWS,其中3例双子宫,2例纵隔子宫;5例患者均为患侧肾缺如合并患侧阴道积脓;3例患者的隔后腔存在于右侧,2例隔后腔存在于左侧;1例合并斜隔侧子宫内膜异位囊肿;1例合并斜隔侧输卵管积脓。CT及MRI均能清楚显示子宫、宫颈、阴道异常形态、斜隔走行、阴道嚢腔及盆腔、肾脏情况。结论CT、MRI可以明确诊断HWWS,可为临床提供重要的客观依据。Objective To investigate the diagnostic value of computed tomography(CT),magnetic resonance imaging(MRI)in oblique vaginal septum syndrome(OVVS),namely Herlyn-Werner-Wunderlich syndrome(HWWS)with review of the literature in order to improve the understanding of OVVS.Methods The clinical imaging(CT and MRI)data of 5 HWWS patients confirmed by surgery treated in the Maternal and Child Health Hospital of Tangshan from October 2018 to August 2020 were analyzed retrospectively.Results There were 3 cases of double uterus and two cases of mediastinal uterus.All 5 patients suffered from absent of renal and empyema of vagina on the affected side.Three cases of the posterior septal compartment were presented on the right side,and 2 cases were presented on the left side.One case was complicated with endometriosis cyst on oblique septal side.One case was complicated with fallopian tube empyema on oblique septal side.CT and MRI clearly showed the abnormal morphology of uterus,cervix and vagina,vagina oblique septum,vaginal cavity,pelvic cavity and kidney condition in five patients.Conclusion CT and MR can provide important objective basis in clearly diagnosing HWWS.

关 键 词：阴道斜隔综合征 磁共振成像 电子计算机断层扫描 

分 类 号：R711.1[医药卫生—妇产科学]