切换至 "中华医学电子期刊资源库"

中华医学超声杂志(电子版) ›› 2022, Vol. 19 ›› Issue (10) : 1042 -1045. doi: 10.3877/cma.j.issn.1672-6448.2022.10.004

所属专题: 总编推荐

专家论坛

梗阻性阴道横隔的影像学评估及临床诊治进展
鲁红1,(), 蔡晓彤1, 李奎2   
  1. 1. 310006 杭州,浙江大学医学院附属妇产科医院超声诊断科
    2. 310006 杭州,浙江大学医学院附属妇产科医院放射科
  • 收稿日期:2022-06-24 出版日期:2022-10-01
  • 通信作者: 鲁红

Advances in imaging evaluation and clinical diagnosis and treatment of obstructive transverse vaginal septum

Hong Lu1(), Xiaotong Cai1, Kui Li2   

  • Received:2022-06-24 Published:2022-10-01
  • Corresponding author: Hong Lu
引用本文:

鲁红, 蔡晓彤, 李奎. 梗阻性阴道横隔的影像学评估及临床诊治进展[J]. 中华医学超声杂志(电子版), 2022, 19(10): 1042-1045.

Hong Lu, Xiaotong Cai, Kui Li. Advances in imaging evaluation and clinical diagnosis and treatment of obstructive transverse vaginal septum[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2022, 19(10): 1042-1045.

图1 阴道横隔分类。图a为完全性阴道横隔;图b为阴道横隔伴微孔;图c为阴道下段缺如或厚的阴道横隔(图片引自:Mann GS, Blair JC, Garden AS. Imaging of gynecological disorders in infants and children. 6th. Berlin: Springer, 2012: 65-79.)
图2 患者13岁,原发性闭经,周期性腹痛9个月,阴道上段横隔伴阴道下段闭锁,宫颈管及阴道内积血MRI图像。图a为矢状位T2WI图像见阴道上段可见一横隔影,呈横向走行的条状低信号(箭头所示),宫颈管、阴道内积液可见分层(三角形所示);图b为矢状位TIWI增强扫描可见该横隔明显强化(箭头所示),连于阴道前后壁,宫颈管及阴道内积液较明显;图c为冠状位TIWI增强扫描整体显示子宫、阴道横隔(箭头所示)、阴道的相对位置关系
图3 经阴道水造影显示阴道横隔示意图。图a为由于阴道横隔引起的子宫颈和阴道上段积血的矢状面示意图,很难区分阴道横隔和塌陷的阴道下段;图b为通过阴道内口注入生理盐水后,可清楚显示子宫颈和阴道上段积血(红色)、阴道横隔(箭头)和充盈生理盐水的阴道下段(蓝色)[图片引自:Tanitame K, Tanitame N, Urayama S, et al. Congenital anomalies causing hemato/hydrocolpos: imaging findings, treatments, and outcomes. Jpn J Radiol, 2021, 39(8): 733-740.]
1
Jones HW, Rock JA. Te Linde's Operative Gynecology [M]. 11th ed. Philadelphia: Wolters Kluwer, 2015: 525-526.
2
谢幸, 孔北华, 段涛. 妇产科学[M]. 9版. 北京: 人民卫生出版社, 2018: 270-275.
3
The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, müllerian anomalies and intrauterine adhesions [J]. Fertil Steril, 1988, 49(6): 944-955.
4
Grimbizis GF, Gordts S, Di Spiezio Sardo A, et al. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies [J]. Hum Reprod, 2013, 28(8): 2032-2044.
5
Pfeifer SM, Attaran M, Goldstein J, et al. ASRM müllerian anomalies classification 2021 [J]. Fertil Steril, 2021, 116(5), 1238-1252.
6
中国医师协会妇产科医师分会女性生殖道畸形学组. 梗阻性子宫阴道发育异常诊治的中国专家共识 [J]. 中华妇产科杂志, 2021, 56(11): 746-752.
7
宗艳丽. 阴道双层横隔误诊1例 [J]. 现代妇产科进展, 2004, 13(1): 72.
8
Zizolfi B, Foreste V, Maria C, et al. Perforated transverse vaginal septum in a virgin patient: a hymen-sparing hysteroscopic-ultrasound-guided approach [J]. J Minim Invasive Gynecol, 2020, 28(1): 3-4.
9
Management of Acute Obstructive Uterovaginal Anomalies: ACOG Committee Opinion, Number 779 [J]. Obstet Gynecol, 2019, 133(6): 1290-1291.
10
姚时贤, 冯华英. 处女膜闭锁合并完全阴道横隔1例 [J]. 岭南急诊医学杂志, 2011, 16(2): 161.
11
Tanitame K, Tanitame N, Urayama S, et al. Congenital anomalies causing hemato/hydrocolpos: imaging findings, treatments, and outcomes [J]. Jpn J Radiol, 2021, 39(8): 733-740.
No related articles found!
阅读次数
全文


摘要