Nunley W C, Pope T L, Bateman B G
AJR Am J Roentgenol. 1984 Feb;142(2):337-9. doi: 10.2214/ajr.142.2.337.
Earlier reports implicated the association of adenosis and adenocarcinoma of the vagina in offspring exposed in utero to diethylstilbestrol (DES). Subsequently attention was directed to the structural abnormalities of the müllerian system in the same females. In this report, the hysterosalpingographic findings in 11 DES-exposed women are presented. The external cervical os was stenotic in two patients. Multiple uterine cavity aberrations were noted: T-shaped configuration, hypoplasia, constriction deformities, and nodular or other filling defects. Tubal patency was demonstrated consistently. If structural abnormalities of the vagina and/or cervix are present, then upper reproductive tract alterations should be considered.
早期报告表明,子宫内暴露于己烯雌酚(DES)的后代中,阴道腺病与腺癌有关联。随后,人们将注意力转向了这些女性中苗勒管系统的结构异常。在本报告中,呈现了11名暴露于DES的女性的子宫输卵管造影结果。两名患者的宫颈外口狭窄。观察到多个子宫腔异常:T形结构、发育不全、狭窄畸形以及结节状或其他充盈缺损。输卵管通畅情况始终得到证实。如果存在阴道和/或宫颈的结构异常,那么应考虑上生殖道的改变。