传统宫腔镜实施阴道内镜技术诊治无性生活史女性宫腔病变

Transvaginal Endoscopic Technology by Using Traditional Hysteroscope in the Diagnosis and Treatment of Uterine Cavity Lesions in Women With Asexual Activity

目的探讨使用传统宫腔镜实施阴道内镜技术诊治无性生活史的生育年龄女性子宫内病变的应用价值。方法回顾性分析2005年1月~2024年5月生育年龄无性生活史的98例宫腔镜手术资料,使用传统宫腔镜实施阴道内镜技术行宫腔镜检查、治疗。结果62例使用电切镜在扩宫棒扩张宫颈后行电切术,包括子宫内膜息肉43例,子宫黏膜下肌瘤15例,宫颈息肉4例;36例使用检查镜行内膜活检或刮宫术,均取得内膜送病理。1例处女膜裂伤长约0.3 cm,5-0可吸收线缝合1针,余处女膜完整。结论对于无性生活史的育龄女性,使用传统宫腔镜实施阴道内镜技术可以完成宫腔镜检查或手术,不损伤处女膜。

Objective To investigate the clinical and practical value of transvaginal endoscopic technology by using traditional hysteroscope in the diagnosis and treatment of intrauterine lesions in asexual women of childbearing age.Methods A retrospective analysis was conducted on 98 cases of hysteroscopic surgery in asexual women of childbearing age admitted from January 2005 to May 2024.Transvaginal endoscopic technology was applied for hysteroscopic examination and/or treatment by using traditional hysteroscope.Results A total of 62 cases underwent electrocautery after cervical dilation with a dilation rod,including 43 cases of endometrial polyps,15 cases of submucosal fibroids,and 4 cases of cervical polyps.The remaining 36 cases underwent endometrial biopsy or curettage by using a microscope,and all obtained endometrial biopsy pathology.One case of hymen laceration about 0.3 cm in length was sutured with 5-0 absorbable suture for one stitch.For the remaining cases,the hymen remained intact.Conclusion Using transvaginal endoscopic technology with traditional hysteroscope can complete hysteroscopic examination or surgical treatment without damaging the hymen,which is suitable for asexual women of childbearing age.