磁共振成像在雄激素不敏感综合征患者术前评估中的应用。
The use of MRI in the pre-surgical evaluation of patients with androgen insensitivity syndrome.
作者信息
Khan Sana, Mannel Lisa, Koopman Christian L, Chimpiri Rao, Hansen Karl R, Craig LaTasha B
机构信息
Department of Obstetrics and Gynecology, Section of Reproductive Endocrinology and Infertility, University of Oklahoma Health Sciences Center, Oklahoma City, OK.
Department of Radiology, University of Oklahoma Health Sciences Center, Oklahoma City, OK.
出版信息
J Pediatr Adolesc Gynecol. 2014 Feb;27(1):e17-20. doi: 10.1016/j.jpag.2013.05.006. Epub 2013 Aug 31.
BACKGROUND
Patients diagnosed with androgen insensitivity syndrome (AIS) need bilateral gonadectomy (orchiectomy) for malignancy risk reduction. Imaging of the gonads (testicles) prior to surgery is recommended. Ultrasonography has typically been used. However, magnetic resonance imaging (MRI) provides better localization of the gonads and pre-surgical planning.
CASES
In this case series, we describe how MRI was utilized in planning surgical gonadectomy in 3 patients with complete AIS and to review the literature regarding MRI and AIS.
SUMMARY AND CONCLUSIONS
MRI prior to surgery was helpful in localizing and planning for removal of the gonads while preventing injury to other structures. Surgical specialists with experience with inguinal dissection were appropriately consulted when an inguinal dissection was likely to be needed to complete the gonadectomy.
背景
被诊断为雄激素不敏感综合征（AIS）的患者需要进行双侧性腺切除术（睾丸切除术）以降低恶性肿瘤风险。建议在手术前对性腺（睾丸）进行成像检查。通常使用超声检查。然而，磁共振成像（MRI）能更好地定位性腺并进行术前规划。
病例
在本病例系列中，我们描述了如何将MRI用于3例完全性AIS患者的性腺切除手术规划，并回顾了有关MRI和AIS的文献。
总结与结论
术前MRI有助于定位和规划性腺切除，同时防止损伤其他结构。当可能需要进行腹股沟解剖以完成性腺切除术时，应适当咨询有腹股沟解剖经验的外科专家。
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