超声诊断先天性阴道斜隔综合征

Ultrasonic diagnosis of congenital vaginal reclined septum syndrome

目的 探讨先天性阴道斜隔综合征(CVRS)的声像图特征,提高诊断准确率以指导临床采取 正确术式。方法 回顾性分析15例CVRS声像图及临床特征,总结该病的诊断要点。结果 所有患者均 为双子宫、双宫颈,右侧斜隔11例,左侧4例。15例均伴斜隔侧肾缺如。Ⅰ型CVRS10例,其声像图特 异,术前均能明确诊断;Ⅱ、Ⅲ型CVRS超声可为临床作出提示性诊断。结论 超声检查可作为诊断 CVRS的首选方法。

Objective To study the ultrasonic features of the congenital vaginal reclined septum syndrome (CVRS) in order to apply a precise way for operations. Methods To diagnose CVRS accurately before operation, the ultrasonogram and clinical characteristics of 15 cases were studied retrospectively. Results There were duplicated uterus and cervices with ipsilateral renal agenesis on the reclined septum side in all the patients,11 in the right and 4 in the left. All of 10 cases of type Ⅰhad been made final diagnosis before operation according to the specific ultrasonogram and the rest of type Ⅱ and type Ⅲ had been made reliable diagnosis. Conclusions Ultrasonic examination should be the first way to diagnose CVRS.