阴道斜隔综合征的超声评估:附8例报告并文献复习
Ultrasonic evaluation of oblique vaginal septum syndrome:Report of eight cases and review of the literature
郭光全 1李梦灵 2姜伊娜2
作者信息
- 1. 潍坊市人民医院麻醉科,山东 潍坊 261041
- 2. 潍坊市人民医院超声科,山东 潍坊 261041
- 折叠
摘要
目的 探讨超声检查在诊断阴道斜隔综合征(OVSS)及术后随访中的应用价值.方法 回顾性分析2018-2022年收治的8例OVSS患者的临床资料和超声检查资料,总结OVSS的超声特征.结果 8例OVSS患者表现为进行性痛经(7例)、月经期间阴道分泌物有恶臭(3例)、月经延长(3例)、下腹疼痛伴肛门隆起(3例).其中Ⅰ型2例(25%),Ⅱ型5例(62.5%),Ⅲ型1例(12.5%);7例为双子宫双宫颈畸形,1例为完全纵隔子宫;斜隔位置在右侧和左侧各4例;宫颈阴道积液6例,宫腔积液1例;8例均伴斜隔侧肾脏缺如.所有病例均经手术病理证实.术后随访均未发现宫腔、宫颈管及阴道积液,临床症状明显缓解,其中1例正常妊娠分娩.结论 OVSS的首选诊断方法是超声检查,可以为该病的治疗及术后随访提供重要价值.
Abstract
Objective To investigate the value of ultrasonography in the diagnosis of oblique vaginal septum syndrome(OVSS)and postoperative follow-up.Methods The clinical data and ultrasound presentation of eight patients with OVSS were retrospectively analyzed to identify the ultrasound features of OVSS.Results The eight patients with OVSS reported progressive dysmenorrhea(7 cases),foul-smelling odor of vaginal discharge during menstruation(3 cases),prolonged menstruation(3 cases),and lower abdominal pain with anal bulge(3 cases).Of them,2 cases(25%)were type Ⅰ,5 cases(62.5%)were type Ⅱ,and 1 case(12.5%)was type Ⅲ.Seven cases had double uterus and double cervix deformities,and 1 case had complete mediastinum uterus.The location of the diastasis was on the right side of the uterus in 4 cases,and on the left side of the uterus in 4 cases.There were 6 cases of cervicovaginal fluid and 1 case of intrauterine fluid.All of the 8 cases were accompanied by renal agenesis on the side of the diastasis.All cases were confirmed by surgical pathology.No fluid in the uterine cavity,cervical canal,or vagina was found in the postoperative follow-up,and the clinical symptoms were significantly relieved,and one case became pregnant and delivered.Conclusion Ultrasonography is the preferred diagnostic method for OVSS and is valuable in the treatment and postoperative follow-up of this disease.
关键词
阴道斜隔综合征/超声检查/诊断Key words
Oblique vaginal septum syndrome/Ultrasonography/Diagnosis引用本文复制引用
出版年
2024
NETL
NSTL
万方数据