| 韩晓青,何年安,金富,等.典型与非典型阴道斜隔综合征的临床表现与声像图特征研究[J].中国临床保健杂志,2022,25(5):708-711. |
| 典型与非典型阴道斜隔综合征的临床表现与声像图特征研究 |
| A study on the clinical manifestations and sonographic features of typical and atypical congenital vaginal oblique septum syndrome |
| 投稿时间：2022-04-12 |
| DOI：10.3969/J.issn.1672-6790.2022.05.030 |
| 中文关键词: 泌尿生殖系统畸形 超声检查 漏诊 阴道积液 |
| 英文关键词: Urogenital abnormalities Ultrasonography Missed diagnosis Hydrocolpos 〖FL |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨阴道斜隔综合征的超声声像图特点以提高诊断率。方法 回顾性分析2008年1月1日至2021年9月30日术后诊断的31例典型(双子宫)与非典型(非双子宫)阴道斜隔患者的一般临床表现与超声声像图特征的不同。结果 典型组的双子宫26例,非典型组的完全纵隔子宫4例及双角子宫1例,其中29例肾缺如,非典型组中2例先天双肾正常。术后分型:Ⅰ型17例,Ⅱ型9例,Ⅲ型5例,Ⅱ型及Ⅲ型术前超声估测的阴道隔后腔积液均较Ⅰ型少,差异均有统计学意义(P<0.01),Ⅱ型及Ⅲ型两者之间相比较,差异无统计学意义(P>0.05)。术前超声诊断阴道斜隔20例,诊断正确率64.5%,其中副主任医师正确率85.7%,主治医师62.5%,住院医师33.3%,比较3种年资诊断医师的超声诊断正确率之间的差异,P=0.042。结论 二维及彩色多普勒超声检查是诊断阴道斜隔综合征首选可靠的方法,典型的阴道斜隔超声图像特征,为临床诊断并且及时地治疗提供一定帮助。但非典型阴道斜隔超声图像多样化,缺乏特征性,为诊断增加了困难。 |
| 英文摘要: |
| Objective To explore the characteristics of ultrasound sonogram of oblique vaginal septum syndrome and improve the diagnosis rate.Methods A retrospective analysis of the difference between the general clinical manifestations and ultrasound imaging features of 31 typical (diuterine) and atypical (non-diuterine) oblique vaginal septum patients diagnosed from January 1,2008 to September 30,2021 was retrospective.Results This study included 26 cases of double uterus in the typical group,4 cases of complete mediastinal uterus in the atypical group,and 1 case of bicornuate uterus.Among them,29 cases were absent kidneys,and 2 cases in the atypical group were congenital normal kidneys.Postoperative classification:17 cases of type I,9 cases of type Ⅱ,5 cases of type Ⅲ,type Ⅱ and type Ⅲ preoperative ultrasound estimated vaginal posterior septal effusion is less than type I,the difference is statistically significant (P<0.01),there was no statistical difference between type Ⅱ and type Ⅲ (P>0.05).Preoperative ultrasound diagnosis of oblique vaginal septum was performed in 20 cases,with a correct diagnosis rate of 64.5%,of which the correct rate of the deputy chief physician was 85.7%,the attending physician was 62.5%,and the resident physician was 33.3%.Difference,P=0.042,which is statistically significant.Conclusions Two-dimensional and color Doppler ultrasonography is the first and reliable method for diagnosing oblique vaginal septum syndrome.The typical ultrasound image features of oblique vaginal septum can provide certain help for clinical diagnosis and timely treatment.However,the ultrasound images of atypical oblique vaginal septum are diversified and lack characteristic,which makes the diagnosis more difficult. |
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