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目的探讨超声检查对阴道斜隔综合征的诊断价值,分析超声图像特点,提高诊断率,为临床选用最佳的手术方式提供依据。方法回顾性分析2008年1月2010年6月经手术确诊为阴道斜隔综合征的15例患者的临床资料及超声检查结果,总结阴道斜隔综合征的声像图特点。结果 15例经临床确诊为阴道斜隔综合征的患者,超声诊断14例,均表现为双子宫、双宫颈、阴道或宫颈积液/血,9例左肾缺如,5例右肾缺如。误诊1例,为单子宫伴一侧附件巨大囊肿。结论超声具有诊断准确、简便、无创、重复性好、价格实惠等优点,对于临床诊断生殖系统畸形具有十分重要的意义,应列为首选检查方式。
Objective To investigate the diagnostic value of ultrasonography in the diagnosis of vaginal oblique syndrome, analyze the characteristics of ultrasound images and improve the diagnosis rate, so as to provide the basis for choosing the best surgical method in clinic. Methods The clinical data and ultrasound findings of 15 patients with vaginal oblique syndrome diagnosed by surgery in January 2008 and June 2010 were analyzed retrospectively to summarize the sonographic features of vaginal oblique syndrome. Results Fifteen cases of clinically diagnosed vaginal oblique syndrome were diagnosed by ultrasound. Fourteen cases were diagnosed by ultrasonography. All cases showed double uterus, double cervix, vaginal or cervical fluid / blood, absence of left kidney in 9 cases and absence of right kidney in 5 cases . Misdiagnosed in 1 case, a single uterus with a huge cyst attachment. Conclusion Ultrasound has the advantages of accurate diagnosis, simple, noninvasive, good reproducibility, and good price, which is of great significance for clinical diagnosis of genital malformations and should be the preferred method of examination.