韩国人群儿童期妇科问题的临床特征。
Clinical Characteristics of Gynecologic Problems During Childhood in the Korean Population.
发表日期:2023 Sep 18
作者:
Haewon Choi, Sung Eun Kim, Nae Hyun Lee, Dong-Yun Lee, DooSeok Choi
来源:
MEDICINE & SCIENCE IN SPORTS & EXERCISE
摘要:
本研究分析了韩国十岁以下患者常见的妇科问题。我们对1995年至2020年间就诊于三星医学中心儿童青春期妇科门诊的十岁以下患者的病历进行了回顾性分析。在就诊于儿童青春期妇科门诊的6,605名患者中,本研究分析了642名十岁以下患者的数据。最常见的主诉是生殖器畸形,其次是阴道分泌物增多和临床检查异常发现。最常见的疾病是阴唇粘连,通常在例行筛查中偶然发现。其次是外阴阴道炎,通过阴道分泌物、瘙痒和阴道出血症状进行识别。肿瘤、阴道出血问题和“其他原因”是其他妇科问题的类别。245名患者(38.2%)是通过基层医疗机构转诊过来的,175名患者(27.4%)直接在门诊就诊,169名患者(26.3%)是从医院的儿科部门转诊过来的,其余由其他科室转诊。本研究提供了关于儿科患者中最常见的妇科问题的信息。该研究为基层医生提供了有关对这些儿科患者的妇科问题进行适当管理和及时转诊的有益见解。© 2023 The Korean Academy of Medical Sciences.
This study analyzed common gynecologic problems among Korean patients younger than ten years.We performed a retrospective analysis of medical records of patients younger than ten years who visited the Pediatric and Adolescent Gynecology Clinic at Samsung Medical Center between 1995 and 2020.Among the 6,605 patients who visited the Pediatric and Adolescent Gynecology Clinic, data from 642 patients younger than ten years were analyzed in this study. The most common chief complaint was genital anomalies, followed by increased vaginal discharge and abnormal findings on clinical examinations. The most common disease entity was agglutination of the labia minora, which was commonly discovered incidentally during routine screenings. Vulvovaginitis, the second most common disease, was identified by symptoms of vaginal discharge, pruritus, and vaginal spotting. Neoplasm, issues with vaginal bleeding, and "other causes" were additional categories of gynecologic problems. 245 patients (38.2%) were referred from primary care sources, 175 patients (27.4%) sought care directly at the clinic, 169 patients (26.3%) were referrals from the institution's pediatric department, and the remainder were referrals from other departments.This study provides information about the gynecologic problems most frequently encountered in pediatric patients. The study provides helpful insight for primary care physicians into the proper management and timing of referrals for these gynecologic problems of pediatric patients.© 2023 The Korean Academy of Medical Sciences.