David L, Betend B, Berlier P, Evrard A, Guinard A, François R
Sem Hop. 1984 Apr 19;60(17):1195-9.
Vaginal bleeding in young girls without other signs of precocious sexual development is rare. We report a series of 33 cases observed during a 21 year period in the departments of pediatrics of the University of Lyon. Among the various etiologies, vaginal foreign bodies (10 cases, 30%) and vaginitis (10 cases, 30%) were the most frequent. There were 3 cases of benign vulvar tumors (9%) and 3 cases of malignant vaginal tumors (9%). In 3 cases the vaginal bleeding remained apparently idiopathic leading to the diagnosis of premature menarche. A retrospective evaluation of each case showed that history, physical examination and colposcopy would have rapidly established the correct diagnosis in 80 to 85% of cases; it is therefore concluded that laboratory and complex gynecologic investigations should be considered only after negative findings from these simple clinical tools in the evaluation of vaginal bleeding in prepubertal girls.
在没有其他性早熟迹象的年轻女孩中，阴道出血较为罕见。我们报告了里昂大学儿科学系在21年期间观察到的一系列33例病例。在各种病因中，阴道异物（10例，30%）和阴道炎（10例，30%）最为常见。有3例良性外阴肿瘤（9%）和3例恶性阴道肿瘤（9%）。3例阴道出血显然仍为特发性，最终诊断为初潮过早。对每个病例的回顾性评估表明，病史、体格检查和阴道镜检查在80%至85%的病例中能迅速确立正确诊断；因此得出结论，在评估青春期前女孩阴道出血时，只有在这些简单临床检查结果为阴性后，才应考虑进行实验室检查和复杂的妇科检查。
