CAJ | 학술논문

目的：通过MR成像对罕见阴道斜隔综合征进行全面的认识。方法回顾性分析7例阴道斜隔综合征患者（6例为青少年，1例为流产孕妇），均行常规MRI（横断面T1WI、T2WI ，冠状面T2WI）及增强扫描。结果7例阴道斜隔综合征，MR主要表现如下：双子宫、双宫颈畸形7例；右侧斜隔5例、均合并右肾缺如，其中2例伴右侧盲端输尿管异位开口、1例子宫内膜异位膀胱后壁；左侧斜隔2例，1例左肾缺如、1例右侧盆腔异位肾；斜隔侧隔后腔积血5例，隔后腔内混杂性血性肿块1例（流产孕妇），斜隔侧阴道扩张积液1例（误诊术后病例）；对侧阴道积液2例，阴道少许积血3例，阴道正常2例（1例误诊术后病例，1例流产孕妇）。结论阴道斜隔综合征是一种泌尿生殖系统发育畸形，M RI检查不仅较直观地显示双子宫畸形、斜隔侧隔后腔积血以及同侧肾缺如等常见情况，而且在发现异位肾、盲端输尿管异位开口以及子宫内膜异位膀胱后壁等罕见情况也具有明显的优势。
목적：통과MR성상대한견음도사격종합정진행전면적인식。방법회고성분석7례음도사격종합정환자（6례위청소년，1례위유산잉부），균행상규MRI（횡단면T1WI、T2WI ，관상면T2WI）급증강소묘。결과7례음도사격종합정，MR주요표현여하：쌍자궁、쌍궁경기형7례；우측사격5례、균합병우신결여，기중2례반우측맹단수뇨관이위개구、1례자궁내막이위방광후벽；좌측사격2례，1례좌신결여、1례우측분강이위신；사격측격후강적혈5례，격후강내혼잡성혈성종괴1례（유산잉부），사격측음도확장적액1례（오진술후병례）；대측음도적액2례，음도소허적혈3례，음도정상2례（1례오진술후병례，1례유산잉부）。결론음도사격종합정시일충비뇨생식계통발육기형，M RI검사불부교직관지현시쌍자궁기형、사격측격후강적혈이급동측신결여등상견정황，이차재발현이위신、맹단수뇨관이위개구이급자궁내막이위방광후벽등한견정황야구유명현적우세。
Objective To have a comprehensive understanding of rare oblique vaginal septum syndrome (OVSS) through MRI .Methods 7 cases of OVSS were retrospectively analyzed (6 cases of teenagers ,1 case of abortion woman) .All ca-ses were performed with conventional MRI (transverse T1WI ,T2WI and coronal T2WI) and contrast enhancement .Re-sults In 7 cases of OVSS ,MRI findings are as follows :uterus didelphys and double cervix in 7 cases ;5 cases of right ob-lique vaginal septum with the right renal agenesis ,in which 2 cases is blind ectopic ureter ,1 case with dometriosis in blad-der wall ;2 cases of left oblique vaginal septum ,in which 1 case is left renal agenesis ,the other with ectopic kidney ;5 ca-ses of oblique septum hemihaematometrocolpos ,1 case with residual gestational sac of oblique septum cavity (abortion woman) ,vaginal dilatation in 1 case (misdiagnosis and postoperation);2 cases of vaginal fluid in normal side ,3 cases of little hematocolpos and 2 cases of normal vagina .Conclusion OVSS is a urogenital malformation .The MRI can directly show uterus didelphys and obstructed hematocolpos associated with ipsilateral renal agenesis .In addition ,it also has the obvious advantage in identifying ectopic kidney ,blind ectopic ureter and dometriosis of bladder wall .