处女膜不穿孔的临床特征,诊断方法和结果:一个单一机构的病例系列
Masashi Kadohisa1, Masaki Horiike1, Hisanori Fujino2
1Department of Pediatric Surgery, Osaka Red Cross Hospital, Osaka, Japan.
概括
不穿孔的童膜是一种常见的阻塞性生殖道病变,在青少年中呈现出各种症状. 通过超声波和手术纠正 (雌毛切除术/雌毛切除术) 的早期诊断可以在不需要重新关闭的情况下取得成功的结果.
科学领域:
- 妇科 妇科 妇科 妇科
- 儿科手术 儿科手术
- 医学诊断 医学诊断 医学诊断
背景情况:
- 无孔处女膜是女性生殖道的常见阻塞性病变.
- 它可以导致水分/血液计量器失败,导致由于保留的分泌物和月经血液而引起的非特异性症状.
研究的目的:
- 研究未穿孔的童膜的临床特征,诊断方法和治疗结果.
- 评估一个日本机构对这种疾病的管理.
主要方法:
- 对被诊断为处女膜不穿孔的患者的回顾性审查.
- 从2012年1月到2023年11月在大阪红十字医院收集的数据.
主要成果:
- 确定了6名患者;5名在青春期 (10-13岁) 确诊,1名新生儿.
- 青少年病例呈现出各种症状,如腹痛和尿路滞留,导致多个部门进行咨询.
- 腹部超声波有效地检测出大囊性病变,暗示出血栓塞,指导进一步的治疗,包括MRI在某些情况下.
- 所有患者都接受了美切除术或美切除术,结果是成功的,没有出现术后狭窄或重新关闭.
结论:
- 在青春期女孩中,应考虑穿孔不通的童膜,这些女孩有前阴期难治的下腹症状.
- 腹部超声波是识别这种疾病的关键诊断工具.
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