Zhang Zhenqian,Chen Kexin,Yan Xiangming,et al.Clinical features and management strategies of imperorate hymen in children[J].Journal of Clinical Pediatric Surgery,,21():278-282.[doi:10.3760/cma.j.cn101785-202101069-014]
Clinical features and management strategies of imperorate hymen in children
- Abstract:
- 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, intraoperative 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 pediatric 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.
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Memo
收稿日期:2021-01-23。
基金项目:江苏省自然科学基金面上项目（BK20191176）；苏州市临床重点病种诊疗技术专项项目（LCZX201908）
通讯作者:曹戌,Email:cao_xu1982@163.com