Value of MRI in diagnosis of oblique vaginal septum syndrome

VernacularTitle:MRI在阴道斜隔综合征中的临床诊断价值
Author: Jielin XIE ; Guofu ZHANG ; Zhigang HAN ; Xiaomei TIAN ; Ting ZHONG
Keywords: Oblique vaginal septum syndrome; Vaginal diseases; Magnetic resonance imaging; Urogenital abnormalities
From: Chinese Journal of General Practitioners 2017;16(8):606-609
CountryChina
Language:Chinese
Abstract: Objective To assess the application of MRI in diagnosis of oblique vaginal septum syndrome (OVSS).Methods Clinical and imaging data of 41 patients with OVSS confirmed by surgery from March 2011 to November 2016 were retrospectively analyzed.Results The average age of patients was 20.5 year (10-46 years).The primary clinical symptoms were menorrhalgia (16 cases) and menorrhagia (13 cases).There were 12 cases of type Ⅰ,23 cases of type Ⅱ,5 cases of type Ⅲ and 1 case of type Ⅳamong 41 cases of OVSS.The resections for OVSS were performed in 35 cases.Forty two cases were diagnosed as OVSS by MRI scan,and 41 were confirmed by surgery,the accuracy of MRI diagnosis was 97.6％ (41/42).MRI showed uterus didelphys,hydrocolpos or hematocolpos with varying degrees,and revealed ipsilateral renal agenesis in all 41 cases.Conclusion MRI scan can accurately diagnose oblique vaginal septum syndrome and provide comprehensive information for clinical treatment.