Dodat H, James I, Takvorian P, Sanchez R, Renevier J L, Breton P, Berlier P, David L, Chappuis J P
Service de chirurgie pédiatrique, UFR Alexis-Carrel, Hôpital Edouard-Herriot, Lyon, France.
Pediatrie. 1988;43(3):227-33.
There are numerous etiologies of benign vulvo-vaginal tumefactions in children. However, the etiological diagnosis can usually be based on clinical data after careful examination. Para-urethral cysts are the main cause of labial and vestibular tumefactions; they are generally cured by simple puncture. Solid vaginal tumors are uncommon, but they always require surgical resection in order to exclude the exceptional and severe malignant tumours. Neonatal hydrocolpos is frequent in our experience and must always be treated surgically; associated malformations are frequent and must be systematically searched for. Ectopic prolapsed ureterocele and circular prolapse of the urethral mucosa are easily recognizable and need surgical treatment.
儿童良性外阴阴道肿物有多种病因。然而,经过仔细检查后,病因诊断通常可基于临床资料。尿道旁囊肿是阴唇和前庭肿物的主要原因;一般通过简单穿刺即可治愈。实性阴道肿瘤并不常见,但为排除罕见且严重的恶性肿瘤,总是需要进行手术切除。根据我们的经验,新生儿阴道积水很常见,必须始终进行手术治疗;常伴有畸形,必须系统地进行排查。异位脱垂性输尿管囊肿和尿道黏膜环形脱垂很容易识别,需要手术治疗。