Journal of Capital Medical University ›› 2022, Vol. 43 ›› Issue (4): 658-663.doi: 10.3969/j.issn.1006-7795.2022.04.023

• Clinical Research • Previous Articles     Next Articles

Clinical application of transvaginal endoscopic surgery in intrauterine lesions in women of childbearing age with asexual life

Li Yunfei, Huang Xiaowu*, Xia Enlan   

  1. Hysteroscopy Center, Fuxing Hospital, Capital Medical University, Beijing 100038, China
  • Received:2021-12-20 Online:2022-08-21 Published:2022-10-28
  • Contact: *E-mail:hxiaowu_fxyy@126.com

Abstract: Objective To explore the clinical diagnosis, treatment and surgical skills of transvaginal endoscopic surgery for intrauterine lesions in reproductive age patients with asexual life. Methods Totally 152 patients, who were under childbearing age with asexual life and treated in Fuxing Hospital Affiliated to Capital Medical University from January 2017 to January 2021, were analyzed retrospectively. They underwent hysteroscopy and/or surgery and histopathology. Results Transvaginal hysteroscopy was successfully performed in all 152 patients. Benign intrauterine or cervical lesions were successfully removed. Endoscopic endometrial biopsy was sufficiently performed. There were no complications such as cervical laceration, uterine perforation and transurethral resection of prostate (TURP). There were 16 cases (10.5%) of iatrogenic abrasion or laceration of hymen. Conclusion Transvaginal endoscopic hysteroscopy can be used to timely and accurately diagnose and treat intrauterine lesions and effectively protect their reproductive potential on the premise of effective protection of hymen.

Key words: transvaginal endoscopic surgery, hysteroscopy, histopathology examination

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