女童子宫阴道积液超声鉴别诊断及临床表现

Ultrasonographic Differential Diagnosis and Clinical Manifestations of Hydrocolpos in Girls

目的:探讨女童梗阻性与非梗阻性子宫阴道积液的鉴别诊断。方法:回顾分析2013年12月—2020年1月上海儿童医学中心收治的21例超声诊断为子宫阴道积液女童,均有完整影像学、手术资料。结果:梗阻性子宫阴道积液19例(手术证实处女膜闭锁14例,阴道闭锁5例),包括青春期14例、学龄前期2例、幼儿期1例、新生儿期1例、胎龄5个月1例。非梗阻性子宫阴道积液2例(膀胱阴道反流),积液透声好,排空膀胱后复查消失,分别为学龄期、学龄前期。结论:女童子宫阴道积液可通过超声区分梗阻性与非梗阻性。

Purpose:To explore the differential diagnosis between obstructive and nonobstructive hydrocolpos in girls.Methods:A retrospective analysis was conducted on 21 girls diagnosed with hydrocolpos by ultrasound admitted to Shanghai Children's Medical Center from December 2013 to January 2020.All patients had complete imaging and surgical data.Results:Nineteen patients were diagnosed with obstructive hydrocolpos(surgically confirmed imperforate hymen in 14 cases,and vaginal atresia in 5 cases).Among them,14 cases were adolescents,2 cases were in pre-school age,1 case was infant,1 case was in neonatal age,and 1 case was at gestational age of 5 months.Two patients were diagnosed with nonobstructive hydrocolpos(vesicovaginal reflux).Ultrasound showed fluid accumulation with good translucency,but disappeared after emptying the bladder.They were in school age and pre-school age,respectively.Conclusions:Obstructive and nonobstructive hydrocolpos in girls can be distinguished by ultrasound.