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阴唇粘连:一家儿童医院的经验

Labial adhesions: Experience in a children's hospital.

作者信息

Rubinstein Anahí, Rahman Gisel, Risso Paula, Ocampo Dolores

机构信息

Unidad de Ginecología Infantojuvenil, Hospital de Niños Sor María Ludovica, La Plata, Provincia de Buenos Aires, República Argentina.

Comisión de Investigaciones Científicas de la Provincia de Buenos Aires, Cátedra de Bioestadística Bayesiana y Clásica, Carrera de Microbiología Clínica e Industrial, Facultad de Ciencias Veterinarias, Universidad Nacional de La Plata (UNLP), La Plata, Provincia de Buenos Aires, República Argentina.

出版信息

Arch Argent Pediatr. 2018 Feb 1;116(1):65-68. doi: 10.5546/aap.2018.eng.65.

DOI:10.5546/aap.2018.eng.65
PMID:29333822
Abstract

Labial adhesions are defined as the complete or partial fusion of the pudendal cleft due to the agglutination of the labia minora in the midline. They most commonly occur between 3 months and 6 years of life. Between January 1st, 2002 and December 31st, 2015, 425 girls diagnosed with labial adhesions and seen at the Unit of Pediatric and Adolescent Gynecology of Hospital de Niños de La Plata, Argentina, were analyzed. Their average age was 2.7 years (standard deviation: 2.6 years). The most common presentation of labial adhesions was that involving more than 75% of the total length of the labia (p < 0.0000001). A total of 84.2% of patients showed no symptoms and 4% had urinary symptoms. Also, 68.4% of the girls who had a history of urinary tract infection had labial adhesions with a length of involvement of > 75%. Finally, 90.6% of cases resolved with topical estrogens; and 2.1% had adverse events.

摘要

阴唇粘连是指由于小阴唇在中线处粘连而导致的会阴部裂隙完全或部分融合。它们最常发生在3个月至6岁之间。对2002年1月1日至2015年12月31日期间在阿根廷拉普拉塔儿童医院儿科和青少年妇科就诊的425名诊断为阴唇粘连的女孩进行了分析。她们的平均年龄为2.7岁(标准差:2.6岁)。阴唇粘连最常见的表现是累及阴唇总长度的75%以上(p<0.0000001)。共有84.2%的患者无症状,4%有泌尿系统症状。此外,有尿路感染病史的女孩中,68.4%存在阴唇粘连,累及长度>75%。最后,90.6%的病例通过局部雌激素治疗得以解决;2.1%发生了不良事件。

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Labial adhesions: Experience in a children's hospital.阴唇粘连:一家儿童医院的经验
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Clinical Recommendation: Labial Adhesions.临床建议:阴唇粘连
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