کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3961182 1255589 2016 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Vaginal Bleeding in Prepubertal Girls: Etiology and Clinical Management
ترجمه فارسی عنوان
خونریزی واژینال در دختران نابالغ: علل و مدیریت بالینی
کلمات کلیدی
خونریزی واژینال نابالغ؛ دختران جوان؛ بررسی تناسلی؛ کولپوسکوپی؛ بیهوشی عمومی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

Study ObjectiveWe aimed to investigate the etiology and clinical management of vaginal bleeding in girls aged 0-9 years and to compare our results with previous publications.Design, Setting, Participants, Interventions, and Main Outcome MeasuresThe records of all girls younger than 10 years of age who were seen between 2001 and 2011 at Skåne University Hospital Lund for vaginal bleeding were retrospectively collected.ResultsWe identified 86 girls with vaginal bleeding. Of those, 47 (54.7%) were diagnosed with a local lesion, the etiology was hormonal in 16 (18.6%), and in 23 (26.7%) the etiology was unclear. Trauma was the most frequent cause of local lesions and hormonal withdrawal of the newborn was the most common hormonal etiology. Two girls were diagnosed with a tumor, 1 with relapse of a vaginal rhabdomyosarcoma, and the other with recurrence of an ovarian granulosa cell tumor. There were large disparities in the clinical management of vaginal bleeding. A genital examination was conducted in 70 of 86 (81.4%), and colposcopy in only 8 of 86 of the patients (9.3%).ConclusionThis study confirmed vaginal bleeding as a rare finding in girls younger than 10 years of age. It is usually a benign symptom, but because there might be a serious underlying condition, proper investigation and follow-up are needed. Clinical management varied in our patient cohort. This might be because of insufficient knowledge and might indicate the need for general guidelines.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric and Adolescent Gynecology - Volume 29, Issue 3, June 2016, Pages 280–285
نویسندگان
, , , ,