Singleton A F
J Natl Med Assoc. 1986 Mar;78(3):203-14.
The premenarchal child's vulva should be assessed at each physician visit, even in the absence of symptoms. Vulvar problems (eg, hymenal lacerations, vulvovestibulitis, or labial adhesions) account for a significant percentage of pediatric outpatient diagnoses, yet related symptoms may not be volunteered by patient or parent, underlining the necessity for physical examination in order to have a complete data base. Despite the importance of the vulvar examination, it is omitted in a large percentage of cases, reflecting deficits in undergraduate and postgraduate medical training.In order to facilitate the thorough examination of the premenarchal girl's vulva, the four premenarchal stages of development and the physical changes encountered at each stage are described. In addition, a checklist guide for the performance of the vulvar examination is included.
即使没有症状，每次就诊时都应对青春期前女童的外阴进行评估。外阴问题（如处女膜裂伤、外阴前庭炎或阴唇粘连）在儿科门诊诊断中占相当大的比例，但患者或家长可能不会主动提及相关症状，这突出了体格检查以建立完整数据库的必要性。尽管外阴检查很重要，但在很大比例的病例中都被省略了，这反映了本科和研究生医学培训中的不足。为便于对青春期前女孩的外阴进行全面检查，本文描述了青春期前的四个发育阶段以及每个阶段出现的身体变化。此外，还包括一份外阴检查操作清单指南。
