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首页> 外文期刊>Current women’s health reviews >Vulvovaginal Complaints in the Prepubertal Patient: An Update
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Vulvovaginal Complaints in the Prepubertal Patient: An Update

机译：Prepubertal患者的外阴失败：更新

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Background: Vulvovaginal complaints account for the majority of childhood visits togynecologists. In these cases, patients most commonly present with nonspecific complaints includingitching, vaginal bleeding, vulvar pain or dysuria. Because of the nonspecific nature of the presentingcomplaints, patients are frequently misdiagnosed or over-treated.Recent Findings: The etiology of pediatric vulvovaginitis is often nonspecific; however vaginitis inprepubertal girls may also have other treatable causes that are inflammatory (i.e. lichen sclerosus),anatomic (i.e. labial adhesions) or infectious (genital ulcers) in nature. These conditions are particularlycommon prior to puberty due to the hypoestrogenic vulvovaginal tissue of the girls in this agegroup as well as their prepubertal anatomy.Conclusion: Providers should be aware of normal prepubertal vulvovaginal anatomy as well as themost common etiologies of vulvovaginal complaints in this age group. Most of these conditions canbe addressed safely on an outpatient basis if clinicians are able to appropriately diagnose them in atimely manner.
机译：背景：外阴投诉占大多数童年访问的对焦者。在这些情况下，最常见的患者含有非特异性投诉，包括阴道出血，外阴疼痛或困扰。由于提前证据的非特异性，患者经常被误诊或过度处理。特征：儿科潜水腺炎的病因通常是非特异性的;然而，阴道炎inprepubertal女孩也可能具有其他可治疗的原因，这些原因是炎症（即lichen sclerosus），解剖学（即唇粘连）或感染性（生殖器溃疡）。由于这个年龄群体中的女孩的低雌激发弱软化药物以及它们的预接种解剖学，这些病症在青春期之前尤其如此。结论：提供者应该了解正常的预接种外阴阴压解剖学，以及该年龄组的外阴抱怨的普遍常见病因。如果临床医生能够以极其适当地诊断它们，大多数这些条件都可以在外部安全地依据安全地解决。

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