Department of Urology, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China.
Chongqing Key Laboratory of Pediatrics, Chongqing, People's Republic of China.
Pediatr Surg Int. 2022 Apr;38(4):637-641. doi: 10.1007/s00383-022-05075-5. Epub 2022 Feb 7.
To evaluate the clinical features and outcome in girls with a vaginal foreign body.
The clinical data of 97 girls with a vaginal foreign body were collected between 2010 and 2020. The descriptive analysis was used to summarize the clinical characteristics.
The patients were aged between 1.5 and 14.8 years, and the age of peak incidence was shown to be 3-10 years, which accounted for 88% of the cases. Blood-stained vaginal discharge or vaginal bleeding was the most common symptom (48%). The most common foreign bodies were small hard objects (57%), followed by bits of cloth or toilet tissue (22%). The patient whose foreign object was a disk battery had the most severe symptoms. When an injury of the vaginal mucosal was suspected, antibiotics were used to prevent infection, with full recovery of all patients without any additional treatment after removal of the foreign object.
If there is no damage to the vaginal mucosa, no additional treatment is needed after the foreign body is removed. When a vaginal foreign body is suspected to be a battery, emergency surgery is needed to prevent further damage.
评估阴道异物女童的临床特征和结局。
收集 2010 年至 2020 年间 97 例阴道异物女童的临床资料。采用描述性分析总结其临床特征。
患儿年龄 1.5～14.8 岁，发病高峰年龄为 3～10 岁，占 88%。阴道血性分泌物或阴道出血是最常见的症状（48%）。最常见的异物为小硬物体（57%），其次为布条或卫生纸（22%）。异物为盘状电池的患者症状最严重。当怀疑阴道黏膜损伤时，使用抗生素预防感染，所有患者在取出异物后均完全康复，无需额外治疗。
若阴道黏膜未受损，取出异物后无需额外治疗。怀疑阴道异物为电池时，需行急诊手术，以防止进一步损伤。
