苗勒氏管畸形的影像學診斷北京協(xié)和醫(yī)院課件

ImagingofMullerianDuctAnomalies北京協(xié)和醫(yī)院放射科陸菁菁M.D.MDA介紹FusionoftheMullerianducts:the6thtothe11thweeksofgestationTheuterus,fallopiantubes,cervix,andproximaltwo-thirdsofthevaginaNotassociatedwithanomaliesoftheexternalgenitaliaorovariandevelopment15%womenwhoexperiencerecurrentmiscarriagesCommonlyassociatedwithrenalagenesis(30%-50%)Otherassociatedcongenitalanomalies:vertebralbodies,spinabifida,cardiac,etal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，陰道上部竇結節(jié)→陰道板→空腔化→陰道下部DuctaldevelopmentDuctalfusionSeptalreabsorptionPrevalenceofMDA5.5%ingeneralpopulation13-25%amongwomenwithrecurrentpregnancylossGeneralpopulation:arcuateuterus,3.9%Bicornuateuterus,0.4%Womenwithinfertilityormiscarriage:Septateuterus,15.4%ImagingOverviewHSG:uterinecavityUS,MRI:GreateranatomicdetailExternaluterinecontourConcomitantrenalanomaliesHSG難以區(qū)分子宮縱隔vs雙角子宮Whatisthis?磁共振在女性盆腔應用的優(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，便于手術大夫理解和參考超聲:對單角子宮及始基子宮診斷有限度MRIsequencesAxialT1-andT2-weightedimagesObliquecoronalT2-weightedimagesoftheuterus3DT2-weightedSagittal,T2-weighted脂肪抑制T2加權橫斷面圖像T2加權正中矢狀面像

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

Representativelinediagramdepictingrightrenalagenesis,uterinedidelphys,andvaginalseptumHerlyn-Werner-Wunderlich(HWW)syndromeBicornuateUterusSeptateUterusArcuateuterusDESUterus復雜畸形完全型縱隔子宮合并雙宮頸管（罕見）Thanks消除隱患，確保安全，保障穩(wěn)定，促進發(fā)展。6月-236月-23Friday,June9,2023人民消防人民辦，辦好消防為人民。23:42:1523:42:1523:426/9/202311:42:15PM做好安全工作，樹立企業(yè)形象。6月-2323:42:1523:42Jun-2309-Jun-23絆人的樁不在高，違章的事不在小。23:42:1523:42:1523:42Friday,June9,2023人人保安全，家家笑開顏。6月-236月-2323:42:1523:42:15June9,2023每項振作求質量，產品質量有保障。2023年6月9日11:42下午6月-236月-23人人有專職，工人有程序，檢查有標準，做好留證據(jù)。09六月202311:42:15下午23:42:156月-23由前至后一條拉，從上到下一條心。六月2311:42下午6月-2323:42June9,2023創(chuàng)名牌、奪優(yōu)質，全廠員工齊努力。2023/6/923:42:1523:42:1509June2023質量放松,勞而無功.安全發(fā)展，國泰民安。11:42:15下午11:42下午23:42:156月-23讀安全書，做安全人。體系有效運行，銷售蒸蒸日上。6月-236月-2323:4223:42:1523