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[先天性阴道异常的磁共振成像]

[Magnetic resonance imaging of congenital vaginal anomalies].

作者信息

Feng Feng, Liu Zhu-feng, Pan Wei-dong, Meng Wei, Jin Yang, Jin Zheng-yu

机构信息

Department of Radiology, PUMC Hospital, CAMS and PUMC, Beijing 100730, China.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2005 Feb;27(1):103-7.

Abstract

OBJECTIVE

To describe the magnetic resonance (MR) imaging manifestations in vaginal anomalies, and to discuss the utility and limit of MR imaging in diagnosis of this abnormality.

METHODS

Nine female patients with congenital vaginal anomalies who required surgical intervention were studied. MR imaging and ultrasound of the pelvic was performed before surgery. MR imaging features were retrospectively analyzed correlating with surgery.

RESULTS

The vaginal anomalies were categorized into three groups: (1) congenital absence of the vagina and uterus, i.e. Mayer-Rokitansky-Küster-Hauser syndrome (MRKH syndrome) (n=3); (2) vaginal atresia (n=2); and (3) transverse vaginal septum (n=2). There was also one case of absence of vaginal with complicated urinogenital abnormality, and 1 case of obstructed hymen.

CONCLUSIONS

MRI is a reliable method for evaluating vaginal anomalies. An accurate MRI examination can be helpful for surgical management.

摘要

目的

描述阴道异常的磁共振(MR)成像表现,并探讨MR成像在诊断这种异常中的应用价值及局限性。

方法

对9例需要手术干预的先天性阴道异常女性患者进行研究。术前对盆腔进行MR成像和超声检查。回顾性分析MR成像特征并与手术结果进行对照。

结果

阴道异常分为三组:(1)先天性无阴道和子宫,即迈耶-罗基坦斯基-库斯特-豪泽综合征(MRKH综合征)(n = 3);(2)阴道闭锁(n = 2);(3)阴道横隔(n = 2)。还有1例无阴道合并复杂泌尿生殖系统异常,1例处女膜闭锁。

结论

MRI是评估阴道异常的可靠方法。准确的MRI检查有助于手术治疗。

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