【摘要】 目的 探讨无子宫女性患者的生殖系统超声表现及扫查技巧。方法 回顾性分析69例无子宫患者的生殖系统超声声像图及临床资料，分析超声漏、误诊原因，总结其超声表现及扫查技巧。结果 69例中22例为雄激素不灵敏综合征(AIS),47例为苗勒管发育不全综合征(MRKH)。超声对于无子宫诊断准确度为87.0%。对雄激素不灵敏综合征患者性腺的诊断准确度为36.36%(16/44),对苗勒管发育不全综合征患者的性腺诊断准确度为94.68%(89/94)。与正常女性相比，AIS患者睾酮增高(18/22,81.8%),MRKH者睾酮正常(48/50,96%)。结论 超声是无子宫患者评估生殖系统首选的检查方法，可以用于确认有无子宫、性腺位置及类型。更多还原

【Abstract】 Objective To investigate the ultrasonographic characteristics and scanning techniques of genital system in female patients without uterus. Methods The genital system ultrasonography and clinical data of 69 patients without uterus were retrospectively analyzed to find the causes of ultrasound missing and misdiagnosis, and then the ultrasonographic characteristics and scanning techniques were summarized. Results Of the 69 cases, 22 were androgen insensitivity syndrome(AIS) and 47 were Mayer-Rokintansky-Kuster-Hauser-syndrome(MRKH). The accuracy of ultrasonography in the diagnosis of absence of uterus was 87.0%.The diagnostic accuracy of gonads in patients with AIS was 36.36%(16/44), and 94.68%(89/94) in patients with MRKH. Compared with normal women, AIS patients had higher testosterone(18/22, 81.8%) and MRKH patients had normal testosterone(48/50, 96%). Conclusions Ultrasound is the preferred examination method for evaluating the reproductive system in patients without uterus, and can be used to confirm the presence of uterus and the location and type of gonads.更多还原