McGreal Sharon, Wood Paul
Department of Obstetrics and Gynaecology, Kettering General Hospital, Kettering, UK.
J Pediatr Adolesc Gynecol. 2013 Aug;26(4):205-8. doi: 10.1016/j.jpag.2011.12.065. Epub 2012 Jan 20.
Childhood vaginal discharge remains a frequent reason for referral from primary to secondary care. The Pediatric and Adolescent Gynecology (PAG) service at Kettering General Hospital was established in 1993 and provides a specialized service that meets the needs of children with gynaecological conditions.
To investigate recurrent vaginal discharge noting symptomatology, defining pathogens, common and rarer causes, exploring management regimes, and any changes in practice over time.
Retrospective review spanning 15 years identifying prepubertal children attending the outpatient PAG clinic with recurrent vaginal discharge. We reviewed the medical notes individually.
110 patients were identified; 85% were referred from primary care. The age distribution was bimodal at four and eight years. Thirty-five percent of our patients were discharged after the initial consultation. The commonest cause of discharge was vulvovaginitis (82%). Other important causes included suspected sexual abuse (5%), foreign body (3%), labial adhesions (3%), vaginal agenesis (2%). 35% of patients were admitted for vaginoscopy.
Vaginal discharge is the most common gynecological symptom in prepubertal girls and can cause repeated clinical episodes. Vulvovaginitis is the most common cause and often responds to simple hygiene measures. Awareness of the less common causes of vaginal discharge is essential.
儿童阴道分泌物异常仍是初级保健机构转诊至二级保健机构的常见原因。凯特林总医院的儿科和青少年妇科（PAG）服务始于1993年，提供满足患有妇科疾病儿童需求的专业服务。
调查复发性阴道分泌物异常，记录症状，确定病原体、常见和罕见病因，探索治疗方案，以及随着时间推移实践中的任何变化。
回顾性研究涵盖15年，确定在PAG门诊就诊的青春期前复发性阴道分泌物异常儿童。我们分别查阅了病历。
共确定110例患者；85%由初级保健机构转诊。年龄分布在4岁和8岁呈双峰状。35%的患者在初次会诊后出院。阴道分泌物异常最常见的原因是外阴阴道炎（82%）。其他重要原因包括疑似性虐待（5%）、异物（3%）、阴唇粘连（3%）、阴道发育不全（2%）。35%的患者因阴道镜检查入院。
阴道分泌物异常是青春期前女孩最常见的妇科症状，可导致反复临床发作。外阴阴道炎是最常见的原因，通常对简单的卫生措施有反应。了解阴道分泌物异常的罕见原因至关重要。
