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目的回顾性分析先天性阴道斜隔综合征的临床特征与超声检查情况,提高对该病症的认识。方法收集2006年1月～2012年9月间我院收治的16例资料完整的先天性阴道斜隔综合征患者,回顾性分析其超声影像资料。结果 16例先天性阴道斜隔综合征的患者手术前超声诊断均与术后所见相吻合。分型情况:Ⅰ型5例;Ⅱ型7例;Ⅲ型4例。临床表现:11例患者有明显痛经,且部分进行性加重,5例无明显痛经表现。其中,6例伴有不规则阴道出血或月经淋漓不断,5例伴有感染症状。超声表现:16例均为双宫颈,有14例为双子宫,2例为双角外形子宫。右侧斜隔10例,左侧斜隔6例,16例均伴肾缺如。结论对先天性阴道斜隔综合征患者进行超声诊断,可为治疗提供重要且可靠的参考价值,该诊断方法是先天性阴道斜隔综合征疾病诊断的首选方法。
Objective To retrospectively analyze the clinical characteristics and ultrasound examination of congenital vaginal oblique syndrome and to improve the understanding of the disease. Methods Sixteen patients with congenital vaginal oblique syndrome who were admitted to our hospital from January 2006 to September 2012 were retrospectively analyzed. Results 16 cases of patients with congenital vaginal oblique syndrome before surgery ultrasound and postoperative findings are consistent. Type of situation: Ⅰ type 5 cases; Ⅱ type 7 cases; Ⅲ type 4 cases. Clinical manifestations: 11 cases of patients with significant dysmenorrhea, and some progressive exacerbations, 5 cases showed no significant dysmenorrhea. Among them, 6 cases with irregular vaginal bleeding or menstrual dripping constantly, 5 cases with symptoms of infection. Ultrasound: 16 cases were double cervix, 14 cases of double uterus, 2 cases of double-angle shape uterus. Right oblique septum in 10 cases, left oblique septum in 6 cases, 16 cases were accompanied by lack of kidney. Conclusion Ultrasound diagnosis of patients with congenital vaginal oblique syndrome can provide important and reliable reference value for the treatment. The diagnosis is the preferred method of diagnosis of congenital vaginal oblique syndrome.