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[A clinical analysis of gynecological diseases in 147 children]
Zhi-Hui Tan1, Yi Zhang, Yu Zhang
1Department of Gynecology, Xiangya Hospital, Central South University, Changsha 410008, China. 21125172@qq.com.
Insights
Pediatric gynecological diseases are most commonly ovarian tumors, reproductive tract abnormalities, and dysfunctional uterine bleeding. Key symptoms include abdominal pain and vaginal bleeding, requiring tailored treatments considering children's unique physiology.
Area of Science:
- Pediatric Gynecology
- Reproductive Health in Children
- Clinical Pediatrics
Background:
- Gynecological conditions in children are less common but require specific diagnostic and management approaches.
- Hospitalized pediatric patients present unique challenges in diagnosis and treatment of gynecological issues.
Purpose of the Study:
- To investigate the clinical characteristics of gynecological diseases in hospitalized children.
- To identify the most prevalent gynecological conditions and their associated symptoms in this pediatric population.
Main Methods:
- Retrospective analysis of clinical data from 147 hospitalized children treated for gynecological diseases.
- Review of patient demographics, presenting symptoms, diagnoses, and treatment modalities.
Main Results:
- Ovarian tumors were the most frequent diagnosis (36.1%), followed by reproductive tract dysplasia/malformation (19.7%) and dysfunctional uterine bleeding (12.2%).
- Common symptoms included abdominal pain, pelvic masses, and irregular vaginal bleeding.
- Treatments ranged from surgery for tumors and malformations to hormonal therapy for bleeding disorders and minimally invasive procedures for foreign bodies and ectopic pregnancies.
Conclusions:
- Ovarian tumors, reproductive tract abnormalities, and dysfunctional uterine bleeding are the leading gynecological concerns in hospitalized children.
- Abdominal pain, masses, and irregular vaginal bleeding are key presenting symptoms.
- Diagnosis and treatment necessitate consideration of pediatric physiological and reproductive specifics, utilizing advanced techniques like laparoscopy, hysteroscopy, and ultrasound.
Objective:
To study the clinical features of gynecological diseases in hospitalized children.
Methods:
A retrospective analysis was performed for the clinical data of 147 children with gynecological diseases who were hospitalized and treated in the department of gynecology.
Results:
Among the 147 children, ovarian tumors were most common (53 cases, 36.1%), followed by reproductive tract dysplasia or malformation (29 cases, 19.7%), adolescent dysfunctional uterine bleeding (18 cases, 12.2%), traumatic injury in the vulva/vagina (15 cases, 10.2%), and vaginal foreign body (8 cases, 5.4%). The main symptoms of ovarian tumors included abdominal pain and abdominal or pelvic mass. Progressive abdominal pain was a main symptom in children with reproductive tract dysplasia or malformation. The children with adolescent dysfunctional uterine bleeding manifested as irregular or a lot of vaginal bleeding. The children with ovarian tumors and reproductive tract malformation or dysplasia were given surgical treatment, and those with adolescent dysfunctional uterine bleeding were given different sex hormones based on their clinical manifestations and endometrial thickness. Eight children with vaginal foreign body underwent hysteroscopy for vaginal examination, and the foreign body was successfully removed without the damage of the hymen. One patient with tubal pregnancy underwent laparoscopic tubal pregnancy debridement. One patient with hydatid mole was diagnosed with invasive hydatid mole after complete curettage of uterine cavity and then received chemotherapy.
Conclusions:
The top three gynecological diseases in children are ovarian tumors, reproductive tract dysplasia or malformation, and adolescent dysfunctional uterine bleeding. Common chief complaints of the patients include abdominal pain, abdominal masses, and irregular vaginal bleeding. Diagnosis and treatment should fully consider the physiological and reproductive features of children and give full play to the advantages of laparoscopy, hysteroscopy, and ultrasound.