经腹及经会阴联合超声在原发性闭经病因诊断中的应用

Combined with transabdominal and transperineal ultrasonography in the diagnosis of primary amenorrhea

目的探讨经腹及经会阴联合超声在原发性闭经患者病因诊断中的应用价值。方法对11例原发性闭经患者经腹及经会阴联合超声,部分经手术结果证实。结果先天性无子宫无阴道2例;始基子宫合并无阴道2例;始基子宫合并正常阴道4例,幼稚子宫合并无阴道1例,阴道闭锁1例,处女膜闭锁1例。结论经腹及经会阴联合超声可显示子宫、内膜、卵巢以及阴道发育情况,对原发性闭经病因诊断可提供更多信息。

Objective To evaluate the value of transabdominal and transperineal ultrasonography in the diagnosis of primary amenorrhea. Methods Eleven cases of primary amenorrhea were examed with transabdominal and transperineal ultrasonography. Some cases were comfirmed by operation. Results There were 2 cases of congenital absence of uterus and vagina, 2 cases of primordial uterus and congenital absence of vagina, 4 cases of primodial uterus and vagina, 1 cases of infantile uterus and absence of vagina, 1 case of atresia of vagina, and 1 case of imperforate hymen. Conclusion Combined with transabdominal and transperineal ultrasonography show the uterus, endometrium, ovaries and vagina clearly, which is useful in the diagnosis of primary amenorrhea.