From the Division of Pediatric Emergency Medicine, Department of Pediatric Emergency and Critical Care Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
Pediatr Emerg Care. 2021 Feb 1;37(2):73-76. doi: 10.1097/PEC.0000000000001489.
Genital injuries among children are often associated with consumer products or specific activities. There are few descriptive studies from Asia on pediatric genital injuries seen in the emergency department (ED). The aim of this study was to describe the characteristic features of accidental genital injuries among children.
A retrospective chart review of children aged 15 years or younger who visited our ED for genital injuries between March 2010 and November 2014 was conducted. Data on age, arrival time at the ED, location of the incident, mechanism of injury, objects, injured organ, consultation with specialists, emergency operation, sedation at the ED, and outcomes were collected and analyzed.
One hundred seventy-nine patients were included in this analysis. Girls comprised 71% of the subject pool. The median age was 6 years (interquartile range, 4-9 years). Straddle injuries were the most common form of injury (56%). Male genital injuries occurred mostly outdoors (64%). Common consumer products associated with pediatric genital injuries were furniture (21%), exercise equipment (17%), and bicycles (15%). Thirty-two patients were examined by a surgeon, gynecologist, or urologist. The most commonly injured organs were the penis (55%) in boys and the labia (60%) in girls. Most patients (93%) were treated at the ED and discharged.
The characteristics of accidental genital injuries among Japanese children were similar to those of children in other countries. The strategy for preventing genital injuries used in the West might be applicable to the East Asian context.
儿童生殖器损伤通常与消费品或特定活动有关。亚洲很少有关于儿科急诊生殖器损伤的描述性研究。本研究旨在描述儿童意外生殖器损伤的特征。
对 2010 年 3 月至 2014 年 11 月期间因生殖器损伤到我院急诊科就诊的 15 岁以下儿童进行回顾性病历审查。收集并分析了年龄、到达急诊科的时间、事故地点、损伤机制、致伤物、受伤器官、专家咨询、急诊手术、急诊科镇静和结局等数据。
本分析共纳入 179 例患者。女孩占 71%。中位年龄为 6 岁（四分位距，4-9 岁）。跨骑伤是最常见的损伤类型（56%）。男性生殖器损伤多发生在户外（64%）。与儿童生殖器损伤相关的常见消费品有家具（21%）、运动器材（17%）和自行车（15%）。32 例患者接受了外科医生、妇科医生或泌尿科医生的检查。最常受伤的器官是男孩的阴茎（55%）和女孩的阴唇（60%）。大多数患者（93%）在急诊科接受治疗并出院。
日本儿童意外生殖器损伤的特征与其他国家的儿童相似。西方预防生殖器损伤的策略可能适用于东亚地区。
