Pokorny S F
Baylor Young Women's Clinic, Department of Obstetrics and Gynecology, Houston, Texas.
Obstet Gynecol Clin North Am. 1992 Mar;19(1):39-58.
The vast majority of prepubertal gynecologic problems fall into three categories. The most serious category includes those "things that bleed": sarcoma botryoides, trauma (including sexual abuse), vaginal foreign objects, condylomata, urethral prolapse, and single organism vaginitis. Very rarely, the clinician will see precocious menarche, metastatic Crohn's disease, vascular vulvar lesions, and factitious cases. The next category contains entities that have an abnormal appearance: ambiguous genitalia, periurethral cysts of the newborn, hymenal variants, and agglutination of the labia and vulva. Rarely, an underlying skin disorder such as lichen sclerosus, seborrhea, or atopic vulvitis will be seen. The last and most bothersome category, distinguished by its symptoms of pruritus and discharge, includes the most common types of vulvovaginitis.
青春期前妇科问题绝大多数可分为三类。最严重的一类包括那些“出血的情况”：葡萄状肉瘤、创伤（包括性虐待）、阴道异物、湿疣、尿道脱垂和单一病原体性阴道炎。临床医生极少会遇到初潮过早、转移性克罗恩病、血管性外阴病变和人为病例。下一类包含外观异常的情况：生殖器模糊、新生儿尿道周围囊肿、处女膜变异以及阴唇和外阴粘连。很少会见到潜在的皮肤疾病，如硬化性苔藓、脂溢性皮炎或特应性外阴炎。最后也是最麻烦的一类，以瘙痒和分泌物症状为特征，包括最常见的几种外阴阴道炎。
