MRI在MRKH综合征诊断中的价值

发布时间：2018-04-14 15:23

本文选题：MRHK综合征 + 磁共振成像　；参考：《临床放射学杂志》2015年02期

【摘要】：目的探讨MRI在MRKH综合征诊断中的价值。方法对临床发现原发性闭经且合并阴道发育不全的7例患者行MRI检查。7例均经临床或手术病理证实。结果 7例中,1例右侧始基子宫存在内膜结构,左侧始基子宫随卵巢异位于左侧腹股沟管内。余6例卵巢发育正常,而双侧始基子宫均为无内膜结构的等T1、稍长T2信号的均质肌性结构,增强扫描明显强化。7例始基子宫均无宫颈结构。除2例可见内端呈盲端之阴道影外,余5例均未见明显阴道结构。结论 MRI在临床疑为MRKH综合征而进行的影像学诊断中发挥着非常重要的作用,尤其在超声因复杂生殖系统畸形而不能明确诊断以及合并其他系统病变时。
[Abstract]:Objective to investigate the value of MRI in the diagnosis of MRKH syndrome.Methods MRI was performed in 7 patients with primary amenorrhea and vaginal dysplasia.Results one of the 7 cases had endometrial structure in the right primary base uterus, and the left primordial uterus was located in the left inguinal canal with ovarian heterogeneity.In the remaining 6 cases, ovarian development was normal, and the bilateral primordial uterus was iso-T _ 1 without internal membrane structure, and the homogeneous muscular structure with slightly longer T _ 2 signal intensity. Enhanced scanning showed that there was no cervical structure in 7 cases of primordial uterus.Except for 2 cases with blind vaginal shadow at the inner end, no obvious vaginal structure was found in the other 5 cases.Conclusion MRI plays an important role in the imaging diagnosis of MRKH syndrome, especially when the ultrasound is unable to diagnose the complex reproductive system malformation and is complicated with other systemic diseases.
【作者单位】：南方医科大学珠江医院影像诊断科;
【分类号】：R445.2;R711.1

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