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媪围县，中国古代的县名。
汉武帝时，在今甘肃省白银市景泰县的黄河以西设媪围县。县治在今景泰县芦阳镇吊沟古城遗址。隶属于武威郡。[1]
东汉仍然设置。[2]
《水经注》〈水经〉：“媪围县西南有泉沅，东迳县南，又东北入河也。”
曹魏时，媪围县沿汉制，属魏之武威郡。西秦时废。
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