Clinical application of vaginoscopy technology in the diagnosis and treatment of uterine cavity diseases in women with asexual life history
10.3969/j.issn.1672-8467.2024.05.018
- VernacularTitle:阴道内镜技术在无性生活史女性宫腔疾病诊治中的临床应用
- Author:
Ting-Ting SU
1
;
Hong-Wei ZHANG
;
Qing WANG
;
Feng XIE
;
Qing CONG
;
Yan-Yun LI
;
Long SUI
;
Li-Mei CHEN
Author Information
1. 复旦大学附属妇产科医院长三角一体化示范区青浦分院宫颈科 上海 201713
- Keywords:
vaginoscopy;
non-contact hysteroscopy;
asexual life history;
uterine cavity diseases
- From:
Fudan University Journal of Medical Sciences
2024;51(5):772-777
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical value of vaginoscopy in the diagnosis and treatment of uterine cavity diseases in virgins.Methods We retrospectively reviewed the data of 450 patients who underwent vaginoscopy and traditional hysteroscopy in Obstetrics and Gynecology Hospital,Fudan University from Jan 2020 to Dec 2023,including vaginoscopy group(n=232)and traditional hysteroscopy group(n=218).The average ages of the two groups were 24.9±4.7 years and 25.5±5.4 years,and there was no significant difference between the two groups(P>0.05).The operation time,estimated blood loss,fluid deficit,false passage,surgical failure,incidence of complications and postoperative pain score were compared between vaginoscopy group and traditional hysteroscopy group.Results Compared with the traditional hysteroscopy group,the average operation time in the vaginoscopy group was shorter,the fluid deficit was less,and the VAS pain score was lower,but the rate of surgical failure was higher(7.8%vs.0),all the differences were statistically significant(P<0.05).In terms of complications,the incidence of false passage in the vaginoscopy group was less(0 vs.3.2%)and the rate of hymen injury was lower(0 vs.85.3%),the differences were statistically significant(P<0.05).There was no significant difference in the estimated blood loss between the two groups,and the incidence of postoperative infection was similar in both groups.There were no complications such as uterine perforation and air embolism in both groups.Conclusion Vaginoscopy is safe and effective,more minimally invasive than traditional hysteroscopy,does not damage the hymen,and is suitable for virgins.This technology is worthy of clinical application.
