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目的:探讨双子宫双宫颈并发一侧阴道闭锁畸形的诊治方法。方法:对2008.02～2008.10期间收治的3例疑诊生殖道畸形的患者采用磁共振成像技术(MRI)进行盆腔扫描,观察子宫、宫颈、阴道及异常流通道的结构。结果:3例患者MRI扫描结果显示双子宫、双宫颈及一侧宫颈下方阴道闭锁,经血积聚形成囊肿;均行经阴道斜膈切除术,避免了宫腔镜和剖腹手术。结论:MRI扫描为女性复杂生殖道畸形提供了无创的三维影像学检查,对选择最佳手术方式具有重大的临床意义。
Objective: To investigate the diagnosis and treatment of vaginal atresia with double cervix and double cervix. Methods: Three cases of suspected genital tract deformity admitted between 2008.02 and 2008.10 were examined by pelvic scanning with magnetic resonance imaging (MRI) to observe the structure of uterine, cervix, vagina and abnormal flow channel. Results: The results of MRI scan showed that the double uterus, double cervix and vaginal atresia on one side of the cervix were closed in three patients. Cysts were formed by blood accumulation. Transvaginal diaphragmatic resection was performed to avoid hysteroscopy and laparotomy. Conclusion: MRI scan provides a noninvasive three-dimensional imaging examination of complex reproductive tract deformities in women, which is of great clinical significance in choosing the best surgical method.