苗勒氏管畸形的影像學(xué)診斷北京協(xié)和醫(yī)院課件

ImagingofMullerianDuctAnomalies北京協(xié)和醫(yī)院放射科陸菁菁M.D.ImagingofMullerianDuctAnomMDA介紹FusionoftheMullerianducts:the6thtothe11thweeksofgestationTheuterus,fallopiantubes,cervix,andproximaltwo-thirdsofthevaginaNotassociatedwithanomaliesoftheexternalgenitaliaorovariandevelopment15%womenwhoexperiencerecurrentmiscarriagesCommonlyassociatedwithrenalagenesis(30%-50%)Otherassociatedcongenitalanomalies:vertebralbodies,spinabifida,cardiac,etalMDA介紹FusionoftheMulleriand女性生殖管道的發(fā)生

中腎管

→退化中腎旁管

→輸卵管

子宮管

→

子宮，陰道上部竇結(jié)節(jié)→陰道板→空腔化→陰道下部DuctaldevelopmentDuctalfusionSeptalreabsorption女性生殖管道的發(fā)生DuctaldevelopmentPrevalenceofMDA5.5%ingeneralpopulation13-25%amongwomenwithrecurrentpregnancylossGeneralpopulation:arcuateuterus,3.9%Bicornuateuterus,0.4%Womenwithinfertilityormiscarriage:Septateuterus,15.4%PrevalenceofMDA5.5%ingenerImagingOverviewHSG:uterinecavityUS,MRI:GreateranatomicdetailExternaluterinecontourConcomitantrenalanomaliesImagingOverviewHSG:uterinecHSG難以區(qū)分子宮縱隔vs雙角子宮HSG難以區(qū)分子宮縱隔vs雙角子宮Whatisthis?Whatisthis?磁共振在女性盆腔應(yīng)用的優(yōu)勢無放射性損傷優(yōu)于超聲:軟組織分辨力高優(yōu)于超聲:掃描范圍廣優(yōu)于超聲:磁共振成像圖像直觀，便于手術(shù)大夫理解和參考超聲:對單角子宮及始基子宮診斷有限度磁共振在女性盆腔應(yīng)用的優(yōu)勢無放射性損傷MRIsequencesAxialT1-andT2-weightedimagesObliquecoronalT2-weightedimagesoftheuterus3DT2-weightedSagittal,T2-weightedMRIsequencesAxialT1-andT2-脂肪抑制T2加權(quán)橫斷面圖像脂肪抑制T2加權(quán)橫斷面圖像T2加權(quán)正中矢狀面像

（尤其適合子宮走向、宮頸及陰道的觀察）T2加權(quán)正中矢狀面像

（尤其適合子宮走向、宮頸及陰道的觀察）T1加權(quán)橫斷面像T1加權(quán)橫斷面像ClassificationClassificationAgenesisorHypoplasiaAgenesisorHypoplasiaUnicornuateUterusUnicornuateUterusUnicornuateUterusUnicornuateUterus雙子宮（UterusDidelphys）雙子宮（UterusDidelphys）UterusDidelphysUterusDidelphys

Representativelinediagramdepictingrightrenalagenesis,uterinedidelphys,andvaginalseptumHerlyn-Werner-Wunderlich(HWW)syndrome

Representativelinediagramd苗勒氏管畸形的影像學(xué)診斷北京協(xié)和醫(yī)院課件苗勒氏管畸形的影像學(xué)診斷北京協(xié)和醫(yī)院課件BicornuateUterusBicornuateUterusSeptateUterusSeptateUterusArcuateuterusArcuateuterusDESUterusDESUterus復(fù)雜畸形復(fù)雜畸形完全型縱隔子宮合并雙宮頸管（罕見）完全型縱隔子宮合并雙宮頸管（罕見）ThanksThanks消除隱患，確保安全，保障穩(wěn)定，促進(jìn)發(fā)展。12月-2212月-22Monday,December19,2022人民消防人民辦，辦好消防為人民。05:21:4105:21:4105:2112/19/20225:21:41AM做好安全工作，樹立企業(yè)形象。12月-2205:21:4105:21Dec-2219-Dec-22絆人的樁不在高，違章的事不在小。05:21:4105:21:4105:21Monday,December19,2022人人保安全，家家笑開顏。12月-2212月-2205:21:4105:21:41December19,2022每項(xiàng)振作求質(zhì)量，產(chǎn)品質(zhì)量有保障。2022年12月19日5:21上午12月-2212月-22人人有專職，工人有程序，檢查有標(biāo)準(zhǔn)，做好留證據(jù)。19十二月20225:21:41上午05:21:4112月-22由前至后一條拉，從上到下一條心。十二月225:21上午12月-2205:21December19,2022創(chuàng)名牌、奪優(yōu)質(zhì)，全廠員工齊努力。2022/12/195:21:4105:21:4119December2022質(zhì)量放松,勞而無功.安全發(fā)展，國泰民安。5:21:41上午5:21上午05:21:4112月-22讀安全書，做安全人。體系有效運(yùn)行，銷售蒸蒸日上。12月-2212月-2205:2105:21:4105:21:41Dec-22同心協(xié)力，提高品質(zhì)。2022/12/195:21:41Monday,December19,2022質(zhì)量是制造出來的，而不是檢驗(yàn)出來的。12月-222022/12/195:21:4112月-22謝謝大家！消除隱患，確保安全，保障穩(wěn)定，促進(jìn)發(fā)展。12月-2212月-ImagingofMullerianDuctAnomalies北京協(xié)和醫(yī)院放射科陸菁菁M.D.ImagingofMullerianDuctAnomMDA介紹FusionoftheMullerianducts:the6thtothe11thweeksofgestationTheuterus,fallopiantubes,cervix,andproximaltwo-thirdsofthevaginaNotassociatedwithanomaliesoftheexternalgenitaliaorovariandevelopment15%womenwhoexperiencerecurrentmiscarriagesCommonlyassociatedwithrenalagenesis(30%-50%)Otherassociatedcongenitalanomalies:vertebralbodies,spinabifida,cardiac,etalMDA介紹FusionoftheMulleriand女性生殖管道的發(fā)生

中腎管

→退化中腎旁管

→輸卵管

子宮管

→

子宮，陰道上部竇結(jié)節(jié)→陰道板→空腔化→陰道下部DuctaldevelopmentDuctalfusionSeptalreabsorption女性生殖管道的發(fā)生DuctaldevelopmentPrevalenceofMDA5.5%ingeneralpopulation13-25%amongwomenwithrecurrentpregnancylossGeneralpopulation:arcuateuterus,3.9%Bicornuateuterus,0.4%Womenwithinfertilityormiscarriage:Septateuterus,15.4%PrevalenceofMDA5.5%ingenerImagingOverviewHSG:uterinecavityUS,MRI:GreateranatomicdetailExternaluterinecontourConcomitantrenalanomaliesImagingOverviewHSG:uterinecHSG難以區(qū)分子宮縱隔vs雙角子宮HSG難以區(qū)分子宮縱隔vs雙角子宮Whatisthis?Whatisthis?磁共振在女性盆腔應(yīng)用的優(yōu)勢無放射性損傷優(yōu)于超聲:軟組織分辨力高優(yōu)于超聲:掃描范圍廣優(yōu)于超聲:磁共振成像圖像直觀，便于手術(shù)大夫理解和參考超聲:對單角子宮及始基子宮診斷有限度磁共振在女性盆腔應(yīng)用的優(yōu)勢無放射性損傷MRIsequencesAxialT1-andT2-weightedimagesObliquecoronalT2-weightedimagesoftheuterus3DT2-weightedSagittal,T2-weightedMRIsequencesAxialT1-andT2-脂肪抑制T2加權(quán)橫斷面圖像脂肪抑制T2加權(quán)橫斷面圖像T2加權(quán)正中矢狀面像

（尤其適合子宮走向、宮頸及陰道的觀察）T2加權(quán)正中矢狀面像

（尤其適合子宮走向、宮頸及陰道的觀察）T1加權(quán)橫斷面像T1加權(quán)橫斷面像ClassificationClassificationAgenesisorHypoplasiaAgenesisorHypoplasiaUnicornuateUterusUnicornuateUterusUnicornuateUterusUnicornuateUterus雙子宮（UterusDidelphys）雙子宮（UterusDidelphys）UterusDidelphysUterusDidelphys

Representativelinediagramdepictingrightrenalagenesis,uterinedidelphys,andvaginalseptumHerlyn-Werner-Wunderlich(HWW)syndrome

Representativelinediagramd苗勒氏管畸形的影像學(xué)診斷北京協(xié)和醫(yī)院課件苗勒氏管畸形的影像學(xué)診斷北京協(xié)和醫(yī)院課件BicornuateUterusBicornuateUterusSeptateUterusSeptateUterusArcuateuterusArcuateuterusDESUterusDESUterus復(fù)雜畸形復(fù)雜畸形完全型縱隔子宮合并雙宮頸管（罕見）完全型縱隔子宮合并雙宮頸管（罕見）ThanksThanks消除隱患，確保安全，保障穩(wěn)定，促進(jìn)發(fā)展。12月-2212月-22Monday,December19,2022人民消防人民辦，辦好消防為人民。05:21:4105:21:4105:2112/19/20225:21:41AM做好安全工作，樹立企業(yè)形象。12月-2205:21:4105:21Dec-2219-Dec-22絆人的樁不在高，違章的事不在小。05:21:4105:21:4105: