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儿科患者的阴道外体:系统性审查
E Umans1, M Boogaerts1, B Vergauwe2
1UZ Brussel, Department of Gynecology-Obstetrics, Laarbeeklaan 101, 1090 Jette, Brussels, Belgium.
概括
儿科的阴道外体是具有挑战性的. 临床检查和超声波帮助诊断,而阴道镜是治疗的关键. 在这些情况下,始终考虑潜在的性虐待.
科学领域:
- 儿科妇科 儿科妇科
- 诊断成像 诊断成像 诊断成像
- 最少侵入性的手术
背景情况:
- 儿童的阴道外体存在诊断方面的挑战.
- 现有的文献包括案例报告和小型研究,缺乏全面的审查.
- 本系统性审查解决了对儿科阴道外体的综合证据的需求.
研究的目的:
- 系统地审查关于儿科患者阴道外体的文献.
- 识别常见的表现,诊断方法和治疗方法.
- 突出潜在的并发症和相关因素,如性虐待.
主要方法:
- 对英语文章的系统审查.
- 包括16岁及以下患者的研究,可提供全文.
- 排除成人患者和腹部到阴道迁移的病例.
主要成果:
- 分析了涉及522名儿科患者的75篇文章.
- 常见的症状包括阴道出血和分泌物;卫生纸是最常见的物体.
- 超声波显示79.9%的灵敏度,而阴道透视是主要的治疗方法.
结论:
- 准确的诊断依赖于临床检查和超声波.
- 阴道镜是诊断和治疗儿科阴道外体的黄金标准.
- 临床医生必须对受影响儿童的潜在性虐待保持警.
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