University College Hospital, London, UK.
BJOG. 2010 Jan;117(2):212-5. doi: 10.1111/j.1471-0528.2009.02413.x.
Uterine agenesis is one of the differential diagnoses in adolescent girls with delayed menstruation. It may also be suspected earlier in childhood during investigations for other genitourinary conditions. However, accurate confirmation that the uterus is absent can be extremely difficult before puberty because of its small size. We describe ten girls referred to a specialist centre with a presumed diagnosis of an absent uterus which was later found to be incorrect. We conclude that imaging should be undertaken by clinicians with experience in management of this age group and in some girls it may be necessary to delay final diagnosis until after puberty.
子宫发育不全是青春期少女月经延迟的鉴别诊断之一。在对其他泌尿生殖系统疾病进行检查时，也可能更早地怀疑子宫发育不全。然而，由于子宫体积小，在青春期前很难准确确认子宫是否缺失。我们描述了 10 名被转介到专科中心的女孩，她们被怀疑患有子宫缺失，后来发现诊断错误。我们得出结论，有经验的临床医生应进行影像学检查，对于一些女孩，可能需要在青春期后才能做出最终诊断。
