Anikwe Chidebe Christian, Ekwedigwe Kenneth Chinedu, Adiele Nnabugwu Alfred, Ikeoha Cyril Chijioke, Asiegbu Obiora Godfrey Kingsley, Nnadozie Ugochukwu Uzodimma
Department of Obstetrics and Gynaecology, Federal Teaching Hospital Abakaliki, Abakaliki, Ebonyi State, Nigeria.
Department of Surgery, Federal Teaching Hospital Abakaliki, Abakaliki, Ebonyi State, Nigeria.
Niger Med J. 2019 May-Jun;60(3):144-148. doi: 10.4103/nmj.NMJ_55_19.
Gynecological emergencies which affect the adolescents may pose a serious challenge to both the patient and the gynecologist.
The objective of this study is to determine the clinical presentations and management outcomes of emergency adolescent gynecological disorders at Federal Teaching Hospital, Abakaliki.
This is a retrospective review of all cases of adolescent gynecological emergencies managed at Federal Teaching Hospital Abakaliki between January 1, 2012, and December 31, 2014. Data obtained from their case notes were analyzed using the IBM statistics version 20 (IBM Corp., Armonk, NY, USA). Data were presented using percentages and pie chart.
The prevalence of adolescent gynecological emergency disorders was 5.1%. The majority (82%) of the patients belong to the age bracket 15-19 with a mean age of 16.7 (2.4) years. About 90% of the patients were nulliparous. Unmarried patients comprised 80% of the study group. Vaginal bleeding was the most common clinical presentation (86%). The two most common diagnoses were abortion (60%) and sexual assault (26%). Only 10% of sexually active adolescent were using any form of contraception. Care received includes manual vaccum aspiration, laparotomy, and antibiotics. Blood transfusion was given in 18% of the cases. No death was recorded in all the cases.
Abortive conditions and sexual assault were the most common clinical diagnosis among adolescents in the study. The percentage of adolescent assaulted in our study is unacceptable and should be prevented and efforts should be made to reduce the high unmet need for contraception seen in the study.
影响青少年的妇科急症可能给患者和妇科医生都带来严峻挑战。
本研究的目的是确定阿巴卡利基联邦教学医院青少年妇科急症的临床表现及治疗结果。
这是一项对2012年1月1日至2014年12月31日在阿巴卡利基联邦教学医院接受治疗的所有青少年妇科急症病例的回顾性研究。从病历中获取的数据使用IBM统计软件版本20（IBM公司，美国纽约州阿蒙克）进行分析。数据以百分比和饼图形式呈现。
青少年妇科急症的患病率为5.1%。大多数（82%）患者年龄在15 - 19岁之间，平均年龄为16.7（2.4）岁。约90%的患者未生育。未婚患者占研究组的80%。阴道出血是最常见的临床表现（86%）。最常见的两种诊断是流产（60%）和性侵犯（26%）。只有10%有性行为的青少年使用任何形式的避孕措施。接受的治疗包括人工负压吸引、剖腹手术和抗生素治疗。18%的病例接受了输血治疗。所有病例均无死亡记录。
流产情况和性侵犯是本研究中青少年最常见的临床诊断。我们研究中青少年遭受性侵犯的比例令人无法接受，应予以预防，并应努力减少研究中发现的对避孕措施的高未满足需求。
