Propst A M, Thorp J M
Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, USA.
South Med J. 1998 Feb;91(2):144-6. doi: 10.1097/00007611-199802000-00004.
Vulvar hematomas are relatively uncommon and usually result from blunt trauma. They are more commonly diagnosed in postpartum patients, but hematomas after straddle-type injuries, coitus, or physical assault have been reported. Conservative and surgical management have both been advocated as the appropriate initial treatment.
In this study, we have done a retrospective review to obtain data that might indicate a clinical benefit for either conservative or surgical management. We reviewed the charts of patients treated for vulvar hematomas at the University of North Carolina Hospitals between 1975 and 1991. Cases were separated into obstetric and nonobstetric and conservatively and surgically managed groups.
Of the 29 cases reviewed, 19 were classified as obstetric and 10 were nonobstetric. All 13 obstetric hematomas and 3 of 7 nonobstetric hematomas managed conservatively resolved without subsequent surgical intervention.
In the absence of acute hematoma expansion, conservative management was often successful.
外阴血肿相对少见，通常由钝性创伤引起。产后患者中更常诊断出外阴血肿，但也有报道称跨骑型损伤、性交或人身攻击后出现血肿。保守治疗和手术治疗均被提倡作为合适的初始治疗方法。
在本研究中，我们进行了一项回顾性研究，以获取可能表明保守治疗或手术治疗具有临床益处的数据。我们回顾了1975年至1991年在北卡罗来纳大学医院接受外阴血肿治疗的患者病历。病例分为产科和非产科，以及保守治疗组和手术治疗组。
在回顾的29例病例中，19例为产科病例，10例为非产科病例。所有13例产科血肿和7例非产科血肿中的3例经保守治疗后均得以解决，无需后续手术干预。
在无急性血肿扩大的情况下，保守治疗通常是成功的。
