儿童期生殖系统疾病特点分析

目的探讨女性儿童期生殖系统疾病发生特点,以加强对儿童期生殖系统疾病的重视。方法对上海医科大学妇产科医院近２０年内收治的１０６例年龄≤１２岁的女性儿童生殖系统疾病患者的临床特点进行回顾分析,前１０年为第１组（３６例）,后１０年为第２组（７０例）,将两组进行对照比较,并与本院同期妇科住院病例进行比较。结果两组发病年龄,第１组为８７±３５岁（ｘ±ｓ,下同）,第２组为９８±２９岁。病例数第１组（３６例）与第２组（７０例）相比,差异具有非常显著性（Ｐ＜０．００１）,与同期妇科病例比较,第２组较第１组增加了近０１％。发病第１位为肿瘤,而第２组肿瘤病例增加显著（Ｐ＜０．０５）,其次,第１组为会阴外伤、生殖道畸形、生殖道炎症,第２组为生殖道畸形、生殖道炎症、会阴外伤。结论近１０年肿瘤发病数明显增多居首位,生殖道畸形发病年龄提前,感染的发病趋向于复杂化、严重化,妇科和儿科医师要重视女性儿童期生殖系统疾病的预防和治疗。

Analysis of characteristics of genital diseases in girlhood

OBJECTIVE: To explore the characteristics of genital diseases in girlhood in order to improve its prevention and treatment. METHODS: 106 girls with genital diseases (age < or = 12 years) admitted to Obstetrics and Gynecology Hospital of Shanghai Medical University from Jan. 1977 to Dec. 1996 were reviewed retrospectively. They were divided into two group. 1st group 36 cases (1977-1986), 2nd group 70 cases (1987-1996). The clinical data of these two groups were compared and also compared with the whole patients admitted to the Gynecological Department of this hospital at the same period. RESULTS: The patients' number of the second group significantly increased by 0.1 percentage as compared with the 1st group (P < 0.001). The characteristics of genital diseases in the second group is different from that in the 1st group: the incidence of genital tumor ranked the highest, the age of genital malformation patients became younger, and the inflammatory disease tended to be more complicated and serious. CONCLUSIONS: These data indicated that the pediatrician and gynecologist should pay more attention to the prophylaxis and treatment of genital diseases in girlhood.