阴道内镜诊治幼女阴道排液及出血42例临床分析

摘要

Objective:To discuss the valuable of vaginoscopy in clinical application about pediatric vaginal drainage and bleeding. Methods:From December 2013 to March 2015 there were 42 cases of pediatric vaginal drainage and bleeding checked and treated by vaginal endoscopy. Results:21 cases vaginal drainage, by vaginal endoscopy, included 9 cases were found vaginal foreign body, 5 cases were normal, 3 cases have vaginal polyps, 4 cases were vaginitis. 17 cases were vaginal bleeding by vaginal endoscopy, 13 cases were found vaginal foreign body, a cases was normal (once diagnosed peripheral precocious puberty), 2 cases of vaginal vegetations (1 case in embryo sinus tumor, 1 case of mullerian duct papilloma), a case of vaginitis. And 4 cases of infant, their families demanded to check vaginal because they doubted their baby′s vaginal have foreign body, transvaginal endoscopic examination found no abnormalities. All of them corresponding symptomatic treatment, and removal of vaginal foreign body, resection polyps and vaginal vegetations, to treat vaginitis by medication. No abnormalities no processing. Conclusions:Vaginal endoscopy helps to clear diagnosis and treatment of female vagina drainage and bleeding.%目的:探讨阴道内镜诊治幼女阴道排液及出血的临床应用价值.方法:2013年12月—2015年3月就诊于首都医科大学附属复兴医院门诊的42例阴道排液及出血幼女在静脉麻醉下行阴道内镜检查及治疗.结果:阴道排液21例,经阴道内镜检查发现9例阴道异物,5例未见异常,3例阴道息肉,4例阴道炎.阴道出血17例,经阴道内镜检查发现13例阴道异物,1例阴道内镜未见异常(曾于外院诊断外周性性早熟幼女),2例阴道赘生物(1例内胚窦瘤,1例苗勒管乳头状瘤),1例阴道炎.另有4例幼女,因家属怀疑阴道异物要求行阴道内镜检查,均未发现异常.所有阴道内镜检查异常的幼女均进行相应对症处理,分别行阴道异物取出术、息肉切除术、阴道赘生物切除术,并使用药物治疗阴道炎.未发现异常的不予处理.结论:阴道内镜有助于明确诊断及治疗幼女阴道排液及出血.