宫腔镜在幼女异常阴道出血中的应用

The role of hysteroscopy in premenarchal girls abnormal vaginal bleeding

目的探讨宫腔镜在诊治幼女阴道出血中的应用价值。方法回顾性分析广东省妇幼保健院妇科2012年1月-2014年1月因异常阴道出血行宫腔镜诊治的12例幼女情况。结果 9例患儿发现阴道异物,均在宫腔镜下顺利取出,1例为宫颈赘生物,行赘生物摘除,1例为淋球菌性阴道炎,1例宫腔镜检查无特殊,所有患儿手术均无处女膜损伤。结论对异常阴道出血的幼女,宫腔镜不失为一种无创、安全的检查方法,不仅可以明确诊断,同时还可以进行治疗,可以做为其诊治的首选方法,值得临床推广应用。

Objective To study the role of hysteroscopy in the diagnoses and treatment of children vaginal bleeding. Methods A total of 12 cases of children vaginal bleeding in our hospital from January 2012 to January 2014 were reviewed. Results Among 12 children patients of 9 cases were found vaginal foreign hody, all successfully removed with hysteroscopy, 1 case of cervical neoplasm, 1 case of gonococcal vaginitis, 1 case of no special, all children were performed without disrupting the hymen. Conclusions The hysteroscopy is a very important means of diagnosis and treatment of abnormal vaginal bleeding in childhood.