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中华医学超声杂志（电子版）

中华医学超声杂志（电子版） ›› 2022, Vol. 19 ›› Issue (10) : 1025 -1030. doi: 10.3877/cma.j.issn.1672-6448.2022.10.001

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跟进梗阻性子宫阴道发育异常诊治进展，关注超声评估的重要性和面临的挑战
王慧芳1,†(), 王玥2   
  1. 1. 深圳大学第三附属医院　深圳市罗湖区人民医院超声科
    2. 北京大学深圳医院超声科
  • 收稿日期:2022-06-21 出版日期:2022-10-01
  • 通信作者: 王慧芳

Editorial Progress in diagnosis and treatment of obstructive uterovaginal dysplasia and importance and challenges of ultrasound assessment

Huifang Wang1(), Yue Wang2   

  • Received:2022-06-21 Published:2022-10-01
  • Corresponding author: Huifang Wang
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王慧芳, 王玥. 跟进梗阻性子宫阴道发育异常诊治进展，关注超声评估的重要性和面临的挑战[J]. 中华医学超声杂志（电子版）, 2022, 19(10): 1025-1030.

Huifang Wang, Yue Wang. Editorial Progress in diagnosis and treatment of obstructive uterovaginal dysplasia and importance and challenges of ultrasound assessment[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2022, 19(10): 1025-1030.

图1 阴道下段闭锁不同超声成像模式图像。图a为经腹超声检查可见阴道中上段扩张积血；图b为经会阴超声检查可见闭锁的阴道下段（箭头所示）；图c为经直肠双平面高频超声检查可见闭锁的阴道下段（箭头所示）注：UT为子宫；BL为膀胱；V为扩张的阴道；U为尿道
图2 阴道下段闭锁手术后再狭窄闭锁超声图像。经直肠双平面高频超声检查可见闭锁的阴道长度（虚线所示）以及阴道下段阴道腔闭合线（箭头所示）注：BL为膀胱；U为尿道；H为狭窄闭锁上方阴道积血
图3 子宫畸形三维超声冠状切面。图a示副腔性子宫畸形；图b示完全性纵隔子宫双宫颈；图c示阴道斜隔综合征隔后腔积血（箭头所示）和2个宫颈注：A为副腔；UC为正常子宫腔；CV为宫颈
图4 有孔型高位阴道横隔行经直肠双平面高频超声结合阴道超声水造影检查。图示液体充盈阴道后可见横隔上有小孔（细箭头所示，粗箭头所示为阴道内插管）注：BL为膀胱；CX为宫颈；V1为横隔上阴道；V2为横隔下阴道
图5 正常阴道经腹及经会阴超声图像。图a，b分别为经腹超声正中矢状切面和横切面图像，可见阴道中上段（箭头所示）；图c为经会阴超声图像，可见阴道下段（箭头所示）注：UT为子宫；CX为宫颈；BL为膀胱；U为尿道；AN为肛管
图6 正常阴道经直肠双平面高频超声图像。图a，b分别为正中矢状切面和横切面图像，可见阴道“三线两区”结构（箭头所示为阴道气体线，虚线表示在尿道内口水平测量阴道前后壁的厚度）注：BL为膀胱；U为尿道；V为阴道
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