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小儿和青少年群体的阴道异物:当前文献综述及诊断与处理最佳实践的讨论。

Vaginal Foreign Bodies in the Pediatric and Adolescent Age Group: A Review of Current Literature and Discussion of Best Practices in Diagnosis and Management.

机构信息

Department of Obstetrics and Gynecology, Lenox Hill Hospital, New York, New York.

National Institute of Child Health and Human Development, Bethesda, Maryland.

出版信息

J Pediatr Adolesc Gynecol. 2024 Apr;37(2):121-125. doi: 10.1016/j.jpag.2023.11.010. Epub 2023 Nov 25.

DOI:10.1016/j.jpag.2023.11.010
PMID:38012979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10994743/
Abstract

The self-insertion of a vaginal foreign body (VFB) is common in the female pediatric and adolescent age group. Prompt disclosure to parents usually results in a call to the primary care provider and a visit to the pediatrician's office, local emergency department, or urgent care center. However, some foreign bodies may go unnoticed for extended periods, causing distressing symptoms and complications. Large case series providing comprehensive epidemiological data on this topic are scarce. This review summarizes the current literature on VFBs and compiles best practices for the diagnosis and management of VFBs in the pediatric and adolescent population.

摘要

阴道异物(VFB)的自我插入在女性儿科和青少年年龄组中很常见。及时向父母披露通常会导致致电初级保健提供者,并前往儿科医生办公室、当地急诊部门或紧急护理中心。然而,一些异物可能会在很长一段时间内未被发现,导致令人痛苦的症状和并发症。关于这个主题的大型病例系列提供全面的流行病学数据非常少。这篇综述总结了目前关于 VFB 的文献,并汇编了儿科和青少年人群中 VFB 的诊断和管理的最佳实践。

相似文献

1
Vaginal Foreign Bodies in the Pediatric and Adolescent Age Group: A Review of Current Literature and Discussion of Best Practices in Diagnosis and Management.小儿和青少年群体的阴道异物:当前文献综述及诊断与处理最佳实践的讨论。
J Pediatr Adolesc Gynecol. 2024 Apr;37(2):121-125. doi: 10.1016/j.jpag.2023.11.010. Epub 2023 Nov 25.
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Foreign bodies of the ears and nose in childhood.儿童期耳鼻异物
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本文引用的文献

1
Child sexual abuse unmasked due to vaginal foreign body: case review.因阴道异物导致的儿童性虐待被揭露:病例回顾。
Forensic Sci Med Pathol. 2023 Jun;19(2):202-206. doi: 10.1007/s12024-022-00574-2. Epub 2023 Jan 20.
2
Vaginal foreign bodies in children: a single-center retrospective 10-year analysis.儿童阴道异物:单中心回顾性 10 年分析。
Pediatr Surg Int. 2022 Apr;38(4):637-641. doi: 10.1007/s00383-022-05075-5. Epub 2022 Feb 7.
3
Austere Foreign Body Injuries in Children and Adolescents: A Characterization of Penile, Rectal, and Vaginal Injuries Presenting to Emergency Departments in the United States From 2008 to 2017.儿童和青少年的严峻异物损伤:2008 年至 2017 年美国急诊部门报告的阴茎、直肠和阴道损伤特征。
Pediatr Emerg Care. 2021 Dec 1;37(12):e805-e811. doi: 10.1097/PEC.0000000000001803.
4
Foley Catheter as a Vaginal Stent in a Toddler with Vaginal Rhabdomyosarcoma.导尿管作为幼儿阴道横纹肌肉瘤的阴道支架
J Pediatr Adolesc Gynecol. 2018 Jun;31(3):315-317. doi: 10.1016/j.jpag.2017.12.003. Epub 2017 Dec 9.
5
Ultrasonography in Detection of Vaginal Foreign Bodies in Girls: A Retrospective Study.超声检查在女童阴道异物检测中的应用:一项回顾性研究
J Pediatr Adolesc Gynecol. 2017 Dec;30(6):620-625. doi: 10.1016/j.jpag.2017.06.008. Epub 2017 Jun 29.
6
Foreign body in the vagina of a four-year-old-girl: a childish prank or sexual abuse.一名四岁女童阴道内有异物:是恶作剧还是性虐待。
Int J High Risk Behav Addict. 2014 Jun 21;3(2):e10534. doi: 10.5812/ijhrba.10534. eCollection 2014 Jun.
7
Vaginal foreign bodies and child sexual abuse: an important consideration.阴道异物和儿童性虐待:一个重要的考虑因素。
West J Emerg Med. 2013 Sep;14(5):437-9. doi: 10.5811/westjem.2013.1.13347.
8
Foreign body in the vagina of a 3(1/2)-year-old child: sexual abuse or a childish prank?一名3岁半女童阴道内有异物:是性虐待还是儿童恶作剧?
Indian J Dermatol Venereol Leprol. 2004 Mar-Apr;70(2):118-9.
9
Vaginal discharge and bleeding in girls younger than 6 years.6岁以下女童的阴道分泌物及出血
J Urol. 2006 Dec;176(6 Pt 1):2632-5. doi: 10.1016/j.juro.2006.08.056.
10
The evaluation of sexual abuse in children.儿童性虐待的评估
Pediatrics. 2005 Aug;116(2):506-12. doi: 10.1542/peds.2005-1336.