残角子宫并宫腔经血潴留的超声诊断

Ultrasound diagnosis of rudimentary uterus and retention of menstruation in uterus cavity

目的 探讨残角子宫并宫腔经血潴留的超声特征。方法 对我院95年2月至2001年10月经B超检查诊断为残角子宫并宫腔经血潴留的病例进行回顾性分析,并与手术病理对照。结果 6年间共诊断该病例8便,与手术病理对照符合率为87％(7/8)。其中一例误诊为卵巢七克力囊肿。8例均伴有残角子宫例肾脏缺如,对例肾代偿性增大。结论 该先天性畸形较少见,声像图较复杂,充分认识该病的声像图特征是正确诊断本病的重要前提。

Objective To evaluate the ultrasound feature of rudimentary uterus and the retention of menstruation in uterus cavity. Methods The cases of rudimentary uterus and the retention of menstruation in uterus cavity were diagnosed by ultrasound examination in our hospital, and which were analyzed and compared with pathology since Feb. 1995 to Oct.2001. Results During the six years we had diagnosed 8 cases and compared with pathology, tallying with the rate up to 87%. One of which was misdiagnosed as the ovary chocolate cyst. There was no kidney on the side of the rudimentary uterus, and a compensatory enlarged kidney on the opposite side. Conclusion Congenital malformation is scarce. The acoustic picture is very comples. So it is the important prerequisite for the diagnosis to recognize the feature of the acoustic picture.