Robbins Jessica B, Broadwell Christy, Chow Lawrence C, Parry John P, Sadowski Elizabeth A
Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
J Magn Reson Imaging. 2015 Jan;41(1):1-12. doi: 10.1002/jmri.24771. Epub 2014 Oct 7.
Müllerian duct anomalies (MDA) occur due to abnormal development of the uterus, cervix, and vagina, many times affecting a woman's ability to conceive and carry a pregnancy to term. The spectrum of possible abnormalities are related to the development of two separate Müllerian systems, which then fuse and subsequently undergo degeneration of the fused segments. This multiphasic development explains the multiple variations within the scheme of MDA classification. The purpose of this article is to review the embryologic development of the Müllerian ducts, relate the development to the most commonly used classification system, and review the magnetic resonance imaging (MRI) assessment of Müllerian duct anomalies. A brief review of the treatment options, as they relate to the imaging diagnosis, will be provided as well.
苗勒管异常（MDA）是由于子宫、宫颈和阴道发育异常所致，多次影响女性受孕及妊娠至足月的能力。可能的异常谱与两个独立的苗勒系统的发育有关，这两个系统随后融合，融合段继而发生退化。这种多阶段发育解释了MDA分类方案中的多种变异。本文旨在回顾苗勒管的胚胎发育，将其发育与最常用的分类系统相关联，并回顾苗勒管异常的磁共振成像（MRI）评估。还将简要回顾与影像诊断相关的治疗选择。
