本文選題：MRHK綜合征 + 磁共振成像　； 參考：《臨床放射學(xué)雜志》2015年02期

【摘要】：目的探討MRI在MRKH綜合征診斷中的價(jià)值。方法對(duì)臨床發(fā)現(xiàn)原發(fā)性閉經(jīng)且合并陰道發(fā)育不全的7例患者行MRI檢查。7例均經(jīng)臨床或手術(shù)病理證實(shí)。結(jié)果 7例中,1例右側(cè)始基子宮存在內(nèi)膜結(jié)構(gòu),左側(cè)始基子宮隨卵巢異位于左側(cè)腹股溝管內(nèi)。余6例卵巢發(fā)育正常,而雙側(cè)始基子宮均為無(wú)內(nèi)膜結(jié)構(gòu)的等T1、稍長(zhǎng)T2信號(hào)的均質(zhì)肌性結(jié)構(gòu),增強(qiáng)掃描明顯強(qiáng)化。7例始基子宮均無(wú)宮頸結(jié)構(gòu)。除2例可見(jiàn)內(nèi)端呈盲端之陰道影外,余5例均未見(jiàn)明顯陰道結(jié)構(gòu)。結(jié)論 MRI在臨床疑為MRKH綜合征而進(jìn)行的影像學(xué)診斷中發(fā)揮著非常重要的作用,尤其在超聲因復(fù)雜生殖系統(tǒng)畸形而不能明確診斷以及合并其他系統(tǒng)病變時(shí)。
[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.
【作者單位】： 南方醫(yī)科大學(xué)珠江醫(yī)院影像診斷科;
【分類號(hào)】：R445.2;R711.1

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本文編號(hào)：1749900