Thabet Saeed Mohamad Ahmad, Thabet Ahmed S M A
Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Egypt.
J Obstet Gynaecol Res. 2002 Apr;28(2):80-5. doi: 10.1046/j.1341-8076.2002.00022.x.
To evaluate the value of a newly suggested ultrasonographic technique 'Sonocolpography' in diagnosing the complete transverse vaginal septum and other allied conditions and planning their treatment.
Ten cases of complete vaginal septum, eight cases of atresia and four cases of vaginal aplasia seen at Kasr El Aini School of Medicine, Cairo University were selected for this study. Sonocolpography is done using a vaginal balloon and transabdominal ultrasonography. The efficacy of the latter is assessed in comparison to the conventional transabdominal technique. The different sonographic criteria in the conventional technique and in sonocolpography were determined for the studied cases. A cross-over test was also suggested for anticipating the needed surgery. This is done by pushing the balloon maximally inward and determining the ability of the echoes of the vaginal pouch to accommodate the balloon to stretch and to cross over the defect, in turn determining the needed surgery.
Improved ultrasonographic images were successfully obtained for all cases studied. The diagnostic accuracy for these cases was 95.5% for septa, 86.4% for atresia and 90.9% for aplasia. The corresponding figures for the conventional techniques were 54.5, 68.2 and 77.2%, respectively. Sonocolpography was more sensitive and more specific for all cases studied compared to the conventional technique. Planning of the necessary surgery was successfully determined in 16 cases having positive cross-over tests, where excision and direct anastomosis were performed. Surgery planning was also successful in two cases having negative tests and four cases of invalid tests, where more extensive surgery was needed.
Sonocolpography is a new achievement that is essential for imaging cases of the complete vaginal septum and other allied conditions, and also in planning the associated treatment.
评估一种新提出的超声技术“阴道超声造影”在诊断完全性阴道横隔及其他相关病症并规划其治疗方案中的价值。
选取开罗大学艾因夏姆斯医学院收治的10例完全性阴道隔、8例闭锁及4例阴道发育不全病例进行本研究。阴道超声造影采用阴道球囊及经腹超声检查。将后者的有效性与传统经腹技术进行比较评估。确定了传统技术和阴道超声造影中针对所研究病例的不同超声标准。还提出了一种交叉试验以预测所需手术。通过将球囊最大限度地向内推，并确定阴道囊回声容纳球囊伸展并越过缺损的能力，进而确定所需手术。
所有研究病例均成功获得了改进的超声图像。这些病例中隔的诊断准确率为95.5%，闭锁为86.4%，发育不全为90.9%。传统技术的相应数字分别为54.5%、68.2%和77.2%。与传统技术相比，阴道超声造影对所有研究病例更敏感、更具特异性。在16例交叉试验阳性的病例中成功确定了必要的手术方案，进行了切除和直接吻合术。在2例试验阴性和4例试验无效的病例中，手术规划也取得成功，这些病例需要更广泛的手术。
阴道超声造影是一项新成果，对于完全性阴道隔及其他相关病症的成像以及规划相关治疗至关重要。
