苗勒氏管畸形的影像学诊断北京协和医院课件

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,苗勒氏管畸形的影像学诊断北京协和医院,*,PPT,文档演模板,Office,PPT,苗勒氏管畸形的影像学诊断北京协和医院,2024/8/8,苗勒氏管畸形的影像学诊断北京协和医院,苗勒氏管畸形的影像学诊断北京协和医院2023/8/2苗勒氏管,1,MDA介绍,Fusion of the Mullerian ducts:the 6,th,to the 11,th,weeks of gestation,The uterus,fallopian tubes,cervix,and proximal two-thirds of the vagina,Not associated with anomalies of the external genitalia or ovarian development,15%women who experience recurrent miscarriages,Commonly associated with renal agenesis(30%-50%),Other associated congenital anomalies:vertebral bodies,spina bifida,cardiac,et al,苗勒氏管畸形的影像学诊断北京协和医院,MDA介绍Fusion of the Mullerian d,2,女性生殖管道的发生,中肾管,退化,中肾旁管,输卵管,子宫管,子宫，阴道上部,窦结节 阴道板 空腔化 阴道下部,Ductal development,Ductal fusion,Septal reabsorption,苗勒氏管畸形的影像学诊断北京协和医院,女性生殖管道的发生 Ductal development苗,3,Prevalence of MDA,5.5%in general population,13-25%among women with recurrent pregnancy loss,General population:,arcuate uterus,3.9%,Bicornuate uterus,0.4%,Women with infertility or miscarriage:,Septate uterus,15.4%,苗勒氏管畸形的影像学诊断北京协和医院,Prevalence of MDA5.5%in gener,4,Imaging Overview,HSG:uterine cavity,US,MRI:,Greater anatomic detail,External uterine contour,Concomitant renal anomalies,苗勒氏管畸形的影像学诊断北京协和医院,Imaging OverviewHSG:uterine c,5,HSG难以区分子宫纵隔 vs 双角子宫,苗勒氏管畸形的影像学诊断北京协和医院,HSG难以区分子宫纵隔 vs 双角子宫苗勒氏管畸形的影像学诊,6,What is this?,苗勒氏管畸形的影像学诊断北京协和医院,What is this?苗勒氏管畸形的影像学诊断北京协和,7,磁共振在女性盆腔应用的优势,无放射性损伤,优于超声:软组织分辨力高,优于超声:扫描范围广,优于超声:磁共振成像图像直观，便于手术大夫理解和参考,超声:对单角子宫及始基子宫诊断有限度,苗勒氏管畸形的影像学诊断北京协和医院,磁共振在女性盆腔应用的优势无放射性损伤苗勒氏管畸形的影像学诊,8,MRI sequences,Axial T1-and T2-weighted images,Oblique coronal T2-weighted images of the uterus,3D T2-weighted,Sagittal,T2-weighted,苗勒氏管畸形的影像学诊断北京协和医院,MRI sequencesAxial T1-and T2-,9,脂肪抑制T2加权横断面图像,苗勒氏管畸形的影像学诊断北京协和医院,脂肪抑制T2加权横断面图像 苗勒氏管畸形的影像学诊断北京协和,10,T2加权正中矢状面像,（尤其适合子宫走向、宫颈及阴道的观察）,苗勒氏管畸形的影像学诊断北京协和医院,T2加权正中矢状面像（尤其适合子宫走向、宫颈及阴道的观察）,11,T1加权横断面像,苗勒氏管畸形的影像学诊断北京协和医院,T1加权横断面像苗勒氏管畸形的影像学诊断北京协和医院,12,Classification,苗勒氏管畸形的影像学诊断北京协和医院,Classification苗勒氏管畸形的影像学诊断北京协和,13,Agenesis or Hypoplasia,苗勒氏管畸形的影像学诊断北京协和医院,Agenesis or Hypoplasia苗勒氏管畸形的影,14,Unicornuate Uterus,苗勒氏管畸形的影像学诊断北京协和医院,Unicornuate Uterus苗勒氏管畸形的影像学诊断,15,Unicornuate Uterus,苗勒氏管畸形的影像学诊断北京协和医院,Unicornuate Uterus苗勒氏管畸形的影像学诊断,16,双子宫（Uterus Didelphys）,苗勒氏管畸形的影像学诊断北京协和医院,双子宫（Uterus Didelphys）苗勒氏管畸形的影像,17,Uterus Didelphys,苗勒氏管畸形的影像学诊断北京协和医院,Uterus Didelphys苗勒氏管畸形的影像学诊断北京,18,Representative line diagram depicting right renal agenesis,uterine didelphys,and vaginal septum,Herlyn-Werner-Wunderlich(HWW)syndrome,苗勒氏管畸形的影像学诊断北京协和医院,Representative line diagram d,19,苗勒氏管畸形的影像学诊断北京协和医院,苗勒氏管畸形的影像学诊断北京协和医院,20,苗勒氏管畸形的影像学诊断北京协和医院,苗勒氏管畸形的影像学诊断北京协和医院,21,Bicornuate Uterus,苗勒氏管畸形的影像学诊断北京协和医院,Bicornuate Uterus苗勒氏管畸形的影像学诊断北,22,Septate Uterus,苗勒氏管畸形的影像学诊断北京协和医院,Septate Uterus苗勒氏管畸形的影像学诊断北京协和,23,Arcuate uterus,苗勒氏管畸形的影像学诊断北京协和医院,Arcuate uterus苗勒氏管畸形的影像学诊断北京协和,24,DES Uterus,苗勒氏管畸形的影像学诊断北京协和医院,DES Uterus苗勒氏管畸形的影像学诊断北京协和医院,25,复杂畸形,苗勒氏管畸形的影像学诊断北京协和医院,复杂畸形苗勒氏管畸形的影像学诊断北京协和医院,26,完全型纵隔子宫合并双宫颈管（罕见）,苗勒氏管畸形的影像学诊断北京协和医院,完全型纵隔子宫合并双宫颈管（罕见）苗勒氏管畸形的影像学诊断北,27,演讲完毕，谢谢听讲,!,再见，see you again,3rew,2024/8/8,苗勒氏管畸形的影像学诊断北京协和医院,演讲完毕，谢谢听讲!再见，see you again3rew,28,