Bacon Janice L, Burgis Judith T
Department of Obstetrics and Gynecology, University of South Carolina School of Medicine, 2 Medical Park, Columbia, SC 29203, USA.
J Pediatr Adolesc Gynecol. 2005 Jun;18(3):155-6. doi: 10.1016/j.jpag.2005.03.010.
Hair thread tourniquet syndrome has been recognized since the 1600s when a strangulating hair was reported around the glans penis. Since that time sporadic reports have appeared in the literature describing strangulation of appendages by human hair. Most often the constriction involves fingers, toes, or the penis. There are several reports of clitoral strangulation. Most cases present to their primary care provider or emergency department. A high index of suspicion is required for diagnosis in order to prevent prolonged devascularization. We describe a hair thread tourniquet syndrome of the labia minora in a 13-year-old. It was successfully treated with exam under anesthesia and resection of the devascularized tissue. We believe this is the oldest patient described as well as the only description of hair tourniquet syndrome of the labia minora. Prompt recognition of this unusual condition is essential for treatment of this potentially serious problem.
自17世纪有报道称龟头周围出现绞勒性毛发以来，毛发丝绞勒综合征就已被人们认识。从那时起，文献中陆续出现了关于人体毛发绞勒附属器官的零星报道。绞勒最常发生在手指、脚趾或阴茎。也有几例阴蒂绞勒的报道。大多数病例是由初级保健提供者或急诊科接诊。为防止长时间缺血，诊断时需要高度怀疑。我们描述了一名13岁女孩小阴唇的毛发丝绞勒综合征。通过麻醉下检查和切除缺血组织，该病例得到了成功治疗。我们认为这是报道的年龄最大的患者，也是唯一一例小阴唇毛发绞勒综合征的描述。及时识别这种不寻常的情况对于治疗这个潜在的严重问题至关重要。
