小儿妇科急腹症32例临床分析  

Analysis of 32 cases of gynecological acute abdomen in children.

作　　者：黄柳[1] 叶明[1] 李玉芳[1] 

机构地区：[1]广州市妇婴医院,510180

出　　处：《新医学》2006年第1期26-28,共3页Journal of New Medicine

摘　　要：目的：分析小儿妇科急腹症的特点及诊治体会，以期引起妇科和儿科医师对小儿急腹症的重视，方法：回顾性分析32例以急腹症为主要表现收入院的小儿生殖系统疾病病例的临床资料。结果：32例的年龄4-14岁，根据病史、肛门检查、B超检查及术后病理诊断发现卵巢良性畸胎瘤9例，卵巢黄体破裂4例，卵巢冠囊肿4例，原发性痛经4例，处女膜闭锁4例，急性盆腔炎3例，阴道闭锁3例，腹膜后成熟性畸胎瘤1例。手术治疗25例，保守治疗7例。均治愈出院。结论：儿童早期的妇科急腹症以肿瘤性疾病为主，青春期者则应考虑经血潴留、黄体破裂、原发性痛经等炎症所致的急腹症。诊断时要注意妇科体征，与外科疾病鉴别，配合辅助检查，手术是主要的治疗方法，其中腹腔镜手术可同时进行诊断与治疗．Objective： To analysis the characteristices and treatment of acute abdomen caused by pediatric gynecologic diseases and to emphasize its importance in differential diagnosis for gynecologist and pediatrician. Methods： Thirty-two patients with pediatric gynecologic diseases presented as acute abdomen were retrospectively reviewed. Results： The age ranged from 4 to 14 years old. Diagnosis was made by history, rectal examination , uhrasonography and postoperative pathologic diagnosis. Ovarian benign teratoma was found in 9 patients, ovarian luteum rupture in 4, parovarian cyst in 4, primary dysmenorrhea in 4, imperforate hymen in 4, acute pelvic inflammatory disease in 3, atresia of vagina in 3 and retroperitoneal mature teratoma in 1. Twenty-five patients underwent operative treatment and 7 patients underwent conservative therapy. All patients recovered. Conclusion： The acute abdomen in young children is mainly caused by tumorous disease. In evaluating acute abdomen in adolescents, retention of menstruation blood, ovarian luteum rupture and primary dysmenorrhea should be considered. Operation is the main therapy. Laparoscopy may be an effective approach for the diagnosis and treatment.

关 键 词：急腹症 妇科 儿童 畸胎瘤 临床分析 

分 类 号：R711[医药卫生—妇产科学] R725.7[医药卫生—临床医学]