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经腹联合腔内三维超声对阴道斜隔综合征的诊断价值
Diagnostic value of abdominal combined endoluminal three-dimensional ultrasonography in oblique vaginal septum syndrome
【摘要】 目的探讨阴道斜隔综合征(OVSS)经腹联合腔内三维超声的特征,提高超声对OVSS的诊断准确率。方法回顾性分析42例手术证实OVSS患者的临床资料,并与手术结果对照分析。结果 42例OVSS患者中,左侧斜隔18例,右侧斜隔24例;Ⅰ型(无孔斜隔)12例、Ⅱ型(有孔斜隔)23例和Ⅲ型(无孔斜隔合并宫颈瘘管)7例。超声显示,42例患者均合并子宫畸形和斜隔侧肾脏缺如,其中双子宫37例,纵隔子宫4例,双角子宫1例;隔后腔积液39例,斜隔侧宫腔和宫颈管积液11例,斜隔侧输卵管积液7例,斜隔侧卵巢子宫内膜异位囊肿3例。经腹联合腔内三维超声诊断与手术结果符合率为100%(28/28),高于二维超声83.3%(35/42)。结论子宫畸形伴隔后腔积液及斜隔侧肾缺如为OVSS的声像图特征,经腹联合腔内三维超声对OVSS的诊断具有重要的临床价值。
【Abstract】 Objective To investigate the ultrasonic characteristics of oblique vaginal septum syndrome(OVSS), to improve the diagnostic accuracy of OVSS. Methods Clinical dataof 42 OVSS patients confirmed by surgery were retrospectively analyzed. Results In 42 cases of OVSS, there are 18 cases with left oblique vaginal septum, and 24 cases with right oblique vaginal septum. Among them 12 cases of type Ⅰ(complete hemivaginal obstruction), 23 cases of type Ⅱ(incomplete hemivaginal obstruction), and 7 cases of type Ⅲ(complete hemivaginal obstruction combined cervical fistula). There were 39 with the hydrocolpos behind the oblique septum, all 42 cases were characterized by uterine malformation and side kidney deficiency, 37 with double uterus, 4 with mediastinum uterus, and bicornis uterus.There were 11 oblique side the uterus and the cervical tube effusion,7 oblique side oviduct effusion and 3 oblique side ovarian chocolate cyst. The coincidence between abdominal combined endoluminal threedimensional ultrasonic diagnosis and surgical results was 100%, which was notable higher than the rate(83.3%) of twodimensional ultrasonic diagnosis.Conclusion Hydrocolpos on the oblique septum side and oblique side kidney deficiency was the character of OVSS, abdominal combined endoluminal three-dimensional ultrasonic has important valuble in the diagnosis of OVSS.
【Key words】 oblique vaginal septum syndrome; genitourinary system malformations; threedimensional ultrasound; diagnosis;
- 【文献出处】 中国妇产科临床杂志 ,Chinese Journal of Clinical Obstetrics and Gynecology , 编辑部邮箱 ,2016年04期
- 【分类号】R445.1;R713
- 【被引频次】11
- 【下载频次】158