阴道斜隔综合征的影像学诊断价值

目的分析阴道斜隔综合征的影像学表现,探讨影像学检查在阴道斜隔综合征诊断中的价值。资料与方法8例阴道斜隔综合征患者,于术前作了多种影像学检查,包括子宫输卵管造影、隔后腔造影、静脉肾盂造影、盆腔超声成像、泌尿生殖系CT及MRI。将影像学表现与手术结果进行对比分析。结果5例行子宫输卵管造影,其中1例显示双子宫,4例显示单角子宫;4例作了隔后腔造影,显示腔隙为梭形3例,不规则形1例;7例作了盆腔超声成像,3例报告双子宫,3例报告子宫旁肿块,1例疑盆腔异位肾;2例作了盆腔CT,均显示双子宫畸形并一侧宫颈扩张;4例作了盆腔MRI,均显示双子宫畸形并一侧子宫腔及隔后腔积液或积血;8例经静脉肾盂造影、肾脏超声成像、MRI或CT检查提示一侧肾缺如;8例经手术或阴道镜证实阴道斜隔及隔后腔的存在。结论阴道斜隔综合征的诊断关键在于提高对本病的认识。MRI在显示本病畸形解剖方面优于其他影像学方法,对本病的诊断有重要的价值。

Imaging Diagnostic Value on Oblique Vaginal Septum Syndrome

Objective To analyze the imaging manifestations of oblique vaginal septum syndrome and to investigate the diagnostic value of imaging examination in this abnomality.Materials and Methods 8 cases of oblique vaginal septum syndrome received many kinds of imaging examination including hysterosalpingography,visualization of posterior septicavity,intravenous pyelography,ultrasonic imaging,CT and MRI before surgery.The imaging manifestations were retrospectively analyzed and compared with surgery result.Results I...