Rimsza M E
University of Arizona, College of Medicine, Phoenix.
Pediatr Clin North Am. 1989 Jun;36(3):639-63. doi: 10.1016/s0031-3955(16)36689-5.
The gynecologic examination should be considered an essential part of a complete physical examination in the adolescent girl. Many symptoms and signs which at first may seem to be unrelated to the reproductive tract are found to be due to gynecologic pathology after a careful gynecologic examination has been completed. Most of the diagnostic tests which are needed as part of the gynecologic examination can be easily performed in a pediatrician's office including wet preps, KOH preps, and Gram's stains of vaginal discharge. Other ancillary tests, including Pap smears and cultures for sexually transmitted diseases, can be obtained by the examining pediatrician and sent to local clinical laboratories. The pelvic ultrasound can be a helpful adjunct to the gynecologic examination when congenital anomalies, or adnexal masses, are suspected.
妇科检查应被视为青春期女孩全面体格检查的重要组成部分。许多起初看似与生殖道无关的症状和体征，在完成仔细的妇科检查后，会发现是由妇科病理状况所致。作为妇科检查一部分所需的大多数诊断测试，在儿科医生办公室即可轻松完成，包括阴道分泌物的湿片检查、氢氧化钾涂片检查和革兰氏染色。其他辅助检查，包括巴氏涂片和性传播疾病培养，可由检查的儿科医生获取并送往当地临床实验室。当怀疑有先天性异常或附件包块时，盆腔超声检查可为妇科检查提供有用的辅助。
