Adler J
Postgrad Med. 1984 Dec;76(8):206-9, 212-4. doi: 10.1080/00325481.1984.11698827.
Vulvovaginitis, not urinary tract infection, is the most common cause of dysuria in adolescent girls, and the work-up for this condition involves more than just ordering urinalysis and urine culture. Factors essential to proper evaluation of dysuria include determination of the patient's age, stage of pubertal development, and sexual activity, as well as assessment of associated symptoms, concomitant conditions, and use of contraceptive or feminine hygiene products that may cause irritation. Thus, a thorough history and physical examination, including examination of the genital area, are mandatory.
外阴阴道炎而非尿路感染是青春期女孩排尿困难最常见的原因，针对这种情况的检查不仅仅是开具尿常规和尿培养检查。正确评估排尿困难的关键因素包括确定患者的年龄、青春期发育阶段、性活动情况，以及评估相关症状、伴随疾病，还有是否使用了可能引起刺激的避孕或女性卫生用品。因此，全面的病史和体格检查，包括生殖器区域的检查，是必不可少的。
