Ekwempu C C, Ocheke A N, Uba F A
Department of Obstetrics and Gynaecology, Jos University Teaching Hospital/University of Jos, P.M.B 2076, Jos, Nigeria.
Afr J Paediatr Surg. 2010 Sep-Dec;7(3):178-80. doi: 10.4103/0189-6725.70421.
Surgeries performed for gynaecological conditions in children and adolescents are not common in our environment. Adequate facilities and the skill to perform the required procedures may also be lacking. We were interested in reviewing the practice of paediatric gynaecological surgery in our facility.
A retrospective study of case files and theatre records of children below the age of 16 years who had surgeries at the Jos University Teaching Hospital over a 10 year period was undertaken.
A total of 89 surgeries were performed in this age group during the period under review. Twenty-eight (33.4%) of the patients were below the age of 11. The most common surgical procedure was for the management of septic abortion (21.3%). Correction of congenital malformations of the genital tract accounted for 21.4% (19) of the surgeries performed. Fourteen (15.7%) laparotomies were performed for ovarian cysts.
Though the number of surgeries performed on children for gynaecologic reasons may appear small, the skills required to manage them should be enhanced and the requisite facilities provided.
在我们所处的环境中，针对儿童和青少年妇科疾病进行的手术并不常见。可能还缺乏足够的设施以及实施所需手术的技能。我们有兴趣回顾我们机构中儿科妇科手术的实践情况。
对在乔斯大学教学医院接受手术的16岁以下儿童的病历和手术记录进行了为期10年的回顾性研究。
在审查期间，该年龄组共进行了89例手术。28名（33.4%）患者年龄在11岁以下。最常见的手术是处理感染性流产（21.3%）。生殖道先天性畸形矫正占所进行手术的21.4%（19例）。因卵巢囊肿进行了14例（15.7%）剖腹手术。
尽管因妇科原因对儿童进行的手术数量可能看起来较少，但管理这些手术所需的技能应得到提高，并提供必要的设施。
