CAJ | 학술논문

目的：探讨超声对先天性阴道斜隔综合征（ CVRS）的诊断价值。方法回顾性分析2008年1月至2013年11月期间经浙江大学医学院附属妇产科医院手术及病理确诊的45例CVRS患者的临床资料。结果45例CVRS临床表现为腹痛23例，阴道淋漓出血8例，阴道流脓4例，进行性痛经3例，无明显症状者7例。超声检查结果：①子宫畸形：45例均提示子宫畸形，其中双子宫29例，完全纵隔子宫11例，不完全纵隔子宫1例，单角子宫合并残角子宫2例，双角子宫2例；②宫腔积血或囊性包块：一侧宫腔或宫颈积血者23例，一侧宫体下方囊性包块36例，可见囊性包块对侧正常阴道及与阴道相连的子宫6例；③泌尿系统：伴肾脏缺如或发育不良有42例，双肾正常1例，肾脏情况不明2例。结论 CVRS具有典型超声图像表现，超声诊断CVRS准确率高，术前确诊率高达93．33％，可为临床提供重要诊断价值。
목적：탐토초성대선천성음도사격종합정（ CVRS）적진단개치。방법회고성분석2008년1월지2013년11월기간경절강대학의학원부속부산과의원수술급병리학진적45례CVRS환자적림상자료。결과45례CVRS림상표현위복통23례，음도림리출혈8례，음도류농4례，진행성통경3례，무명현증상자7례。초성검사결과：①자궁기형：45례균제시자궁기형，기중쌍자궁29례，완전종격자궁11례，불완전종격자궁1례，단각자궁합병잔각자궁2례，쌍각자궁2례；②궁강적혈혹낭성포괴：일측궁강혹궁경적혈자23례，일측궁체하방낭성포괴36례，가견낭성포괴대측정상음도급여음도상련적자궁6례；③비뇨계통：반신장결여혹발육불량유42례，쌍신정상1례，신장정황불명2례。결론 CVRS구유전형초성도상표현，초성진단CVRS준학솔고，술전학진솔고체93．33％，가위림상제공중요진단개치。
Objective To investigate the value of ultrasonography in the diagnosis of congenital vaginal reclined septum syndrome ( CVRS) .Methods Retrospective analysis was conducted on the clinical data of 45 women with CVRS confirmed by surgery and pathology . They were admitted in Obstetrical and Gynecological Hospital of Medical College of Zhejiang University from January 2008 to November 2013.Results Of 45 cases with CVRS, 23 cases had the manifestation of abdominal pain , 8 cases had intermittent vaginal bleeding , 4 cases had vaginal discharge , and 3 cases had progressive dysmenorrhea .The rest 7 cases had no obvious symptoms .Ultrasound images revealed uterine malformation in 45 cases, including 29 cases of gemini, 11 cases of complete mediastinum uterus , 1 case of incomplete mediastinum uterus , 2 cases with single angle combining with residual angle uterus , and 2 cases of uterus bicornis .There were 23 cases with uterine cavity or cervical hemorrhage , and 36 cases with cystic mass below uterus body on one side .Normal vagina and uterus on contralateral side of cystic mass were found in 6 cases.There were 42 cases complicating with kidney deficiency or dysplasia , 1 case with normal kidneys and 2 cases with unknown kidney situation .Conclusion CVRS has typical ultrasonic image manifestations .The accurate rate of ultrosonography for CVRS is high , and it reaches 93.33%before surgery, which can provide important diagnostic value for clinics .