D&C 時保留處女膜完整性不被裂傷的方式

Method of Dilation and Curettage without Injury of Hymen in a Virgin

無性行為婦女，出現子宮異常出血、經痛、腹痛、頻尿、小便疼痛等症狀而求診者，通常多會予以腹部超音波、小便或血液檢查，以避免陰道內診不慎而導致處女膜撕裂傷及出血，徒增醫療糾紛。然而懷疑為子宮內膜癌、子宮頸癌、陰道癌者，必須施以婦檢內視或子宮內膜刮除，此時處女膜便有裂傷、疼痛和出血的可能，或需縫合止血。本文特報告在處女膜完整之婦女，接受子宮內膜刮除術使用連續漸進性處女膜擴張，可避免處女膜裂傷的風險。

Chronic abnormal uterine bleeding is a common gynecologic problem, which can result in anemia, interfere with daily activities, and raise concerns about uterine cancer. If pelvic bimanual examination and ultrasonography revealed unremarkable lesion, dilation and curettage (D&C) should be performed for further evaluation and management. However, if the patient did not have experience of vaginal intercourse, both the gynecologist and patient usually are reluctant to take D&C in order to avoid traumatic injury of the hymen. Here, we introduce a successful D&C using serial dilation of the hymen without laceration injury for a virgin.