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目的探讨幼女阴道异物的特点、误诊原因及宫腔镜在X光及B超不显影幼女阴道异物诊治中的使用价值。方法自1992年以来因阴道出血或反复阴道分泌物增多的患儿15例,其中10例经B超、X线或肛查确诊并取出,另5例经以上检查均未发现异常,改行宫腔镜检查。结果5例患儿均查出阴道异物同时经宫腔镜顺利取出。结论若异物不显影,X光及B超难以探测时,应用宫腔镜诊断、治疗幼女阴道异物,操作简便,安全有效,值得推广。
Objective To investigate the characteristics and misdiagnosis of vaginal foreign bodies in young girls and the value of hysteroscopy in the diagnosis and treatment of vaginal foreign bodies in young girls with X-ray and non-visualization. Methods Fifteen cases of vaginal bleeding or recurrent vaginal discharge increased since 1992, of which 10 were diagnosed by B-mode, X-ray or anal examinations. The other 5 cases were not found abnormalities by the above examination, Mirror examination. Results 5 cases of children were detected vaginal foreign body while hysteroscopic smooth removal. Conclusion If the foreign body does not develop, X-ray and B-ultrasound is difficult to detect, the hysteroscopy diagnosis of vaginal foreign body treatment of young girls, easy to operate, safe and effective, it is worth promoting.