nqkk58 发表于 2024-7-8 09:03:05

【高尚病例】三维超声诊断子宫畸形：不全纵隔子宫


    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-ab47231182d4cd372e3f5a7622de3761_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 病史摘要</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">王女士，35岁，到厦门高尚影像诊断中心做超声<span style="color: black;">检测</span>。二维超声<span style="color: black;">检测</span>过程中，<span style="color: black;">发掘</span>横切宫腔内膜呈两团，提示：纵隔子宫可能。<span style="color: black;">经过</span>问诊得知，王女士婚后<span style="color: black;">数年</span>未育，曾在当地医院超声<span style="color: black;">检测</span>均未提示“子宫<span style="color: black;">反常</span>”。为了确诊，<span style="color: black;">咱们</span>改用vso超声仪进行三维阴道重建进一步<span style="color: black;">检测</span>，<span style="color: black;">经过</span><span style="color: black;">仔细</span><span style="color: black;">检测</span>后，王女士三维超声诊断为子宫<span style="color: black;">生长</span><span style="color: black;">反常</span>：不全纵隔子宫。<span style="color: black;">意见</span>王女士前往妇产医院专科就诊。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 超声图像对比</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-bf958ef896c66b566163c044a72abaf8_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 二维不全纵隔子宫</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-560a230082aeb51502f3a0415ecf1431_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 三维纵隔子宫</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">讨论</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">什么是纵隔子宫</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">即子宫畸形<span style="color: black;">大都是</span>女性生殖器官在<span style="color: black;">生长</span>过程中，双侧副中肾管受宫腔感染、有害物质及致畸<span style="color: black;">药品</span>等影响而<span style="color: black;">显现</span><span style="color: black;">生长</span><span style="color: black;">反常</span><span style="color: black;">导致</span>，据<span style="color: black;">报告</span>，子宫畸形的<span style="color: black;">出现</span>率约为3%-4%，其中纵隔子宫较为<span style="color: black;">平常</span>，在<span style="color: black;">所有</span>子宫畸形中约占35%-55%。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">纵隔子宫有<span style="color: black;">那些</span>影响</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">可<span style="color: black;">引起</span>成年女性<span style="color: black;">不育</span><span style="color: black;">不孕</span>、习惯性流产、胎儿宫内<span style="color: black;">生长</span>迟缓、胎先露<span style="color: black;">反常</span>，产后<span style="color: black;">流血</span>、胎盘滞留等产科并发症<span style="color: black;">出现</span>。故<span style="color: black;">初期</span>治疗纵隔子宫<span style="color: black;">道理</span>重大，而有效治疗的前提是<span style="color: black;">即时</span>、准确的诊断。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">子宫畸形的诊断方式</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">子宫畸形的诊断方式：超声<span style="color: black;">检测</span>、子宫输卵管造影、腹腔镜、宫腔镜，磁共振<span style="color: black;">影像</span>（Magnetic resonance imaging，MRI）。宫腔镜与子宫输卵管造影虽可对宫腔内膜形态进行准确观察，但子宫外形轮廓<span style="color: black;">表示</span>模糊，腹腔镜则相反，它<span style="color: black;">能够</span>观察到子宫外形轮廓，但<span style="color: black;">没</span>法<span style="color: black;">表示</span>宫腔、尤其是内膜形态。<span style="color: black;">另外</span>，这三种<span style="color: black;">检测</span>方式均存在<span style="color: black;">必定</span>的创伤性。MRI诊断纵隔子宫的准确度较高，依赖于大型设备、不<span style="color: black;">做为</span>筛查子宫畸形的优选<span style="color: black;">办法</span>。超声<span style="color: black;">检测</span>是一种<span style="color: black;">没</span>创、简便、技术先进的诊断方式，<span style="color: black;">长时间</span><span style="color: black;">败兴</span><span style="color: black;">咱们</span><span style="color: black;">重点</span>依靠二维超声诊断，二维超声受<span style="color: black;">影像</span><span style="color: black;">要求</span>的限制和解剖<span style="color: black;">原因</span>的影响，获取信息有限的，<span style="color: black;">没</span>法<span style="color: black;">得到</span>子宫畸形的冠状面信息，诊断过程中常常容易<span style="color: black;">导致</span>漏诊或误诊。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">VolusonE8彩色多普勒超声仪兼具二维、三维扫查功能，三维超声弥补二维超声仅<span style="color: black;">表示</span>子宫横切面，矢状切面而<span style="color: black;">没</span>法<span style="color: black;">表示</span>的冠状切面的优点，且清晰<span style="color: black;">表示</span>子宫外形</p>




wrjc1hod 发表于 2024-10-31 09:32:03

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m5k1umn 发表于 2024-11-11 07:36:22

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4zhvml8 发表于 2024-11-12 21:52:55

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