目的:探讨宫腔镜在诊治幼少女阴道与子宫疾病中的应用价值,扩大其临床应用。方法:自1998年以来因反复阴道分泌物异常增多就诊患儿11例、阴道出血患儿8例、阴道异物置入史患儿2例,在氯胺酮+咪唑安定分离麻醉下行宫腔镜检查及治疗。结果:21例患儿中发现幼女阴道炎13例,阴道异物3例,子宫恶性肿瘤2例,宫颈息肉1例,水蛭咬伤3例,均给予相应治疗。结论:应用宫腔镜诊治幼少女阴道与子宫疾病,具有操作简便、安全有效的优点,值得推广。 Objective: To explore the value of hysteroscopy in the diagnosis and treatment of vaginal and uterine diseases in young girls and to expand its clinical application. Methods: Since 1998, there were 11 cases of children with vaginal discharge abnormalities, 8 cases of vaginal bleeding and 2 cases of vaginal foreign bodies. Hysteroscopy and treatment were performed under ketamine and midazolam anesthesia . Results: Twenty-one cases of young girls were found vaginitis in 13 cases, 3 cases of vaginal foreign body, 2 cases of uterine malignancies, 1 case of cervical polyps, 3 cases of leech bites, were given the appropriate treatment. Conclusion: Hysteroscopic diagnosis and treatment of vaginal and uterine diseases in young girls with simple, safe and effective, it is worth promoting.