宫腔镜行幼女阴道异物检查及治疗的临床价值  

Clinical value of hysteroscopic examination and treatment of foreign bodies in the vagina of young girls

作　　者：乔蕾 QIAO Lei(Ganzhou Maternal and Child Health Hospital in Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市妇幼保健院,江西赣州341000

出　　处：《中国现代医生》2022年第15期48-50,54,共4页China Modern Doctor

基　　金：江西省赣州市指导性科技计划项目(GZ2017ZSF314)。

摘　　要：目的 探讨幼女阴道异物的临床特点、误诊原因及宫腔镜在对经X线检查及B超检查不显影的幼女阴道异物诊治过程中的应用价值。方法 选取2019年1月至2020年12月江西省赣州市妇幼保健院收治的23例出现反复性阴道分泌物增多或出现阴道出血的患儿作为研究对象。其中,2例患儿经X线检查、B超检查或经肛查确诊阴道异物并取出,另21例经X线检查及B超检查不显影或未发现异常的患儿进行宫腔镜检查,分析宫腔镜对诊治幼女阴道异物的作用。结果 经宫腔镜检查显示,21例患儿的异物包括海绵块7例、纽扣7例、玩具(布质)4例、玩具谷粒3例,经X线检查及B超检查不显影或未发现异常;21例经X线检查及B超检查不显影的患儿均查出阴道异物,经宫腔镜顺利取出异物。患儿术后3~5周随访显示均未见异常,治疗前存在反复性阴道感染的患儿术后均未再复发感染。结论 宫腔镜检查方法在幼女阴道异物的诊治中具有重要价值。Objective To investigate the clinical characteristics of vaginal foreign bodies in young girls,the causes of misdiagnosis and the value of hysteroscopy in the diagnosis and treatment of vaginal foreign bodies in young girls that were not found by X-ray and B-ultrasonic examination.Methods A total of 23 children with recurrent increased vaginal discharge or vaginal bleeding admitted to Ganzhou Maternal and Child Health Hospital in Jiangxi Province from January 2019 to December 2020 were selected as study subjects.2 children were diagnosed with vaginal foreign bodies by X-ray,B-ultrasonic examination or by anal examination and had the foreign bodies removed,and the other 21 children without any foreign bodies or abnormality found by X-ray and B-ultrasonic examination were further examined by hysteroscopy.The effect of hysteroscopy in the diagnosis and treatment of vaginal foreign bodies in young girls was analyzed.Results The hysteroscopic examination found the foreign bodies in 21 children included sponge blocks(7 cases),buttons(7 cases),toys(cloth)(4 cases),and cereal toys(3 cases)that were not found or without any abnormalities found by X-ray and B-ultrasonic examination.The 21 children who were not found with foreign bodies by X-ray and B-ultrasonic examination were found to have vaginal foreign bodies,which were removed successfully by hysteroscopy.During the follow-up at 3-5 weeks after surgery,no abnormalities were found,and no recurrence of infection after surgery in children with recurrent vaginal infections before treatment.Conclusion Hysteroscopic examination is of great significance in the diagnosis and treatment of foreign bodies in the vagina of young girls.

关 键 词：宫腔镜 幼女 阴道异物检查 阴道异物取出 临床价值 

分 类 号：R726.9[医药卫生—儿科]