There is a picture book called "The Hole in Our Body", which helps parents to take their children to understand the mysteries of the body. Because in the clinic, doctors encounter too many cases of children who are curious about the holes in the body. Recently, a 5-year-old little girl had bloody secretions in her lower body for more than 2 months, and her parents took her to the gynecological department of Qingyuan Maternal and Child Health Hospital for treatment, and after examination by the doctor, it was found that the little girl had hidden a lump of cotton wool in her body.
Hysteroscopic technique has an ideal effect on the diagnosis and treatment of vaginal foreign bodies, the method is simple to operate, the damage to the child is small, and the clinical diagnosis and treatment effect can be improved.
Bloody secretions appear in the lower body of girls for more than 2 months
"It's been more than 2 months since this happened, and we've seen a doctor many times, and we haven't seen any results from taking medicines and rinsing, and I don't know what the reason is." On April 13, at the gynecological clinic of Qingyuan Maternal and Child Health Hospital, Tong Tong (pseudonym) mother worriedly told the doctor about the situation of her 5-year-old daughter.
According to Tong Tong's mother, more than 2 months ago, when she helped her daughter bathe, she found that her small panties had bloody secretions, mainly brown and reddish, not much, and there was a peculiar smell. She immediately asked Tong Tong if she was uncomfortable, whether she had been injured outside recently or had encountered something special, but Tong Tong denied it. The parents were still very worried, and took her to the local hospital for treatment, treated with potassium permanganate sitz bath and erythromycin ointment, but there was no effect, and TongTong's vaginal bloody secretions were still continuing.
"We helped her check the bacterial culture of vaginal secretions and found no abnormalities. Ultrasound B was done to check the vagina, urethra and surroundings of the urethra and saw no abnormal echoes. Zheng Qiyun, a gynecologist at the hospital, said that when Tong Tong returned to the clinic on April 20, the parents said that his symptoms had not yet eased. For further treatment, Tong Tong was initially diagnosed with "vaginal bleeding investigation" and admitted to the hospital.
Dr. Zheng Qiyun explained that Tong Tong's symptoms have been more than 2 months, has not improved, and the cause has not been identified, on the one hand, other vaginal diseases should be considered, on the other hand, vaginal foreign bodies. Both of these can cause similar symptoms, and parents are advised to identify the cause by hysteroscopy.
After Hearing that hysteroscopic surgery was to be performed, Tong Tong's mother asked very nervously: "Doctor, she is so small, will this operation damage the hymen?" Will it have an impact on her future growth and development? "This is also a problem that many parents are very concerned about when many children are treated for vaginal foreign bodies."
In this regard, Dr. Zheng said that the hysteroscopic colposcopic technique is adopted, no peepire, no clamping of the cervix, the mirror body is slender, the diameter of the mirror body is 4-6mm, and the hymen diameter of the young girl is 4-7mm, and the hymen in the anesthesia state of the child is in a relaxed state, with a certain degree of expansion and elasticity. Therefore, hysteroscopy can smoothly pass through the hymen of the young girl, and examine the vaginal wall and cervix at the same time when the foreign body is removed, without any damage to the vagina, and has a rinsing and cleaning effect on the inflammation that has occurred. It has the advantages of less damage, less cost, convenience and speed.
A lump of cotton wool was successfully removed with hysteroscopy
After Tong Tong completed various related examinations, the gynecologist of the hospital performed hysteroscopic surgery on her under general anesthesia.
Under the direct hysteroscopic view, the doctor carefully helped Tong Tong remove the foreign body in the vagina, which was a lump of cotton wool.
"During the operation, we saw through hysteroscopy that there was a lump of cotton wool in her vagina, about 2. 0 cm×l. 5 cm, cotton wool and vaginal wall slightly adhesion. Zheng Qiyun said that this should be the culprit of Tong Tong's repeated vaginal bleeding.
Under the direct hysteroscopic view, the doctor carefully helped Tong Tong remove the foreign body in the vagina, and after the foreign body was removed, there was no abnormality in the vaginal wall and the external cervical opening. The doctor then helped her flush her vagina with saline and iodine, and the whole operation went very smoothly. And the cotton wool taken out already showed signs of decay and foul odor.
Be wary of vaginal foreign body injuries in children
Coincidentally, in the early morning of April 20, a parent in the outpatient clinic of Qingyuan Maternal and Child Health Hospital rushed to the clinic with her 3-year-old daughter in her arms.
"At 11 o'clock last night, the baby stuffed a 1cm irregularly shaped plastic toy into the vagina when playing, and there was a little bloody secretion in the vagina, and the vulva was still a little red and swollen." The parent said worriedly that he was glad that the child did not cry and did not have other discomfort. The doctor successfully helped the baby remove the plastic toy that had been stuffed in.
"Recently, I have received many cases of vaginal foreign bodies in girls, and common small objects are stuffed into them, including buttons, coins, pen caps, batteries, etc. Bear children can always exceed your imagination and make you angry and laugh. Zheng Qiyun said that most of the girls' vaginal foreign bodies are young girls aged 3-10, most of them are due to the ignorance of young girls and driven by curiosity, and they have no intention of placing foreign bodies into the vagina when playing, or they may be stuffed by others. The vagina is a wide and narrow tube, the vaginal mucosa has many transverse folds, there is a relatively large stretch, once a foreign body enters the vagina, it is easy to incarcerated, it is difficult to slide out on its own. If the vaginal foreign body remains in the vagina for too long, it may cause vaginal bleeding, infection granulation tissue hyperplasia, etc., with the aggravation of vaginal inflammation, the foreign body can be wrapped in inflammatory tissue, which can seriously lead to vaginal adhesions or cervical adhesions, affecting the development of reproductive organs. Therefore, early diagnosis and timely removal of vaginal foreign bodies are the key to avoiding complications.
"After suspecting that the baby has a vaginal foreign body, the mothers must not be clever and use their own hands to take it." Due to the particularity of the baby's physiological structure, parents themselves may lead to bleeding, infection, hymen rupture, etc., and may also lead to deeper and deeper foreign bodies, increasing the difficulty of removal. Hysteroscopic technique has an ideal effect on the diagnosis and treatment of vaginal foreign bodies, the method is simple to operate, the damage to the child is small, and the clinical diagnosis and treatment effect can be improved. Zheng Qiyun said that parents should usually pay attention to observation, such as the baby's vaginal discharge increased, vulvar redness and swelling, itching, underwear blood, secretion odor, vaginitis repeated treatment is not healed, walking posture abnormalities, etc., to go to the gynecology department of the regular hospital in time.
In addition, Dr. Zheng Qiyun also reminded parents that they should accompany and guide them correctly every day, carry out children's sex education appropriately, try not to wear open crotch pants for babies, be vigilant against the occurrence of foreign body injuries in children, and achieve early detection, early diagnosis and actively provide medical history to help diagnose the diagnosis as soon as possible.
[Reporter] Huang Jianqin Liu Qiuyi
[Correspondent] Liao Silan
【Author】 Huang Jianqin; Liu Qiuyi
【Source】 Southern Press Media Group South + client