儿童处女膜闭锁的临床特征 及诊疗策略.

Objective To explore the clinical features and treatment of imperforate hymen (IH) in children. Methods A retrospective analysis was performed for 24 children of imperforate hymen from February 2012 to October 2020. The medical history, physical signs, auxiliary examination results, surgical methods, intra operative conditions, and postoperative follow-up conditions were evaluated. Results There were 7 children (29%) diagnosed with IH before puberty, and 17 (71%) were treated with symptoms during puberty. The main clinical manifestations included abdominal pain and discomfort (16/17,94. 1%). Most of the pediatre patients had urinary symptoms such as retention of urine and impaired urination (7/17.41.2%) and frequent urination (2/17,11.8%). Some had fever (2/17,11.8%), bloating (1/17,5.9%), nausea (1/17.5.9%). and difficulty defecating (1/17,5.9%). 7 (41.2%) of the children with symptoms had been misdiagnosed. All 24 children underwent hymenotomy with a cruciate incision, with no obvious postoperative complications during follow-up. Conclusion The diagnosis of IH requires careful physical examination, in which ultrasound examination can be helpful in making correct diagnosis. The best timing for surgery is during puberty, but before the menarche. Symptomatic adolescent should receive surgery as soon as possible after diagnosis. The hymen cruciate incision is safe and effective as a standard surgical procedure. [ABSTRACT FROM AUTHOR]