摘要
目的探讨反复发作的幼女外阴阴道炎的病因与治疗方法。方法对中山大学附属第二医院近15年收治的51例年龄在10岁以下反复发作的幼女外阴阴道炎患儿的临床资料进行回顾分析。结果51例患儿中,28例为非特异性外阴阴道炎(55%),14例为后天性直肠阴道瘘(27%),5例为外阴溃疡及疖肿(10%),3例为阴道异物(6%),1例为小阴唇粘连(2%)。对其中的21例患儿行阴道分泌物病原体检测、培养,17例找到病原体,阳性率达81%,菌谱包括大肠埃希菌5例,金黄色葡萄球菌、微需氧链球菌各3例、其他菌11例。非特异性外阴阴道炎、外阴溃疡及疖肿患儿经外用洗剂、抗生素软膏,或联合全身应用抗生素,均获得治愈;后天性直肠阴道瘘患儿行瘘管切除、瘘修补术后治愈;阴道异物者取出异物后阴道炎获得治愈;小阴唇粘连者行小阴唇粘连分离术。结论非特异性外阴阴道炎是反复发作的幼女外阴阴道炎的常见类型,其主要病原菌为大肠埃希菌;针对反复发作的幼女外阴阴道炎病因的局部及全身治疗效果显著。
Objective To explore the causes and treatment of repeated vulvovaginitis in girlhood in order to improve its prevention and treatment. Methods Fifty-one girls with repeated vulvovaginitis ( age ≤ 10 years) admitted to The Second Affiliated Hospital of Sun Yat-sen University from Jan. 1990 to Nov. 2004 were reviewed retrospectively. Results We found 28 girls (55%)suffering from non-specific vulvovaginitis and 14 ones (27%) suffering from posterior recto-vaginal fistula with in 51 patients. Five girls ( 10% ) were smitten with vulval ulcer and 3 ones(6% )had been were found with vaginal foreign bodies. One girl(2% ) was smitten with adhesion of labia minora- The vaginal discharges taken from 21 girls were cultured. Seventeen cases found bacteria. The positive rate of bacteria culture in the 21 cases reached 81% , in which, E. coli accounted for 5 cases ( 24% ), staphylococcus and streptococcus accounted for 3 cases ( 14% ) respectively. Patients suffered from non-specific vulvovaginitis and vulval ulcer accepted external lotion, antibiotic ointment or combining with antibiotics. Patients suffered from posterior recto-vaginal fistula accepted fistulectomy. Three girls who found vaginal foreign bodies took out of foreign bodies by hysteroscope. Fifty-one girls all were cured after appropriate therapy. Conclusions Vulvovaginitis is the most common gynecologic diagnosis in girlhood. The principal cause of repeated invasion is non-specific vulvovaginitis and the secondly one is posterior recto-vaginal fistula. It need overhaul during the diagnosis. It is very availability to use hysteroscopy and do bacteria culture + antibiotic sensitivity test for repeated pediatric vulvovaginitis.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
2006年第7期452-454,共3页
Chinese Journal of Obstetrics and Gynecology
关键词
幼女
反复发作
外阴阴道炎
宫腔镜
药敏
Girl
Repeated
Vulvovaginitis
Hysteroscopy
Antibiotic sensitivity