MRI对于阴道斜隔综合征及其分型诊断的重要应用价值  

MRI Is an Important Diagnostic Value of Herlyn Werner Wunderlich Syndrome and Classification

作　　者：王霞[1] 陈园园[1] 李鸿恩 王思月 杨朝湘[1] WANG Xia;CHEN Yuan-yuan;LI Hong-en;WANG Si-yue;YANG Chao-xiang(Department of Radiology,Guangdong Province Maternity and Child Hospital,Guangzhou 510010,Guangdong Province,China)

机构地区：[1]广东省妇幼保健院影像科,广东广州510010

出　　处：《中国CT和MRI杂志》2024年第7期141-143,共3页Chinese Journal of CT and MRI

摘　　要：目的通过阴道斜隔综合征MRI征象分析,探讨MRI对此病的诊断价值及限度。方法回顾性分析12例阴道斜隔综合征患者,均行常规MRI平扫及增强扫描。结果12例阴道斜隔综合征,MRI主要表现:双子宫双阴道畸形12例;右侧阴道斜隔9例,左侧阴道斜隔3例;11例合并同侧肾缺如(1例患者未行泌尿系检查);斜隔侧子宫腔妊娠2例;合并斜隔侧宫颈管至宫旁瘘道1例、斜隔侧阴道旁瘘管1例、阴道憩室1例;盆腔内积液并内膜异位灶3例,合并输卵管积血2例。结论MRI检查可直观显示阴道斜隔综合征的双子宫双阴道畸形,通过横冠矢三维定位清晰显示阴道斜隔、斜隔孔洞、宫颈间瘘管等细微结构,协助临床分型;并清晰显示宫腔及阴道积血、盆腔附件内膜异位、宫旁血肿等并发症。Objective To explore the diagnostic value and limit of MRI in oblique vaginal septum syndrome through the analysis of MRI signs.Methods 12 cases of vaginal oblique septum syndrome were retrospectively analyzed,and routine MRI scan and enhanced scan were performed.Results 12 cases of vaginal oblique septum syndrome,the main MRI findings:double uterus and double vagina malformation in 12 cases;9 cases of right oblique vaginal septum and 3 cases of left oblique vaginal septum;11 cases combined with ipsilateral renal absence(1 case did not undergo urological examination);There were 2 cases of oblique septal uterine cavity pregnancy;There was 1 case with oblique septal cervical duct to parafunctal fistula,1 case with oblique septal parafunctal fistula and 1 case with vaginal diverticulum.Pelvic effusion with endometriosis in 3 cases,and hematosalpinx in 2 cases.Conclusion MRI can visually show the double uterus and double vagina malformation of vaginal oblique septum syndrome,assist the clinical classification of vaginal oblique septum syndrome,and clearly show its complications.

关 键 词：阴道斜膈综合征 磁共振成像 肾缺如 

分 类 号：R445.2[医药卫生—影像医学与核医学]