Aizawa T, Ishibashi K, Oyama H, Samejima T, Miki M
Department of Urology, Kamata General Hospital.
Hinyokika Kiyo. 1998 Feb;44(2):129-32.
A 90-year-old woman was admitted with a chief complaint of difficulty in urination. She had severe labial adhesions with a pin point opening. Urinary tract infection was detected by urine examination. The adhesions were surgically dissected under local anesthesia and recurrence was not seen at follow-up 6 months after the operation. Labial adhesions in adult women are rare and only 28 cases of labial adhesions in adults have been reported in the Japanese literature. Labial adhesions in adults may be more closely related with chronic inflammation such as recurrent urinary tract infections and vulvovaginitis than in pediatric cases.
一名90岁女性因排尿困难为主诉入院。她存在严重的阴唇粘连,仅有针尖样开口。尿液检查发现尿路感染。在局部麻醉下对粘连进行了手术分离,术后6个月随访未见复发。成年女性阴唇粘连较为罕见,日本文献中仅报道了28例成年阴唇粘连病例。与小儿病例相比,成年女性阴唇粘连可能与复发性尿路感染和外阴阴道炎等慢性炎症关系更为密切。