小儿妇科生殖器畸形的临床特征及治疗方式研究

Clinical Features and Treatments of Genital Deformity in Female Children

目的分析小儿妇科畸形中各种畸形的临床特征及合理的手术方式。方法回顾分析28例小儿妇科畸形患儿的临床资料。结果小儿妇科外、内生殖器畸形的比例为13∶15。处女膜闭锁13例,以无月经来潮、腹痛、排尿困难为主要临床表现。阴道Ⅰ、Ⅱ型闭锁分别为4例、6例,以周期性下腹痛为主要临床表现,阴道成形术后佩戴模具是预防复发的要点。阴道横隔、斜隔各2例。单纯子宫畸形1例。结论小儿妇科畸形少见,应根据其临床特征做出早期诊断并进行合理的手术治疗,以改善患儿生活质量。

Objective To analyze the clinical features and reasonable operation style of genital deformity in female children. Methods Data of 28 cases from the hospitalized children patients with genital system deformity were analyzed retrospectively. Results The ratio of external and internal genital deformity in female children patients was 13： 15. there were 13 cases of atresia hymenalis mainly with primary amenorrhea, abdominal pain and dysuria. There were respectively 4 and 6 cases with Type Ⅰ and Ⅱ of atresia vagina which were characterized by periodically hypogastralgia. The key points to prevent postoperative recurrence was to wear mould continuously. There were 2 cases of transverse and oblique vaginal septa respectively, 1 case of simple uterine deformity. Conclusion Genital deformity in female children was rare, the early diagnosis, and reasonable operation may be given according to the clinical features, to improve the life quality of the children patients.