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Chinese Journal of Laparoscopic Surgery(Electronic Edition) ›› 2022, Vol. 15 ›› Issue (04): 217-221. doi: 10.3877/cma.j.issn.1674-6899.2022.04.006

• Original Article • Previous Articles    

Clinical application of vaginal endoscopy in diagnosis and treatment of intrauterine diseases in virgin

Jing Xie1, Limin Feng2,()   

  1. 1. Department of Obstetrics and Gynecology, Beijing Tiantan Hospital Affiliated to Capital Medical University, Beijing 100070, China.; Department of Gynecology, Beijing Puren Hospital, Beijing 100070, China
    2. Department of Obstetrics and Gynecology, Beijing Tiantan Hospital Affiliated to Capital Medical University, Beijing 100070, China.
  • Received:2022-05-30 Online:2022-08-30 Published:2022-10-25
  • Contact: Limin Feng

Abstract:

Objective

To analyze and evaluate the clinical effect of vaginal endoscopy in the treatment of intrauterine diseases in women without sex.

Methods

From Mar. 2016 to Mar. 2022 73 women with asexual life. who underwent vaginal endoscopic surgery were retrospectively analyzed in terms of the completion, operation time, intraoperative blood loss, average length of hospital stay, intraoperative diagnosis, postoperative pathology, postoperative and follow-up.

Results

All 73 patients were successfully treated with vaginal endoscopy, including 34 hysteroscopic resection of uterine myoma, 19 hysteroscopic resection of cervical polyps, 15 hysteroscopic resection of endometrial polyps, 3 hysteroscopic resection of cervical myoma, and 2 hysteroscopic plastic surgery of genital tract.The operation time was 12-130 min, with an average of (54.2±30.0)min.The average intraoperative blood loss was (12.4±16.0) ml.The average hospital stay was (3.6±1.9) days.Intraoperative microscopic diagnosis showed 34 cases of uterine fibroids (7 cases of FIGO 0, 10 cases of FIGO 1, 12 cases of FIGO 2, 1 case of FIGO 3, 4 cases of diffuse uterine fibroidosis), 19 cases of cervical polyps, 15 cases of endometrial polyps, 3 cases of cervical fibroids, and 2 cases of genital tract malformation.There was no hymen and cervix injury, uterine perforation, severe TURP and other complications.There were no adverse reactions such as abnormal vaginal discharge, abnormal vaginal bleeding, abdominal pain and fever in all patients after operation and during follow-up.

Conclusions

Endoscopic vaginal surgery can effectively protect the integrity of hymen and protect the physical and mental health of female patients with asexual life.

Key words: Vaginoscopic surgery, Intrauterine diseases, Diagnosis and treatment

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